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Merkel Nursing Center, Merkel, TX: 1 star rating, fined $320,538 across 2 fines

Merkel Nursing Center in Merkel, TX is owned by 1 individual whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $320,538 across 2 fines in the three years to October 1, 2026. CMS lists 56 health citations from inspections in that time, the latest survey on February 16, 2026, and 5 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet nursing homes in Texas
Address
1704 N. 1st, Merkel, TX 79536
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5
Certified beds
65
Residents per day
4 on average
Ownership type
For profit, limited liability company
Legal business name
Emi Healthcare LLC
Special focus
Special focus candidate
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$320,538 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
56, of which 5 with actual harm or immediate jeopardy
Latest survey
February 16, 2026
CMS Certification Number
676053
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 16, 2026Fine$139,586Not listeddata.cms.gov
August 22, 2025Fine$180,952Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 16, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K: pattern, immediate jeopardyCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.K: pattern, immediate jeopardyCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F881Implement a program that monitors antibiotic use.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F728Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
February 16, 2026F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2026data.cms.gov
December 4, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
December 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2026data.cms.gov
August 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedSeptember 1, 2025data.cms.gov
August 22, 2025F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.C: widespread, minimal harm potentialCorrectedSeptember 18, 2025data.cms.gov
August 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 16, 2025data.cms.gov
August 22, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
August 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2025data.cms.gov
August 22, 2025F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2025data.cms.gov
August 22, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2025data.cms.gov
August 22, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2025data.cms.gov
December 12, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2025data.cms.gov
October 17, 2024F926Have policies on smoking.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 17, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 17, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
July 31, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.B: pattern, minimal harm potentialCorrectedSeptember 5, 2024data.cms.gov
July 31, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.B: pattern, minimal harm potentialCorrectedSeptember 5, 2024data.cms.gov
July 31, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.B: pattern, minimal harm potentialCorrectedSeptember 5, 2024data.cms.gov
July 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 31, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 2, 2024data.cms.gov
July 31, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2024data.cms.gov
July 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 2, 2024data.cms.gov
July 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 2, 2024data.cms.gov
July 31, 2024F732Post nurse staffing information every day.B: pattern, minimal harm potentialCorrectedSeptember 5, 2024data.cms.gov
July 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2024data.cms.gov
July 31, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2024data.cms.gov
July 31, 2024F680Ensure the activities program is directed by a qualified professional.C: widespread, minimal harm potentialCorrectedAugust 19, 2024data.cms.gov
July 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2024data.cms.gov
July 31, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2024data.cms.gov
July 31, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.C: widespread, minimal harm potentialCorrectedAugust 31, 2024data.cms.gov
July 31, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2024data.cms.gov
July 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2024data.cms.gov
December 15, 2023F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (1 owners, 1 managers, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Stroh Properties LPAdditional disclosable partyNot listedJanuary 1, 2022data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.