Merkel Nursing Center is the sole option we identified in Merkel, Texas. We awarded it an overall grade of B-, which is a middle of the pack rating. In our view, this facility looks like a solid choice for most people. More information on this nursing home's category grades is available below. Its best category was long-term care, which is addressed in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 66 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Long-term Care Quality

A+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: B+Feb 19: B+May 19: A-Jun 19: A-Jul 19: AAug 19: ASep 19: AJan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

This place really excelled in the category of long-term care, where it received an impressive grade of A+. Facilities that do well in long-term care tend to be well-staffed and provide extensive hands on care to patients. One of the criteria we considered on top of nursing hours was vaccinations. This facility administered the pneumonia vaccination to 100 percent of its residents. This is a reliable method to avoid unnecessary hospitalizations for the senior population. Lastly, this place was able to limit hospitalizations. With just 1.5 hospitalizations per 1,000 long-term resident days, this nursing home had fewer hospitalizations than the majority of nursing homes.

Facility Inspections

A
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

Inspections is another area where this nursing home excelled. In fact, we awarded this nursing home a grade of A for our inspections category. Our inspection grades account for a host of factors included in a nursing home's inspection reports. One of the most important criteria we consider is the quantity and severity of deficiencies. Places with higher grades in this area tend to have very few of these severe deficiencies. While this place had some minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are those found in categories G through L. This tells you the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Nurse Quality

D
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

Another strength of this nursing home is its favorable grade in nursing. We awarded them one of our better scores in that area, with an D. The nursing rating includes quite a few factors, however, the paramount one is the number of nurse hours per patient per week. This facility provided a meager 3 hours of nursing care per resident each day. This is a very low total compared to most nursing homes. On top of its weak nursing hours, this facility also received suboptimal marks in some of the quality-based metrics we considered in computing our nursing ratings. We found that more of this nursing home's patients sustained falls leading to major injury. We would argue that many falls could likely be prevented with better nursing care. This statistic contributed to this place receiving a poor nursing rating.

Short-term Care Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: DFeb 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

This facility's weakest category is short-term care, which is the final category we looked at. For this area, we gave this facility a D. Our short-term care grades are meaningful for prospective residents looking for rehabilitation. Rehabilitation typically requires higher levels of skilled nursing. Skilled nursing includes a vast spectrum of services, spanning from registered nurses to physical and respiratory therapists, as well as other types of therapy. Unfortunately, we found that this nursing home provided fewer registered nurse hours per resident than most other facilities. The final item we considered in this area is the number of patients who returned home from the nursing home. This nursing home struggled quite a bit in this area, with just 32.2 percent of its patients returning home. Unfortunately, this was well below the national average.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B-
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Merkel Nursing Center Quality Metrics

Minimizes Pressure Ulcers

This datapoint measures the percent of long-term care residents which developed pressure ulcers. We find that pressure ulcers are a reliable barometer of the quality of nursing care a facility provides.

Provider
A
2.65%
State
B
7.46%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint is a measure of the percent of long-term residents that sustained a fall which resulted in serious injury. Falls can arise for a variety of reasons, but high rates of major falls may be an indicator of lower levels of patient supervision.

Provider
F
12.57%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of patients that sustained a urinary tract infection. Urinary tract infections are considered by many experts to be a barometer of the quality of nursing care . UTI's are routinely linked to a nursing home with worse hygiene protocols. Nevertheless, this datapoint can also be misleading for some facilities due to inconsistent reporting standards for UTI's.

Provider
F
7.32%
State
B+
2.22%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percent of residents given antipsychotic drugs. These medications may be used for treating a variety of conditions, such as Alzheimer's or other dementias.

Provider
C
17.88%
State
B+
12.37%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percentage of patients given antianxiety medications. Antianxiety drugs are given to patients suffering from depression or anxiety.

Provider
D
28.67%
State
B-
23.38%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint measures the percent of long-term care patients who are exhibiting symptoms of depression.

Provider
B+
1.27%
State
B+
2.92%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This indicates the percent of patients that have received the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.

Provider
A
100%
State
B
92.34%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint is a measure of the percentage of long-term stay patients who needed more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and continence.

Provider
B-
16.9%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percent of patients who maintained mobility over time. Retaining mobility is often a great sign for residents' health.

Provider
A
24.74%
State
B
18.24%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This tells you the number of hospitalizations per 1,000 days of care.

Provider
C
2.06
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This indicates the number of times residents are rehospitalized per thousand days of short-term patient care. There is usually a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Provider
D
24.74
State
B
18.24
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of emergency room visits per thousand days of short-term care.

Provider
F
27.08
State
B
10.69
National
B
10.26

Percentage of Patients
Lower is Better

Nearby Hospitals

Hendrick Medical Center 17.02 mi
1900 Pine Abilene Texas 79601
(325) 670-2000
Acute Care Hospitals
Voluntary non-profit - Private
Abilene Regional Medical Center 17.69 mi
6250 Hwy 83/84 Abilene Texas 79606
(325) 428-1000
Acute Care Hospitals
Proprietary

Nearby Dialysis

Fresenius Medical Care Abilene Lone Star 13.9 mi
CMS Rating: 4 stars
Dialysis Stations: 19
349 South Danville Drive Abilene Texas 79605
(325) 691-0772
Fresenius Medical Care Abilene 16.99 mi
CMS Rating: 4 stars
Dialysis Stations: 31
1802 Pine St Abilene Texas 79601
(325) 672-3243
Fmc Dialysis Services of Abilene South 17.39 mi
CMS Rating: 4 stars
Dialysis Stations: 26
2009 Hospital Place Abilene Texas 79606
(325) 793-2594