All states › Texas › Gilmer › Focused Care of Gilmer
623 Hwy 155n Gilmer, TX 75644 · Upshur County
All 2 nursing homes in Gilmer, TX (2 take Medicaid)
CMS certification number 675602 · See this home on Medicare Care Compare
Is Focused Care of Gilmer a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Focused Care of Gilmer as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.90 hours per resident per day at Focused Care of Gilmer, below the Texas median of 3.30 (US median: 3.72). About 0.18 of those hours are from registered nurses. On weekends it falls to 2.38 hours, 18% below its all-week average. Ask how weekends are staffed. 61.2% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Focused Care of Gilmer: Medicare and Medicaid
Focused Care of Gilmer is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 25, 2026 and found 11 deficiencies, plus 17 from complaint inspections in the same period. In total, inspectors issued 49 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 49 citations at Focused Care of Gilmer across 11 inspection dates, 20 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 8, 2026 (complaint inspection). The most common areas cited were quality of life and care (13) and pharmacy service (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, April 8, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.
July 22, 2026 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
June 18, 2026 · 10 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProvide and implement an infection prevention and control program.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
April 8, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 25, 2026 · 11 citations
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
December 1, 2025 · 1 citation · includes complaint inspection
DHelp the resident with transportation to and from laboratory services outside of the facility.
November 25, 2025 · 2 citations · includes complaint inspection
DHonor 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
November 20, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
December 4, 2024 · 8 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
EProvide and implement an infection prevention and control program.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
July 10, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 15, 2023 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure medication error rates are not 5 percent or greater.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
November 7, 2023 · 2 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of Focused Care of Gilmer
- Inspectors cited the home at the immediate-jeopardy level on April 8, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 18, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 61.2% a year. How many of the staff come from agencies?
- The home averages about 58% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $15,288 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 8, 2026 | Fine | $15,288 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Focused Care of Gilmer
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 18.7 mi
-
19.1 mi
Longview Regional Medical Center LongviewEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 15m for patients treated and sent home
-
20.9 mi
East Texas Medical Center Pittsburg PittsburgEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 20m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Focused Post Acute Care Partners nursing homes in Texas
- Focused Care at Hamilton · Hamilton · 5 stars
- Focused Care at Huntsville · Huntsville · 4 stars
- Focused Care of Center · Center · 3 stars
- Focused Care at Westwood · Houston · 3 stars
- Focused Care at Allenbrook · Baytown · 3 stars
- Focused Care at Burnet Bay · Baytown · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Focused Post Acute Care Partners nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.