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Merkel Nursing Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 66
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/10/2011

Date of last standard health inspection: 02/10/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
Average number of Health Deficiencies in TX: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TX: 0 - 19
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that all full-time nurse aids employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services 02/01/2012 00/05/2001 Some as defined by Federal requirements.
Ensure that all nurse aids who have worked less than 4 months are enrolled in appropriate training or have been deemed competent to provide nursing and nursing related services. 02/01/2012 01/03/2001 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/01/2012 00/07/2001 2 Some

Inspection, 01/08/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 01/08/2012 01/03/2001 2 Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 01/08/2012 01/03/2001 2 Many
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/08/2012 01/03/2001 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2012 01/03/2001 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/08/2012 01/03/2001 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/08/2012 01/03/2001 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/08/2012 01/03/2001 2 Some
Provide food in a way that meets a resident's needs. 01/08/2012 01/03/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/08/2012 01/03/2001 2 Some
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2012 01/03/2001 2 Some
Provide care by qualified persons according to each resident's written plan of care. 01/08/2012 01/03/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 01/08/2012 01/03/2001 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2012 01/03/2001 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 01/08/2012 01/03/2001 1 Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2012 01/03/2001 2 Few
Let residents voice a complaint or grievance without being treated differently or badly. 01/08/2012 01/03/2001 2 Some
Try to resolve each resident's complaints quickly. 01/08/2012 01/03/2001 2 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/08/2012 01/03/2001 2 Some

Inspection, 02/06/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Use a registered nurse at least 8 hours a day 02/06/2010 02/07/2010 Many 7 days a week.

Inspection, 03/01/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/01/2007 01/00/2008 2 Few

Inspection, 00/03/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/03/2005 01/00/2005 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/03/2005 00/04/2005 4 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/03/2005 00/04/2005 4 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/03/2005 00/08/2006 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2005 00/04/2005 4 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/03/2005 02/01/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 00/03/2005 02/01/2005 2 Some

Inspection, 01/06/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/06/2004 00/03/2005 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/06/2004 00/03/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/06/2004 00/03/2005 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home 01/06/2004 00/03/2005 and as citizens or residents of the United States. free of coercion and reprisal

Inspection, 02/06/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe 02/06/2003 00/03/2005 clean and comfortable for residents easy to use
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/06/2003 00/03/2005 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 01/09/2003

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/09/2003 01/05/2004 2 Some

Inspection, 01/00/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/00/2003 01/01/2003 Some grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2003 01/06/2003 2 Some

Inspection, 01/00/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 01/00/2002 01/00/2003 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 01/00/2002 02/05/2002 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/00/2002 00/04/2003 2 Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/00/2002 00/04/2003 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/00/2002 02/05/2002 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/00/2002 02/05/2002 2 Some

Nursing Home Staffing

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in TX Golden Living Center, Asheville
RN Staff Only1 N/A N/A NA
Total Number of Residents 86 72 49
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 999 hours 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 999 hours 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 999 hours 59 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 999 hours 59 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/09/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in TX: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in TX: 0 - 1

Inspection, 01/07/2012

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/07/2012 01/01/2001 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/07/2012 01/08/2012 2 Few

Inspection, 01/06/2005

Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/06/2005 02/09/2006 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/06/2005 02/09/2006 2 Many

Inspection, 00/09/2002

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2002 01/00/2003 1 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/09/2002 02/05/2002 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/09/2002 00/01/2003 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/09/2002 00/01/2003 2 Many
Laboratories Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper facilities for the use and storage of combustible liquids. 00/09/2002 02/05/2002 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/09/2002 01/00/2003 1 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/09/2002 02/08/2002 2 Many
Proper construction of ducts through walls designed to prevent smoke passage. 00/09/2002 00/01/2003 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/09/2002 01/00/2003 1 Many
 

1704 N 1st
Merkel, TX 79536

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