Nursing HomeInspections

Merkel Nursing Center

Nursing home in Merkel, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
1704 N. 1st, Merkel, TX 79536
Phone
(325) 928-5673
Listed under
For-profit
Medicare CCN
676053
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
65
Average residents per day
19
Ownership
For-profit, limited Liability company
Legal business name
Emi Healthcare LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 676053. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 64 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 8, 2023 to Feb 16, 2026): 43 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Feb 16, 2026Have 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.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 16, 2026Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 16, 2026Implement a program that monitors antibiotic use.
Infection Control · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 16, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 16, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		K
Immediate jeopardy, pattern
Feb 16, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Feb 16, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		K
Immediate jeopardy, pattern
Feb 16, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		K
Immediate jeopardy, pattern
Dec 4, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Dec 4, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 64. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $318,060 in the last three years.

Feb 16, 2026Fine: $137,108
Aug 22, 2025Fine: $180,952

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.35 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
1.09 hours
Total nurse staffing on weekends
2.52 hours
Nursing staff turnover (yearly)
71%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.