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Merkel Nursing Center

1704 N 1st
Merkel, TX 79536-3086
(325) 928-5673
Services Offered:
Skilled Nursing,
  • Skilled Nursing
  • Licenses
  • Skilled Nursing
  • Eligibility
    All genders welcome
    Care Options
    Licensed nursing care provided 24 hours a day
    Contract for on-call physician care
    Personal Assistance
    Activities of Daily Living (ADLs)
    Catheter management
    Sitting, standing, walking, and getting in and out of bed
    Toileting
    Medication management
    Care Services
    Hospice
    Occupational therapy
    Physical therapy
    Restorative therapy
    Speech therapy
    Diabetes Management Care
    Diet
    Oral medication
    Staff-administered insulin injection
    Health Condition Care
    Arthritis
    Breathing support requiring oxygen
    Breathing support requiring ventilator
    Broken bones
    Cancer
    Colostomy/urostomy care needs
    Depression
    Developmental disabilities
    Emphysema or other lung diseases
    Heart disease or heart failure
    Incontinence and bladder management
    Management of a feeding tube
    Memory loss
    Monitored intake of foods and liquids
    Parkinson's disease
    Psychiatric conditions such as bipolar/manic depression or schizophrenia
    Stroke
    Tendency to fall
    Wound treatment
    Memory Care
    Alzheimer's and Dementia Care Provided
    Services for Alzheimer's or Dementia Residents
    Family members able to join at mealtime
    Family members able to participate in care plan
    Specially trained staff
    Safe wandering areas
    Regular assessments by interdisciplinary staff
    Environment that is easy to navigate
    Daily planned recreational and social activities
    Accommodations
    Short Term and Temporary Stay Options
    Rehabilitation care
    Smoking accommodations are provided
    Residents may bring their own furniture
    Security Features
    24 hour up and awake night staff
    Door alarms
    Emergency in-room call system
    Fire sprinkler system
    New staff subject to criminal background check
    Transportation and Parking Options
    Transportation provided by facility
    Room Amenities
    Air conditioning
    Cable hook up
    Private telephone line
    Wheel-in shower
    Walk-in shower
    Wheelchair access
    Community
    Number of residents: 66
    Meals Provided
    Breakfast
    Lunch
    Dinner
    Snacks
    On-Site Services
    Activity director
    Beautician and/or barber
    Designated family visiting area
    Housekeeping
    Laundry service
    TV, media room, or theater
    Cost
    Payment Sources Accepted
    Long term care insurance
    Medicaid
    Medicare
    Private funds
    VA benefits
    Residents
    Number of residents in certified beds : 39
    General
    Provider type
    Medicare and Medicaid DISTINGUISHED HEALTH CARE INC.
    Date first approved to provide Medicare and Medicaid services : 6/1/2005
    With a Resident and Family Council
    Resident
    Automatic fire sprinkler systems in all required areas
    Yes
    Star Ratings
    Merkel Nursing Center exceeds average state scores in 3 of 5 areas.
    Merkel Nursing Center exceeds average region scores in 3 of 5 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0 stars
    1 stars
    2 stars
    3 stars
    4 stars
    5 stars
    Overall Rating
     
     
     
     
    2 stars
    2.84 stars
    3.52 stars
    Health Inspection Rating
     
     
     
     
    1 stars
    2.76 stars
    3.27 stars
    Quality Measures Rating
     
     
     
     
    4 stars
    3.85 stars
    3.57 stars
    Staffing Rating
     
     
     
     
    4 stars
    2.24 stars
    3.13 stars
    Registered Nurse Staffing Rating
     
     
     
     
    3 stars
    2.07 stars
    2.78 stars
    0 stars
    1 stars
    2 stars
    3 stars
    4 stars
    5 stars
    Staff
    Merkel Nursing Center exceeds average state scores in 4 of 14 areas.
    Merkel Nursing Center exceeds average region scores in 1 of 14 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0 hours
    2.4 hours
    4.8 hours
    7.2 hours
    9.6 hours
    12 hours
    Reported Certified Nursing Assistant staffing hours per resident per day
     
     
     
     
    1.71 hours
    2.29 hours
    2.06 hours
    Reported Licensed Practical Nurse staffing hours per resident per day
     
     
     
     
    1 hours
    0.9 hours
    1.12 hours
    Reported Registered Nurse staffing hours per resident per day
     
     
     
     
    0.36 hours
    0.57 hours
    1.45 hours
    Reported licensed staffing hours per resident per day
     
     
     
     
    1.36 hours
    1.47 hours
    2.57 hours
    Reported total Nurse staffing hours per resident per day
     
     
     
     
    3.07 hours
    3.76 hours
    4.63 hours
    Reported Physical Therapist staffing hours per resident per day
     
