Focused Care of Gilmer
623 Hwy 155n · Gilmer, TX · 75644 · 9037972143
112 certified beds For profit - Corporation Chain: Focused Post Acute Care Partners
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.62 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.43 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $23,520 |
Inspection citations (40 in the current record)
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Immediate jeopardy · J April 8, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2026 · Quality of Life and Care
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Immediate jeopardy · J April 8, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · D February 25, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D February 25, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 25, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 25, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D February 25, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D February 25, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E February 25, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E February 25, 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.
Corrected February 27, 2026 · Pharmacy Service
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Potential for harm · E February 25, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 27, 2026 · Nutrition and Dietary
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Potential for harm · D February 25, 2026
Provide and implement an infection prevention and control program.
Corrected February 27, 2026 · Infection Control
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Potential for harm · D February 25, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 27, 2026 · Environmental
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Potential for harm · D December 1, 2025 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected December 2, 2025 · Administration
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Potential for harm · D November 25, 2025 · found via complaint
Honor 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.
Corrected December 2, 2025 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 21, 2025 · Infection Control
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Potential for harm · D December 4, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · E December 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · E December 4, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · E December 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 27, 2024 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 30, 2024 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Provide and implement an infection prevention and control program.
Corrected December 27, 2024 · Infection Control
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Potential for harm · D December 4, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 27, 2024 · Environmental
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Potential for harm · D December 4, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected December 27, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 8, 2026 | Fine | $23,520 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675602 · certified since July 9, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.