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Merkel Nursing Center

1704 N. 1St, Merkel, TX 795363259285673Ownership: For profit - Limited Liability companyCertified beds: 65Avg. daily residents: 19County: Taylor
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Merkel Nursing Center, a Medicare & Medicaid–certified nursing home in Merkel, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Merkel Nursing Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 71% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $318,060 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.35 total nurse staff hours per resident per day
about the state average (3.39)
0.68 RN hours per resident per day
above the state average (0.43)
2.52 weekend nurse staff hours per resident per day
71.1% total nursing staff turnover
above the state average (55.3)
Not reported RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

December 4, 2025 most recent standard health inspection
29 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
27 health deficiencies in the two prior cycles combined
$318,060 in federal fines across 2 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 5 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 16, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintK · Immediate jeopardy
February 16, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintK · Immediate jeopardy
February 16, 20260725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintK · Immediate jeopardy
February 16, 20260726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintK · Immediate jeopardy
February 16, 20260727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. ComplaintF · Potential for more than minimal harm
February 16, 20260728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4… ComplaintF · Potential for more than minimal harm
February 16, 20260881Implement a program that monitors antibiotic use. ComplaintF · Potential for more than minimal harm
February 16, 20260882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. ComplaintF · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.