nursing home in Gilmer, TX
Focused Care of Gilmer
623 Hwy 155N, Gilmer, TX 75644 · (903) 797-2143
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Focused Care of Gilmer at a glance
Focused Care of Gilmer is a 112-bed for-profit nursing home in Gilmer, Texas (Upshur County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 25, 2026) found 28 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $15,288.
Nursing staff turnover is 51% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 112
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- July 9, 1996
- Resident/family council
- Resident
- County
- Upshur County
- CMS Certification Number
- 675602
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.03 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.86 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.51 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 28 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 17 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 230.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $15,288 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 112 | 113 | 107 | |
| Average residents per day | 64 | 76 | 86 | |
| Occupancy | 56.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 6.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23.8% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 5.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.9% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 92.6% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 49 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 22, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 14, 2026 |
| June 18, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected July 15, 2026 |
| June 18, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 15, 2026 |
| June 18, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 15, 2026 |
| June 18, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 15, 2026 |
| April 8, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 9, 2026 |
| April 8, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected April 9, 2026 |
| February 25, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 24, 2026 |
| February 25, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 25, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 25, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 25, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 27, 2026 |
| February 25, 2026 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected February 27, 2026 |
| February 25, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 27, 2026 |
| December 1, 2025 Complaint | Help the resident with transportation to and from laboratory services outside of the facility. Administration Deficiencies · Tag F0774 | D Potential harm, isolated | Corrected December 2, 2025 |
| November 25, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 2, 2025 |
| November 25, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 2, 2025 |
| November 20, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 21, 2025 |
| December 4, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 30, 2024 |
| December 4, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 4, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | E Potential harm, pattern | Corrected December 30, 2024 |
| December 4, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 4, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 4, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 4, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 4, 2024 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 4, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 4, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected December 27, 2024 |
| July 10, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 17, 2024 |
| November 15, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 15, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 15, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 6, 2023 |
| November 15, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 6, 2023 |
| November 15, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected November 16, 2023 |
| November 15, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 16, 2023 |
| November 15, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 16, 2023 |
| November 15, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected November 16, 2023 |
| November 15, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 15, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 15, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 15, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 15, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 15, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected November 16, 2023 |
| November 7, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected November 8, 2023 |
| November 7, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $15,288 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 8, 2026 | Fine | $15,288 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FPACP UPSHUR LLC Organization | 5% or greater direct ownership interest | 100% | 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 04/16/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 04/16/2025 |
| MCDANIEL, ADAM Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| POWELL, PAM Individual | adp of the snf | NOT APPLICABLE | 04/16/2025 |
| SHELTON, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 09/23/2024 |
| CONLEY, SHAWN Individual | corporate officer | NOT APPLICABLE | 02/01/2017 |
| MCKENZIE, MARK Individual | corporate officer | NOT APPLICABLE | 02/01/2017 |
| STRUBBE, LORETTA Individual | corporate officer | NOT APPLICABLE | 07/01/2018 |
| BRENTON, HONEY Individual | operational/managerial control | NOT APPLICABLE | 12/16/2024 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| FPACP UPSHUR LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| MCDANIEL, ADAM Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| POWELL, PAM Individual | operational/managerial control | NOT APPLICABLE | 06/17/2024 |
| SHELTON, ASHLEY Individual | operational/managerial control | NOT APPLICABLE | 09/23/2024 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
Other nursing homes near Focused Care of Gilmer
Gilmer Nursing & Rehabilitation
703 Titus Street, Gilmer, TX 75644 · under 1 mi
For-profit · 93 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation Center G
1201 Fm 2685, Gladewater, TX 75647 · 12.2 mi
Government · 100 beds · Part of The Ensign Group
★★★★★2Below averageTruman W Smith Children's Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · 12.9 mi
For-profit · 120 beds
★★★★★5Much above averagePine Tree Lodge Nursing Center
2711 Pine Tree Rd, Longview, TX 75604 · 16.1 mi
Government · 92 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average- ★★★★★4Above average
Heritage at Longview Healthcare Center
112 Ruthlynn Dr, Longview, TX 75605 · 18.7 mi
For-profit · 140 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Focused Care of Gilmer's rating?
Focused Care of Gilmer has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Focused Care of Gilmer receive?
Its most recent standard health inspection found 28 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care of Gilmer accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Focused Care of Gilmer?
It is for profit - corporation and part of Focused Post Acute Care Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Focused Care of Gilmer and how do I contact it?
Focused Care of Gilmer is at 623 Hwy 155N, Gilmer, TX 75644. Phone: (903) 797-2143.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.