Merkel Nursing Center
Merkel, Texas
Skilled nursing facility in Merkel, TX with 65 certified beds and a 1-star CMS overall rating.
Merkel Nursing Center is a skilled nursing facility in Merkel, Texas (Taylor County), with 65 Medicare/Medicaid-certified beds.
Address: 1704 N. 1st, Merkel, TX 79536. Phone: (325) 928-5673.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 3, quality measures 1.
Levels of care
- Skilled nursing
Facility details
- Street address
- 1704 N. 1st
- City
- Merkel
- State
- Texas
- ZIP code
- 79536
- Phone
- (325) 928-5673
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 676053
- County
- Taylor
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 65
- Avg Daily Residents
- 18.7
- Continuing Care Community
- No
- Resident Family Council
- None
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 2005-06-01
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 3
- Quality Measure Rating
- 1
- Special Focus Facility
- SFF Candidate
- Total Nurse Hours Per Resident Day
- 3.34902
- Rn Hours Per Resident Day
- 0.68327
- Latitude
- 32.4717
- Longitude
- -100.02
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 676053. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 65
- Residents per day
- 4
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 21
- Fines
- 2 ($320,538)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 2.8 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Much below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 1.9 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much below averageHow residents are actually doing.
✗ Worse than the state average. State 3.8 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Flags CMS attaches to this home
- ⚑ Abuse citation. Care Compare flags homes cited for abuse where residents were harmed (severity G or higher) in the latest inspection or in the past 12 months, or cited repeatedly for abuse where residents could have been harmed (severity D or higher). [11]
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
550.8 points — in TX that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in TX [10]
- 5 ★
- 0.000-26.000
- 4 ★
- 26.001-51.000
- 3 ★
- 51.001-85.000
- 2 ★
- 85.001-145.750
- 1 ★ (this home)
- >145.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Dec 4, 2025 | 21 (8) | 618 | 1 | 0 | 618 |
| Prior cycles (2 and 3) | Jul 31, 2024 | 35 (35) | 349 | 1 | 0 | 349 |
Health citations per inspection
Dec 4, 2025
Jul 31, 2024
Jun 8, 2023
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Dec 4, 2025
Jul 31, 2024
Jun 8, 2023
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Administration 6
- Nursing and Physician Services 4
- Infection Control 4
- Freedom from Abuse and Neglect and Exploitation 2
- Quality of Life and Care 2
- Resident Assessment and Care Planning 1
- Resident Rights 1
- Environmental 1
What the latest fire-safety inspection cited
- Services 2
- Egress 1
- Smoke 1
- Gas and Vacuum and Electrical Systems 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 0 | K · 100 pts 5 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 8 | E · 8 pts 35 | F · 16 pts 9 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 4 | C · 0 pts 3 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (64) [2]
Inspection on Feb 16, 2026 · 8 citations
-
F
Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
K
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
F
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.
F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
-
F
Ensure 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.
F0728 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 4, 2026) · From a complaint
Inspection on Dec 4, 2025 · 13 citations
-
E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Regularly 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.
F0909 · Environmental Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
-
F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 7, 2026)
Inspection on Aug 22, 2025 · 8 citations
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 17, 2025) · From a complaint
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 1, 2025) · From a complaint
-
F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 15, 2025) · From a complaint
-
E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 17, 2025) · From a complaint
-
F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 25, 2025) · From a complaint
-
F
Conduct 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.
F0838 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 16, 2025) · From a complaint
-
E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 17, 2025) · From a complaint
-
C
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
F0844 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 18, 2025) · From a complaint
Inspection on Dec 12, 2024 · 1 citation
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 1, 2025) · From a complaint
Inspection on Oct 17, 2024 · 6 citations
-
E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
-
E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
-
E
Have policies on smoking.
F0926 · Environmental Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 8, 2024) · From a complaint
Inspection on Jul 31, 2024 · 19 citations
-
C
Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 31, 2024) · From a complaint
-
C
Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 19, 2024) · From a complaint
-
B
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 1, 2024) · From a complaint
-
E
Regularly 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.
F0909 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 20, 2024) · From a complaint
-
E
Ensure 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.
F0728 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Sep 15, 2024) · From a complaint
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 2, 2024) · From a complaint
-
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 15, 2024) · From a complaint
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 2, 2024) · From a complaint
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 1, 2024) · From a complaint
-
B
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
B
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 15, 2024) · From a complaint
-
B
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 5, 2024) · From a complaint
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 1, 2024) · From a complaint
-
E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 2, 2024) · From a complaint
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 1, 2024) · From a complaint
Inspection on Dec 15, 2023 · 1 citation
-
E
Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Dec 20, 2023) · From a complaint
Inspection on Jun 8, 2023 · 8 citations
-
E
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
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.
F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
-
E
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 7, 2023)
All fire-safety citations (9) [3]
Inspection on Dec 4, 2025 · 5 citations
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 31, 2026)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 31, 2026)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 31, 2026)
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Jan 12, 2026)
-
E
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jan 31, 2026)
Inspection on Jul 31, 2024 · 3 citations
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Oct 1, 2024)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 30, 2024)
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Oct 1, 2024)
Inspection on Jun 8, 2023 · 1 citation
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Jul 9, 2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 1.4 · National 0.9
- Total fined
- $320,538 State avg 42,987 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Feb 16, 2026 | Fine | $139,586 | — |
| Aug 22, 2025 | Fine | $180,952 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 96.5
≈ About the state average. State 96.4 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 100.0
✓ Better than the state average. State 97.0 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 3.5
✗ Worse than the state average. State 3.2 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 12.2
✗ Worse than the state average. State 2.3 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 1.6
✓ Better than the state average. State 2.9 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 9.2
✓ Better than the state average. State 17.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 16.1
✗ Worse than the state average. State 9.8 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.0 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 20.2
✗ Worse than the state average. State 12.9 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 20.0
✗ Worse than the state average. State 15.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.3 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 11.9
✗ Worse than the state average. State 0.8 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 10.7
✓ Better than the state average. State 12.5 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 15.0
✗ Worse than the state average. State 3.7 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 100.0
✓ Better than the state average. State 88.7 · National 82.3
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.9
- 2.2
✗ Worse than the state average. State 2.0 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.8
- 3.2
✗ Worse than the state average. State 2.0 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- EMI HEALTHCARE LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 65
- Residents per day (average)
- 3.8
- In Medicare/Medicaid since
- Jun 1, 2005
- Resident and family council
- None
- Sprinklers in all required areas
- Yes
- County
- Taylor
- Located in a hospital
- No
Owners, officers and managers (6) [6]
Adp Of The Snf
- ALEXANDER, JOE (individual, NOT APPLICABLE, since 01/01/2022)
- MARTINEZ IRIZARRY, AXEL (individual, NOT APPLICABLE, since 01/01/2025)
- STROH PROPERTIES LP (organization, NOT APPLICABLE, since 01/01/2022)
- STROH, CLARENCE (individual, NOT APPLICABLE, since 01/01/2022)
Direct Ownership Interest
- ALEXANDER, RAINEY (individual, NOT APPLICABLE, since 01/01/2022)
Operational/Managerial Control
- ALEXANDER, RAINEY (individual, NOT APPLICABLE, since 01/01/2022)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
Written by Attendant Homes
Have a question or some feedback? Send Attendant Homes a message.
See more from Attendant Homes →
Reviews (0)
Sign in to write a review.
No reviews yet. Be the first to write one.