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Merkel Nursing Center

Inspection Results

Inspection Summary
Merkel Nursing Center has been cited for 57 deficiencies in our most recent deficiency data (Tip: Surveys happen throughout the year and you may want to check with the location to see if there is more recent data available). There are 1188 nursing homes in Texas with a total of 41009 deficiencies resulting in an average of 34.52 deficiencies per nursing home.

Date of Survey Date of Correction Deficiency
2014-09-10 2014-09-25 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2014-09-10 2014-10-10 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, as defined by Federal requirements.
2014-07-23 2014-08-15 Try to resolve each resident's complaints quickly.
2014-07-23 2014-08-15 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.
2014-07-23 2014-08-15 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.
2014-07-23 2014-08-15 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
2014-07-23 2014-08-15 Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
2014-07-23 2014-08-15 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
2014-07-23 2014-08-15 Store, cook, and serve food in a safe and clean way.
2014-07-23 2014-08-15 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.
2014-07-23 2014-09-25 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2013-06-21 2013-07-25 Provide housekeeping and maintenance services.
2013-06-21 2013-07-10 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
2013-03-19 2013-04-15 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
2013-06-21 2013-07-10 Ensure that residents are fully informed and understand their health status, care and treatments.
2013-06-21 2013-07-25 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2013-06-21 2013-07-25 Allow residents the right to participate in the planning or revision of care and treatment.
2013-06-21 2013-07-10 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
2013-06-21 2013-07-25 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
2013-06-21 2013-07-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2013-06-21 2013-07-10 Provide necessary care and services to maintain or improve the highest well being of each resident .
2013-06-21 2013-07-10 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2013-06-21 2013-07-10 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2013-06-21 2013-07-10 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
2013-06-21 2013-07-25 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
2013-06-21 2013-08-05 Store, cook, and serve food in a safe and clean way.
2013-06-21 2013-07-25 Dispose of garbage and refuse properly.
2013-06-21 2013-07-25 Have a program that investigates, controls and keeps infection from spreading.
2013-06-21 2013-07-10 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
2012-07-31 2012-08-10 Provide necessary care and services to maintain or improve the highest well being of each resident .
2012-04-16 2012-05-03 Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.
2012-04-16 2012-05-03 Ensure services provided by the nursing facility meet professional standards of quality.
2012-04-16 2012-05-03 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2012-04-16 2012-05-03 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
2012-03-26 2012-05-03 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.
2012-03-26 2012-05-03 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
2012-05-03 2012-05-21 Allow residents to self-administer drugs if determined safe.
2012-05-03 2012-05-04 Protect each resident from mistreatment, neglect and misappropriation of personal property.
2012-05-03 2012-05-04 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.
2012-05-03 2012-05-21 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2012-05-03 2012-05-04 Provide necessary care and services to maintain or improve the highest well being of each resident .
2012-05-03 2012-06-08 Store, cook, and serve food in a safe and clean way.
2012-05-03 2012-05-10 Have a program that investigates, controls and keeps infection from spreading.
2014-07-24 2014-08-15 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2014-07-24 2014-08-22 Exits that are accessible at all times.
2014-07-24 2014-08-15 Proper backup exit lighting.
2014-07-24 2014-08-22 An approved installation, maintenance and testing program for fire alarm systems.
2014-07-24 2014-08-15 Portable fire extinguishers.
2014-07-24 2014-08-15 Weekly inspections and monthly testing of generators.
2013-07-17 2013-08-15 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2013-07-17 2013-08-09 Emergency lighting that can last at least 1 1/2 hours.
2013-07-17 2013-09-05 Properly located and lighted "Exit" signs.
2013-07-17 2013-08-15 A fire alarm system that can be heard throughout the facility.
2013-07-17 2013-08-05 Portable fire extinguishers.
2013-07-17 2013-08-09 Properly installed electrical wiring and equipment.
2012-05-16 2012-06-29 Proper backup exit lighting.
2012-05-16 2012-06-29 Other fire safety features required by fire safety codes.

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