     
     
     
    0 hours
    0.07 hours
    0.24 hours
    Expected Certified Nursing Assistant staffing hours per resident per day
     
     
     
     
    2.06 hours
    2.4 hours
    2.47 hours
    Expected Licensed Practical Nurse staffing hours per resident per day
     
     
     
     
    0.52 hours
    0.67 hours
    0.73 hours
    Expected Registered Nurse staffing hours per resident per day
     
     
     
     
    0.68 hours
    1.11 hours
    1.22 hours
    Expected total Nurse staffing hours per resident per day
     
     
     
     
    3.25 hours
    4.18 hours
    4.42 hours
    Adjusted Certified Nursing Assistant staffing hours per resident per day
     
     
     
     
    2.03 hours
    2.35 hours
    2.07 hours
    Adjusted Licensed Practical Nurse staffing hours per resident per day
     
     
     
     
    1.61 hours
    1.14 hours
    1.31 hours
    Adjusted Registered Nurse staffing hours per resident per day
     
     
     
     
    0.39 hours
    0.36 hours
    0.71 hours
    Adjusted total Nurse staffing hours per resident per day
     
     
     
     
    3.8 hours
    3.63 hours
    4.12 hours
    0 hours
    2.4 hours
    4.8 hours
    7.2 hours
    9.6 hours
    12 hours
    Quality Measures for Long-Stay Patients
    Merkel Nursing Center exceeds average state scores in 6 of 13 areas.
    Merkel Nursing Center exceeds average region scores in 6 of 13 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Percent of long stay residents whose need for help with ADLS has increased
     
     
     
     
    13.5%
    19.72%
    20.29%
    Percent of long stay residents who self report moderate to severe pain
     
     
     
     
    35.6%
    9.62%
    8.68%
    Percent of high risk long stay residents with pressure ulcers
     
     
     
     
    4.9%
    6.83%
    6.02%
    Percent of long stay residents who lose too much weight
     
     
     
     
    5.9%
    6.42%
    7.64%
    Percent of low risk long stay residents who lose control of their bowel or bladder
     
     
     
     
    61.2%
    42.4%
    43.9%
    Percent of long stay residents with a catheter inserted and left in their bladder
     
     
     
     
    0.8%
    3.35%
    3.92%
    Percent of long stay residents with a urinary tract infection
     
     
     
     
    3%
    7.29%
    7.75%
    Percent of long stay residents who have depressive symptoms
     
     
     
     
    3%
    8.94%
    4.99%
    Percent of long stay residents who were physically restrained
     
     
     
     
    0%
    1.35%
    0.8%
    Percent of long stay residents experiencing one or more falls with major injury
     
     
     
     
    6.4%
    3.51%
    3.54%
    Percent of long stay residents assessed and appropriately given the seasonal influenza vaccine
     
     
     
     
    100%
    91.79%
    96.61%
    Percent of long stay residents assessed and appropriately given the pneumococcal vaccine
     
     
     
     
    99.3%
    90.94%
    97.52%
    Percent of long stay residents who received an antipsychotic medication
     
     
     
     
    30.8%
    28.48%
    22.76%
    0%
    20%
    40%
    60%
    80%
    100%
    Quality Measures for Short-Stay Patients
    Merkel Nursing Center exceeds average state scores in 3 of 5 areas.
    Merkel Nursing Center exceeds average region scores in 3 of 5 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Percent of short stay residents who self report moderate to severe pain
     
     
     
     
    Not Available
    19.27%
    20.12%
    Percent of short stay residents with pressure ulcers that are new or worsened
     
     
     
     
    15.7%
    1.37%
    2.4%
    Percent of short stay residents who were assessed and appropriately given the seasonal influenza vaccine
     
     
     
     
    100%
    75.75%
    84.49%
    Percent of short stay residents assessed and appropriately given the pneumococcal vaccine
     
     
     
     
    96.9%
    74.44%
    90%
    Percent of short stay residents who newly received an antipsychotic medication
     
     
     
     
    Not Available
    3.71%
    4.02%
    0%
    20%
    40%
    60%
    80%
    100%
  • Star Ratings
    Overall Rating : 2
    Health Inspection Rating : 3
    Quality Measures Rating : 4
    Staffing Rating : 1
    Registered Nurse Staffing Rating : 2
    https://www.medicare.gov/nursinghomecompare/profile.html#profTab=0&ID=676053
    Licenses
    US DHHS Skilled Nursing Facility
    License No. 676053
    Issued by U.S. Department of Health & Human Services
    Medicare
    Issued by Medicare
    TX Nursing Home
    License No. 004122
    Issued by Texas Department of Aging and Disability Services
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