All citations for Merkel Nursing Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Merkel Nursing Center

Last standard health inspection on record

December 4, 2025

Showing 1 to 25 of 37 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 1, 2025).

  2. No harm, with potential for more than minimal harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  3. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  4. No harm, with potential for more than minimal harm

    Conduct 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.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2025).

  5. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  6. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

  7. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  8. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  9. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  10. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  11. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  12. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  13. No harm, with potential for more than minimal harm

    Have policies on smoking.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0926, Environmental Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

  15. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 1, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  17. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 2, 2024).

  20. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 2, 2024).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 2, 2024).

  22. No harm, with potential for more than minimal harm

    Regularly 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0909, Environmental Deficiencies. Inspection of July 31, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2024).

  23. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 1, 2024).

  24. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 1, 2025).

  25. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.