Focused Care of Gilmer
Medicare-certified623 Hwy 155N, Gilmer, TX 75644
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Medicare-certifiedSkilled Nursing
Gilmer Nursing and Rehabilitation
Gilmer, TexasMedicare inspection record
About Gilmer Nursing and Rehabilitation
Gilmer Nursing and Rehabilitation provides skilled nursing and rehabilitation services to Gilmer, Texas residents who need focused medical care and recovery support. Our compassionate team helps patients regain strength and independence during their healing process.
Community at a glance
Capacity
93 residents
Location
Gilmer, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
703 TITUS STREET, Gilmer, Texas 75644
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 March 13, 2026, state inspectors cited 25 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 59 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Gilmer Nursing and Rehabilitation once in the last three years, $17,068 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 59 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 10 minutesBelow the Texas average |
1 administrator has left the home in the past year.
Inspections
47 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 13, 2026 · Standard inspection · 20 citations
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 Mar 14, 2026Honor 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 pattern (level E)Resident RightsCorrected Mar 14, 2026Procure 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 Mar 14, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Mar 14, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 14, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 14, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 14, 2026Provide 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 CareCorrected Mar 14, 2026Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 14, 2026Ensure 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 CareCorrected Mar 14, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 14, 2026Develop 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 ExploitationCorrected Mar 14, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 14, 2026Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Mar 14, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 14, 2026Provide 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 Mar 14, 2026Protect 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 ExploitationCorrected Mar 14, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 14, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 14, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 14, 2026
February 11, 2026 · Complaint investigation · 5 citations
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 Feb 12, 2026Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Feb 12, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 12, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 12, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 12, 2026
December 11, 2024 · Standard inspection · 7 citations+
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Dec 12, 2024Develop 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 Dec 12, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Dec 12, 2024Provide 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 Dec 12, 2024Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 12, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 12, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 12, 2024
August 1, 2024 · Complaint investigation · 1 citation+
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 complaintAlready fixed by Feb 2, 2024
November 2, 2023 · Standard inspection · 14 citations+
Provide and implement an infection prevention and control program.
Immediate danger to residents, widespread (level L)Infection ControlFrom a complaintCorrected Nov 3, 2023Procure 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 3, 2023Implement 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Nov 26, 2023Develop 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 25, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 3, 2023Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 26, 2023Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 3, 2023Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 3, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 25, 2023Try 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 26, 2023Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 26, 2023Ensure 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 CareCorrected Nov 3, 2023Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 26, 2023Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Nov 3, 2023
Fines and payment denials
1 fine totaling $17,068 in the last three years.
- August 1, 2024Fine: $17,068
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Gilmer I Enterprises, LLC
- Medicare-certified beds
- 93
- Average residents per day
- 57
- Accepts
- Medicare and Medicaid
- First certified
- July 14, 1999
- Part of a chain
- Creative Solutions in Healthcare, 149 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675801
Location
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703 TITUS STREETGilmer, TX 75644
3 other communities within 10 miles
Senior living near Gilmer
The Bradford House
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Assisted Living
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Wesley House
State licensed231 Quail Drive, Gilmer, TX 75645
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Questions about Gilmer Nursing and Rehabilitation
How did Gilmer Nursing and Rehabilitation do on its last inspection?+
State inspectors visited on March 13, 2026 and cited 25 health deficiencies, 5 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Gilmer Nursing and Rehabilitation?+
Nurses and aides spend 2 hours 59 minutes with each resident per day, including 10 minutes from registered nurses.
Has Gilmer Nursing and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Gilmer Nursing and Rehabilitation once in the last three years, totaling $17,068.
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.