nursing home in Gilmer, TX
Gilmer Nursing & Rehabilitation
703 Titus Street, Gilmer, TX 75644 · (903) 843-5529
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Gilmer Nursing & Rehabilitation at a glance
Gilmer Nursing & Rehabilitation is a 93-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 (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (March 13, 2026) found 25 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $168,779.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 93
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- July 14, 1999
- Resident/family council
- Resident
- County
- Upshur County
- CMS Certification Number
- 675801
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) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.99 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.17 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.46 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.62 hrs | 2.98 hrs | 3.42 hrs | Worse |
| 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) | 25 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 235.8 | 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $168,779 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 93 | 113 | 107 | |
| Average residents per day | 57 | 76 | 86 | |
| Occupancy | 60.8% | 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) | 2% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 37% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.5% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.1% | 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) | 13.6% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.8% | 13.4% | 19% | Average |
| 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% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 57 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 13, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| March 13, 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 | E Potential harm, pattern | Corrected March 14, 2026 |
| March 13, 2026 Standard | 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. Administration Deficiencies · Tag F0849 | E Potential harm, pattern | Corrected March 14, 2026 |
| March 13, 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 March 14, 2026 |
| March 13, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected March 14, 2026 |
| March 13, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 14, 2026 |
| March 13, 2026 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 March 14, 2026 |
| March 13, 2026 Standard | 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 March 14, 2026 |
| March 13, 2026 Standard | 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 March 14, 2026 |
| March 13, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | 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 March 14, 2026 |
| March 13, 2026 Standard | 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 March 14, 2026 |
| March 13, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected March 14, 2026 |
| March 13, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 14, 2026 |
| February 11, 2026 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected February 12, 2026 |
| February 11, 2026 Complaint | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected February 12, 2026 |
| February 11, 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 February 12, 2026 |
| February 11, 2026 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected February 12, 2026 |
| February 11, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 12, 2026 |
| December 11, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 12, 2024 |
| December 11, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| December 11, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected December 12, 2024 |
| December 11, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | E Potential harm, pattern | Corrected December 12, 2024 |
| December 11, 2024 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 December 12, 2024 |
| December 11, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 12, 2024 |
| December 11, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected December 12, 2024 |
| December 11, 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 | D Potential harm, isolated | Corrected December 12, 2024 |
| December 11, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected December 12, 2024 |
| August 1, 2024 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 February 2, 2024 |
| November 2, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| November 2, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | L Immediate jeopardy, widespread | Corrected November 3, 2023 |
| November 2, 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 3, 2023 |
| November 2, 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 25, 2023 |
| November 2, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected November 26, 2023 |
| November 2, 2023 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 | E Potential harm, pattern | Corrected November 3, 2023 |
| November 2, 2023 Standard | 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 November 3, 2023 |
| November 2, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 25, 2023 |
| November 2, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected November 26, 2023 |
| November 2, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected November 26, 2023 |
| November 2, 2023 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected November 3, 2023 |
| November 2, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 3, 2023 |
| November 2, 2023 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected November 26, 2023 |
| November 2, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 26, 2023 |
| November 2, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 4, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | K Immediate jeopardy, pattern | Corrected November 15, 2023 |
| October 4, 2023 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 | K Immediate jeopardy, pattern | Corrected November 15, 2023 |
| October 4, 2023 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 | H Actual harm, pattern | Corrected November 15, 2023 |
| October 4, 2023 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 | H Actual harm, pattern | Corrected November 15, 2023 |
| October 4, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0728 | F Potential harm, widespread | Corrected November 15, 2023 |
| October 4, 2023 Complaint | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | D Potential harm, isolated | Corrected October 5, 2023 |
| October 4, 2023 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected October 5, 2023 |
| September 3, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected September 21, 2023 |
| September 3, 2023 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 | E Potential harm, pattern | Corrected September 21, 2023 |
| September 3, 2023 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 September 21, 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 3 federal penalties in the past three years, including $168,779 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 1, 2024 | Fine | $17,068 |
| October 4, 2023 | Payment Denial | 22 days from November 4, 2023 |
| October 4, 2023 | Fine | $151,711 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 01/02/2021 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 01/02/2021 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC Organization | operational/managerial control | NOT APPLICABLE | 01/02/2021 |
| HUGGINS, LINDA Individual | w-2 managing employee | NOT APPLICABLE | 01/02/2021 |
Other nursing homes near Gilmer Nursing & Rehabilitation
Focused Care of Gilmer
623 Hwy 155N, Gilmer, TX 75644 · under 1 mi
For-profit · 112 beds · Part of Focused Post Acute Care Partners
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation Center G
1201 Fm 2685, Gladewater, TX 75647 · 12.6 mi
Government · 100 beds · Part of The Ensign Group
★★★★★2Below averageTruman W Smith Children's Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · 13.2 mi
For-profit · 120 beds
★★★★★5Much above averagePine Tree Lodge Nursing Center
2711 Pine Tree Rd, Longview, TX 75604 · 15.9 mi
Government · 92 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average- ★★★★★4Above average
Longview Hill Nursing and Rehabilitation Center
3201 N Fourth St, Longview, TX 75605 · 18.3 mi
Government · 198 beds · Part of Wellsential Health
★★★★★1Much below average
Frequently asked questions
What is Gilmer Nursing & Rehabilitation's rating?
Gilmer Nursing & Rehabilitation 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 Gilmer Nursing & Rehabilitation receive?
Its most recent standard health inspection found 25 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Gilmer Nursing & Rehabilitation 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 Gilmer Nursing & Rehabilitation?
It is for profit - limited liability company and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Gilmer Nursing & Rehabilitation and how do I contact it?
Gilmer Nursing & Rehabilitation is at 703 Titus Street, Gilmer, TX 75644. Phone: (903) 843-5529.
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.