Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 676053

Merkel Nursing Center

56 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $291,592.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
56
Last 3 years
1
Actual harm+
4
Federal penalties
$291,592
Total fines
1
Overall ★ rating

Most common violation categories here

Administration14 Resident Rights7 Quality of Care6 Care Planning6 Infection Control5

Most common F-tags at this facility

F8804 F6072 F6892 F6952 F8422

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Dec 4, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard
Dec 4, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard
Dec 4, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Dec 4, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard
Dec 4, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
Dec 4, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard
Dec 4, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard
Dec 4, 2025F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Dec 4, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 4, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Dec 4, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EStandard
Dec 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Aug 22, 2025F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.CComplaint
Aug 22, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Aug 22, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Aug 22, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Aug 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Aug 22, 2025F610Respond appropriately to all alleged violations.EComplaint
Aug 22, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Aug 22, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Dec 12, 2024F880Provide and implement an infection prevention and control program.DComplaint
Oct 17, 2024F926Have policies on smoking.EComplaint
Oct 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Oct 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Oct 17, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Oct 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Jul 31, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.BComplaint
Jul 31, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.BComplaint
Jul 31, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.BComplaint
Jul 31, 2024F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EComplaint
Jul 31, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jul 31, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
Jul 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jul 31, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Jul 31, 2024F732Post nurse staffing information every day.BComplaint
Jul 31, 2024F728Ensure 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.EComplaint
Jul 31, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Jul 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jul 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 31, 2024F680Ensure the activities program is directed by a qualified professional.CComplaint
Jul 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Jul 31, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jul 31, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.CComplaint
Jul 31, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jul 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Dec 15, 2023F908Keep all essential equipment working safely.EComplaint
Jun 8, 2023F880Provide and implement an infection prevention and control program.EComplaint
Jun 8, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEComplaint
Jun 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jun 8, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Jun 8, 2023F727Have 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.EComplaint
Jun 8, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
Jun 8, 2023F567Honor the resident's right to manage his or her financial affairs.EComplaint
Jun 8, 2023F558Reasonably accommodate the needs and preferences of each resident.EComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $291,592 .

DateTypeFinePayment denial
Aug 22, 2025Fine$274,110—
Jun 26, 2023Fine$4,196—
Jun 20, 2023Fine$3,846—
May 30, 2023Fine$9,440—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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