Merkel Nursing Center
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-02-16 — IMMEDIATE JEOPARDY (tag F0726, severity K)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
2026-02-16 — IMMEDIATE JEOPARDY (tag F0725, severity K)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2026-02-16 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-02-16 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-08-22 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.02
state median 2.67
Weekend staffing gap
−11%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.31
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
47
with residents present
Nursing staff turnover
71%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $391,887 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-16 | Fine | $210,935 |
| 2025-08-22 | Fine | $180,952 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-16 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2026-02-16 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2026-02-16 | F0725 | Nursing and Physician Services Deficiencies | K | not recorded |
| 2026-02-16 | F0726 | Nursing and Physician Services Deficiencies | K | not recorded |
| 2026-02-16 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2026-02-16 | F0728 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2026-02-16 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2026-02-16 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2025-12-04 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-12-04 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-04 | F0849 | Administration Deficiencies | E | not recorded |
| 2025-12-04 | F0867 | Administration Deficiencies | F | not recorded |
| 2025-12-04 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-04 | F0909 | Environmental Deficiencies | E | not recorded |
| 2025-12-04 | F0940 | Administration Deficiencies | E | not recorded |
| 2025-12-04 | F0941 | Administration Deficiencies | E | not recorded |
| 2025-12-04 | F0942 | Resident Rights Deficiencies | E | not recorded |
| 2025-12-04 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-12-04 | F0944 | Administration Deficiencies | E | not recorded |
| 2025-12-04 | F0945 | Infection Control Deficiencies | E | not recorded |
| 2025-12-04 | F0949 | Administration Deficiencies | E | not recorded |
| 2025-08-22 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-08-22 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-08-22 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-08-22 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-08-22 | F0801 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-22 | F0835 | Administration Deficiencies | F | not recorded |
| 2025-08-22 | F0838 | Administration Deficiencies | F | not recorded |
| 2025-08-22 | F0844 | Administration Deficiencies | C | not recorded |
| 2024-12-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-10-17 | F0580 | Resident Rights Deficiencies | E | not recorded |
| 2024-10-17 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-17 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-10-17 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-17 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-10-17 | F0926 | Environmental Deficiencies | E | not recorded |
| 2024-07-31 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-31 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-31 | F0576 | Resident Rights Deficiencies | C | not recorded |
| 2024-07-31 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-31 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-31 | F0680 | Quality of Life and Care Deficiencies | C | not recorded |
| 2024-07-31 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-31 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-31 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-31 | F0728 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-31 | F0732 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2024-07-31 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-31 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-31 | F0868 | Administration Deficiencies | F | not recorded |
| 2024-07-31 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-07-31 | F0909 | Environmental Deficiencies | E | not recorded |
| 2024-07-31 | F0941 | Administration Deficiencies | B | not recorded |
| 2024-07-31 | F0944 | Administration Deficiencies | B | not recorded |
| 2024-07-31 | F0949 | Administration Deficiencies | B | not recorded |
| 2023-12-15 | F0908 | Environmental Deficiencies | E | not recorded |
| 2023-06-08 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2023-06-08 | F0567 | Resident Rights Deficiencies | E | not recorded |
| 2023-06-08 | F0711 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-06-08 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-06-08 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-06-08 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-06-08 | F0868 | Administration Deficiencies | E | not recorded |
| 2023-06-08 | F0880 | Infection Control Deficiencies | E | not recorded |