Texas › Upshur County › Gilmer
Gilmer Nursing & Rehabilitation
703 Titus Street, Gilmer, TX 75644
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.
Gilmer Nursing & Rehabilitation, in Gilmer, Texas, is certified for 93 beds under for-profit, limited liability company ownership and belongs to the Creative Solutions In Healthcare 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 3.
Inspectors recorded 62 health deficiencies across the three most recent survey cycles (25, 8, 29 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 66.7 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $169K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Upshur Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 62 | 62 | 25 | 28.7 |
| Citations per 100 beds | 66.7 | 66.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 51.0% | 52.1% | 45.8% |
| Fines listed | $168,779 | $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
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Mar 2026, 11 Dec 2024.
Severity mix: J ×4 K ×2 L ×1 H ×2 D ×37 E ×12 F ×3 C ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0803 | 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. | E | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0849 | 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. | E | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0808 | Ensure 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. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Mar 2026 |
| 13 Mar 2026 | F0926 | Have policies on smoking. | D | Standard survey | 14 Mar 2026 |
| 11 Feb 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0585 | Honor 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. | D | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0761 | 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. | D | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 12 Feb 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Feb 2026 |
| 11 Dec 2024 | F0727 | 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. | F | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 Dec 2024 |
| 11 Dec 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 12 Dec 2024 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 2 Feb 2024 |
| 2 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | L | Complaint investigation | 3 Nov 2023 |
| 2 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Nov 2023 |
| 2 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 25 Nov 2023 |
| 2 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 3 Nov 2023 |
| 2 Nov 2023 | F0758 | Implement 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. | E | Standard survey | 26 Nov 2023 |
| 2 Nov 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Nov 2023 |
| 2 Nov 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 3 Nov 2023 |
| 2 Nov 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Nov 2023 |
| 2 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Nov 2023 |
| 2 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Nov 2023 |
| 2 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 3 Nov 2023 |
| 2 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Nov 2023 |
| 2 Nov 2023 | F0700 | Try 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. | D | Standard survey | 26 Nov 2023 |
| 2 Nov 2023 | F0849 | 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. | D | Standard survey | 3 Nov 2023 |
| 4 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 15 Nov 2023 |
| 4 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 15 Nov 2023 |
| 4 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | H | Complaint investigation | 15 Nov 2023 |
| 4 Oct 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Complaint investigation | 15 Nov 2023 |
| 4 Oct 2023 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | F | Complaint investigation | 15 Nov 2023 |
| 4 Oct 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 5 Oct 2023 |
| 4 Oct 2023 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 5 Oct 2023 |
| 3 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 21 Sep 2023 |
| 3 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 21 Sep 2023 |
| 3 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Sep 2023 |
| 10 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 11 Aug 2023 |
| 10 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 11 Aug 2023 |
| 10 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Complaint investigation | 11 Aug 2023 |
| 10 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Aug 2023 |
| 10 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Aug 2024 | Fine | $17,068 | |
| 4 Oct 2023 | Payment denial | — | 22 days |
| 4 Oct 2023 | Fine | $151,711 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 37.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.8% | 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, limited liability company. Legal business name: Gilmer I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 01/02/2021 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Focused Care of Gilmer | Gilmer | 112 | 1 | 1 | 1 | 48 | 42.9 | $15K | 18 Jun 2026 |
All 2 facilities in Upshur County
Questions and answers
How many deficiencies has Gilmer Nursing & Rehabilitation been cited for?
62 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Gilmer Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $169K in the period covered, plus 1 payment denial.
How does staffing at Gilmer Nursing & Rehabilitation 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 Gilmer Nursing & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Gilmer Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 13 Mar 2026; the most recent standard health survey was 13 Mar 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.