NectaLinkMerkel Nursing Center
Public license record1704 N. 1St, Merkel, TX, 79536
Nursing Facility · 66 licensed beds
Key facts
- Trust status
- Public license record
- License type
- Nursing Facility
- Licensed capacity
- 66 beds
Care offered
- Skilled Nursing
Costs
This facility has not published pricing. As a market baseline, Texas assisted living typically runs $3,500–$5,500/mo and skilled nursing is usually higher — ask for current rates when you contact them. Baseline is a state-level estimate, not this facility’s price.
CMS star ratings
CMS five-star rating from the Medicare.gov Provider Information dataset · data as of June 1, 2026. Not a NectaLink rating.
Inspection history
64 citations across 8 inspections on record · 64 with a documented correction date.
February 16, 2026 — Health inspection · complaint-related
- Immediate jeopardyProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Corrected March 4, 2026.
- Immediate jeopardyEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Corrected March 4, 2026.
- Immediate jeopardyProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Corrected March 4, 2026.
- Immediate jeopardyEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Corrected March 4, 2026.
- Potential for harmHave 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. Corrected March 4, 2026.
- Potential for harmEnsure 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. Corrected March 4, 2026.
- Potential for harmImplement a program that monitors antibiotic use. Corrected March 4, 2026.
- Potential for harmDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Corrected March 4, 2026.
December 4, 2025 — Health inspection
- Potential for harmProvide safe and appropriate respiratory care for a resident when needed. Corrected January 7, 2026.
- Potential for harmSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Corrected January 7, 2026.
- Potential for harmArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Corrected January 7, 2026.
- Potential for harmSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Corrected January 7, 2026.
- Potential for harmProvide and implement an infection prevention and control program. Corrected January 7, 2026.
- Potential for harmRegularly 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. Corrected January 7, 2026.
- Potential for harmDevelop, implement, and/or maintain an effective training program for all new and existing staff members. Corrected January 7, 2026.
- Potential for harmDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Corrected January 7, 2026.
- Potential for harmEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Corrected January 7, 2026.
- Potential for harmGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Corrected January 7, 2026.
- Potential for harmConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Corrected January 7, 2026.
- Potential for harmInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Corrected January 7, 2026.
- Potential for harmProvide behavior health training consistent with the requirements and as determined by a facility assessment. Corrected January 7, 2026.
August 22, 2025 — Health inspection · complaint-related
- Potential for harmDevelop and implement policies and procedures to prevent abuse, neglect, and theft. Corrected September 17, 2025.
- Potential for harmTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Corrected September 17, 2025.
- Potential for harmRespond appropriately to all alleged violations. Corrected September 17, 2025.
- Immediate jeopardyEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Corrected September 1, 2025.
- Potential for harmEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Corrected September 25, 2025.
- Potential for harmAdminister the facility in a manner that enables it to use its resources effectively and efficiently. Corrected September 15, 2025.
- Potential for harmConduct 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. Corrected September 16, 2025.
- Minimal harm potentialFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Corrected September 18, 2025.
+ 35 earlier citations on record.
Source: CMS Health Deficiencies dataset / Medicare Care Compare · data as of June 1, 2026. Descriptions are reproduced verbatim from federal survey records; correction dates are as reported to CMS.
Location
1704 N. 1St, Merkel, TX 79536
What to verify before a tour
- Current room availability and waitlist timing
- Whether the quoted rate includes care fees and medication support
- Night and weekend staffing coverage
- How family updates, incidents, and care-plan changes are communicated
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