Focused Care Of Gilmer
623 Hwy 155n, Gilmer, TX 75644 · Upshur County
For-profit · 112 certified beds · 57% occupancy · (903) 797-2143
Focused Care Of Gilmer reviews: what the government record shows
The U.S. government (CMS) rates Focused Care Of Gilmer 1 out of 5 stars overall, much below average. Its nurse staffing is 7% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.03 hrs/resident/day (-7% vs TX median)
- Antipsychotic drug use
- 13.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.5% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $15,288
- Inspection findings
- 48 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.03 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Focused Care Of Gilmer
Is Focused Care Of Gilmer a good nursing home?
Focused Care Of Gilmer in Gilmer, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Focused Care Of Gilmer staffed?
Focused Care Of Gilmer reports 3.03 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Focused Care Of Gilmer been fined or flagged for abuse?
Focused Care Of Gilmer has paid approximately $15,288 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.03 nurse hours per resident per day. 7% below the Texas median of 3.27.
Nursing staff turnover: 51% · RN turnover: 33.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0684 · Apr 8, 2026ComplaintCorrected Apr 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Apr 8, 2026ComplaintCorrected Apr 9, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0725 · Jun 18, 2026ComplaintCorrected 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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0880 · Jun 18, 2026ComplaintCorrected Jul 15, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0919 · Jun 18, 2026ComplaintCorrected Jul 15, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
- Potential for harmTag F0925 · Jun 18, 2026ComplaintCorrected Jul 15, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0676 · Feb 25, 2026Corrected Feb 27, 2026
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
- Potential for harmTag F0695 · Feb 25, 2026Corrected Feb 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0761 · Feb 25, 2026Corrected 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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Feb 25, 2026Corrected Feb 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 48 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Focused Post Acute Care Partners chain, which operates 25 facilities, with a chain-average CMS rating of 1.9 stars.