Ellery Care
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Gilmer Nursing & Rehabilitation

703 Titus Street, Gilmer, TX 75644 · Upshur County

For-profit · 93 certified beds · 61% occupancy · (903) 843-5529

Deciding as a family?

Gilmer Nursing & Rehabilitation reviews: what the government record shows

The U.S. government (CMS) rates Gilmer Nursing & Rehabilitation 1 out of 5 stars overall, much below average. Its nurse staffing is 9% below the Texas median. Inspectors cited it for 7 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
2.99 hrs/resident/day (-9% vs TX median)
Antipsychotic drug use
9.8% of long-stay residents (TX median 8.3%)
Falls with major injury
2% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$168,779
Inspection findings
62 cited, 7 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 2.99 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 7 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $168,779 in federal fines in roughly the last three years.

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 Gilmer Nursing & Rehabilitation

Is Gilmer Nursing & Rehabilitation a good nursing home?

Gilmer Nursing & Rehabilitation 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 Gilmer Nursing & Rehabilitation staffed?

Gilmer Nursing & Rehabilitation reports 2.99 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Gilmer Nursing & Rehabilitation been fined or flagged for abuse?

Gilmer Nursing & Rehabilitation has paid approximately $168,779 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

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.

TX median 3.27

2.99 nurse hours per resident per day. 9% below the Texas median of 3.27.

Total nurse
2.99 hrs
RN
0.17 hrs
LPN
1.36 hrs
Aide
1.46 hrs

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.

62
total findings
7
immediate jeopardy
2
caused actual harm
22
from complaints
  • Potential for harmTag F0550 · Mar 13, 2026Corrected Mar 14, 2026

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

    Resident Rights Deficiencies

  • Potential for harmTag F0656 · Mar 13, 2026Corrected Mar 14, 2026

    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

  • Potential for harmTag F0803 · Mar 13, 2026Corrected Mar 14, 2026

    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

  • Potential for harmTag F0812 · Mar 13, 2026Corrected Mar 14, 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

  • Potential for harmTag F0849 · Mar 13, 2026Corrected Mar 14, 2026

    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

  • Potential for harmTag F0583 · Mar 13, 2026Corrected Mar 14, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0600 · Mar 13, 2026Corrected Mar 14, 2026

    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

  • Potential for harmTag F0607 · Mar 13, 2026Corrected Mar 14, 2026

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0636 · Mar 13, 2026Corrected Mar 14, 2026

    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

  • Potential for harmTag F0645 · Mar 13, 2026Corrected Mar 14, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 62 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.

9.8%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

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.

Falls with major injury
2%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
2.3%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

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.

Total fines
$168,779
Number of fines
2
Payment denials
1

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 - limited liability company). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.