Merkel Nursing Center

In the surveyor’s words

From the most serious findings on record at Merkel Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 5 of 20 (Resident #1, Resident #2, Resident #3, Resident #5, and Resident #16) residents reviewed for neglect. 1. The facility failed to ensure 34 of 84 shifts were staffed with at least two nurse aides, per the facility assessment, between the dates of 1/1/26 and 2/11/26. 2. The facility failed to ensure effective training was provided to staff based on resident care requirements and needs. […]

• Immediate jeopardy, patternF689Feb 16, 2026

  Based on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for of 11 residents 20 (Resident #1, Resident #2, and Resident #3) reviewed for falls. 1. The facility failed to ensure Resident #1 was transferred with a mechanical lift by 2 staff, required when using a mechanical lift, which resulted in a distal femur fracture requiring surgical intervention 01/26/2026. 2. The facility failed to ensure Resident #5 had appropriate interventions and adequate staffing to prevent falls which resulted in multiple rib fractures and hospitalization on 01/15/2026. 3. […]

• Immediate jeopardy, patternF725Feb 16, 2026

  Based on observation, interview, and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing sufficient numbers of licensed nurses and nurse aides for 34 of 84 shifts reviewed for nurse staffing and 4 of 28 (Resident #2, Resident #3, Resident # 5 and Resident #16) residents reviewed for sufficient staffing. […]

• Immediate jeopardy, patternF726Feb 16, 2026

  Based on observation, interview and record review the facility failed to ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 9 (NA-A, NA-C, NA-F, NA-G, NA-H, NA-J, NA-L, NA-M, and NA- P) of 9 NA's reviewed for competency and training and 1 of 8 (Resident #1) residents reviewed for mechanical lift.The facility failed to ensure NA-A did not transfer Resident #1 with a mechanical lift without the assistance of a CNA or nurse, which resulted in Resident #1 receiving a distal femur fracture.The facility failed to ensure nurse aides were trained on how to use a mechanical lift for NA-A, NA-C, NA-F, NA-G, NA-H, NA-J, NA-L, NA-M, and NA- P. […]

• Immediate jeopardy, patternF689Aug 22, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident's environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 2 of 24 residents (Resident #1 and Resident #2) whose records were reviewed for quality of care. 1. The facility failed to ensure Resident #1 was supervised to prevent the ingesting of chemical. 2. The facility failed to ensure Resident #2 received adequate supervision to prevent the resident from leaving the facility. An Intermediate Jeopardy (IJ) was identified on 08/14/2025. The IJ template was provided to the facility on [DATE] at 5:00 p.m. […]