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 51 to 73 of 73 citations

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

    Have 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.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Ensure 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  3. 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 June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  4. 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

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

    Health citation F-0868, Administration Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  5. 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 June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

  6. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  7. 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 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 7, 2026).

  8. 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).

  9. 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).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, 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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, 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).

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

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

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation 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).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, 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 1, 2024).

  14. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2026).

  15. No harm, with potential for minimal harm

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    Widespread (many residents). CMS level C.

    Health citation F-0844, Administration Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

  16. No harm, with potential for minimal harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Widespread (many residents). CMS level C.

    Health citation F-0576, 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 (August 31, 2024).

  17. No harm, with potential for minimal harm

    Ensure the activities program is directed by a qualified professional.

    Widespread (many residents). CMS level C.

    Health citation F-0680, 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 (August 19, 2024).

  18. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

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

  19. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2023).

  20. No harm, with potential for minimal harm

    Post nurse staffing information every day.

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

    Health citation F-0732, 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 5, 2024).

  21. No harm, with potential for minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

    Health citation F-0941, 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 5, 2024).

  22. No harm, with potential for minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

    Health citation F-0944, 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 5, 2024).

  23. No harm, with potential for minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, 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 5, 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.