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Medicare-certifiedSkilled Nursing

Focused Care of Gilmer

(903) 797-2143

About Focused Care of Gilmer

Focused Care of Gilmer provides skilled nursing and rehabilitation services to help Texas residents regain strength and independence. Our team in Gilmer combines medical expertise with compassionate care, supporting each patient's recovery goals through personalized treatment plans and professional nursing support.

Community at a glance

Capacity

112 residents

Location

Gilmer, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

623 Hwy 155N, Gilmer, Texas 75644

(903) 797-2143

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on February 25, 2026, state inspectors cited 28 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 2 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Focused Care of Gilmer once in the last three years, $15,288 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 2 minutesBelow the Texas average
Registered nurse time per resident, per day18 minutesBelow the Texas average
Nursing staff who left in the past year51%Below the Texas average

1 administrator has left the home in the past year.

Inspections

49 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 22, 2026 · Complaint investigation · 1 citation

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 14, 2026

June 18, 2026 · Complaint investigation · 10 citations

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 15, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jul 15, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jul 15, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 15, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 15, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 15, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 15, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026
April 8, 2026 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Apr 9, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Apr 9, 2026
February 25, 2026 · Standard inspection · 11 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 27, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 27, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 27, 2026
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 27, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 27, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2026
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Feb 27, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 27, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026
December 1, 2025 · Complaint investigation · 1 citation+
  • Help the resident with transportation to and from laboratory services outside of the facility.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Dec 2, 2025
November 25, 2025 · Complaint investigation · 2 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 2, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 2, 2025
November 20, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 21, 2025
December 4, 2024 · Standard inspection · 8 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 27, 2024
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 30, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 27, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 27, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 27, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 27, 2024
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Dec 27, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 27, 2024
July 10, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 17, 2024
November 15, 2023 · Standard inspection · 10 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Nov 16, 2023
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Nov 16, 2023
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Nov 16, 2023
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Nov 16, 2023
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 16, 2023
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 16, 2023
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Nov 16, 2023
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 16, 2023
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 16, 2023
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Nov 16, 2023
November 7, 2023 · Complaint investigation · 2 citations+
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 8, 2023
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 8, 2023

Fines and payment denials

1 fine totaling $15,288 in the last three years.

  • April 8, 2026Fine: $15,288

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Fpacp Upshur LLC
Medicare-certified beds
112
Average residents per day
64
Accepts
Medicare and Medicaid
First certified
July 9, 1996
Part of a chain
Focused Post Acute Care Partners, 25 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
675602

Location

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623 Hwy 155NGilmer, TX 75644

3 other communities within 10 miles

Senior living near Gilmer

Questions about Focused Care of Gilmer

How did Focused Care of Gilmer do on its last inspection?+

State inspectors visited on February 25, 2026 and cited 28 health deficiencies, 17 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Focused Care of Gilmer?+

Nurses and aides spend 3 hours 2 minutes with each resident per day, including 18 minutes from registered nurses. 51% of nursing staff left over the past year.

Has Focused Care of Gilmer been fined by Medicare?+

Yes. Medicare fined Focused Care of Gilmer once in the last three years, totaling $15,288.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Gilmer Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026