Elder Care Record

Texas › Upshur County › Gilmer

Focused Care of Gilmer

623 Hwy 155n, Gilmer, TX 75644

CCN 675602 · For-profit, corporation · 112 certified beds · chain Focused Post Acute Care Partners

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Focused Care of Gilmer, in Gilmer, Texas, is certified for 112 beds under for-profit, corporation ownership and belongs to the Focused Post Acute Care Partners chain.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (27, 8, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 42.9 per 100 beds, more than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $15K.

Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 51.0%.

48health deficiencies, 3 survey cycles2 at actual harm or worse
$15Kfines listed by CMS1 penalty in period
3.0nurse hours per resident per daystate median 3.3
57%occupancy (residents ÷ beds)64 residents a day

Compared with county, state and nation

MeasureThis facilityUpshur Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles48622528.7
Citations per 100 beds42.966.722.526.8
Total nurse hours per resident day3.03.03.33.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover51.0%51.0%52.1%45.8%
Fines listed$15,288$168,779$16,801—

County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)27
Cycle 28
Cycle 313

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Feb 2026, 4 Dec 2024.

Severity mix: J ×2 D ×29 E ×15 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
18 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation15 Jul 2026
18 Jun 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation15 Jul 2026
18 Jun 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation15 Jul 2026
18 Jun 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation15 Jul 2026
18 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation15 Jul 2026
18 Jun 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation15 Jul 2026
18 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Jul 2026
18 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Jul 2026
18 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation15 Jun 2026
18 Jun 2026F0761Ensure 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.DComplaint investigation15 Jul 2026
8 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation9 Apr 2026
8 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation9 Apr 2026
25 Feb 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard survey27 Feb 2026
25 Feb 2026F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey27 Feb 2026
25 Feb 2026F0761Ensure 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.EStandard survey27 Feb 2026
25 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Feb 2026
25 Feb 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey27 Feb 2026
25 Feb 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DStandard survey27 Feb 2026
25 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Feb 2026
25 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey27 Feb 2026
25 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey27 Feb 2026
25 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey27 Feb 2026
25 Feb 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey27 Feb 2026
1 Dec 2025F0774Help the resident with transportation to and from laboratory services outside of the facility.DComplaint investigation2 Dec 2025
25 Nov 2025F0584Honor 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.DComplaint investigation2 Dec 2025
25 Nov 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation2 Dec 2025
20 Nov 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation21 Nov 2025
4 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey27 Dec 2024
4 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 Dec 2024
4 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Dec 2024
4 Dec 2024F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard survey30 Dec 2024
4 Dec 2024F0880Provide and implement an infection prevention and control program.EStandard survey27 Dec 2024
4 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey27 Dec 2024
4 Dec 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey27 Dec 2024
4 Dec 2024F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard survey27 Dec 2024
10 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation17 Jul 2024
15 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Nov 2023
15 Nov 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey16 Nov 2023
15 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey16 Nov 2023
15 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey16 Nov 2023
15 Nov 2023F0641Ensure each resident receives an accurate assessment.DStandard survey16 Nov 2023
15 Nov 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey16 Nov 2023
15 Nov 2023F0693Ensure 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.DStandard survey16 Nov 2023
15 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey16 Nov 2023
15 Nov 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey16 Nov 2023
15 Nov 2023F0880Provide and implement an infection prevention and control program.DStandard survey16 Nov 2023
7 Nov 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation8 Nov 2023
7 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Nov 2023

Penalties

DateTypeAmountDetail
8 Apr 2026Fine$15,288

Staffing

Total nursing3.03 h
Nurse aides1.86 h
LPN0.87 h
RN0.3 h
Weekend total2.51 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 51.0%, RNs 33.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.9%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.9%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Fpacp Upshur Llc. Chain: Focused Post Acute Care Partners (25 facilities).

OrganisationRole in the CMS recordInterestSince
Fpacp Upshur LLC5% or greater direct ownership interest100%02/01/2017
Focused Post Acute Care Partners LLCOperational/managerial controlNOT APPLICABLE02/01/2017
Focused Post Acute Care Partners Management, LLCOperational/managerial controlNOT APPLICABLE02/01/2017
Fpacp Upshur LLCOperational/managerial controlNOT APPLICABLE02/01/2017
Focused Post Acute Care Partners LLCAdp of the snfNOT APPLICABLE04/16/2025
Focused Post Acute Care Partners Management, LLCAdp of the snfNOT APPLICABLE04/16/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Upshur County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Gilmer Nursing & RehabilitationGilmer931116266.7$169K13 Mar 2026

All 2 facilities in Upshur County

Questions and answers

How many deficiencies has Focused Care of Gilmer been cited for?

48 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Focused Care of Gilmer been fined?

Yes. CMS lists fines totalling $15K in the period covered.

How does staffing at Focused Care of Gilmer compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Focused Care of Gilmer?

It is part of the Focused Post Acute Care Partners chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fpacp Upshur LLC, Focused Post Acute Care Partners LLC and Focused Post Acute Care Partners Management, LLC. Individual owners and managers are not listed on this site.

When was Focused Care of Gilmer last inspected?

The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 25 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.