Gilmer Nursing and Rehabilitation
703 Titus Street · Gilmer, TX · 75644 · 9038435529
93 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,068 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
7 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $218,053 |
Inspection citations (62 in the current record)
-
Potential for harm · E March 13, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 14, 2026 · Resident Rights
-
Potential for harm · D March 13, 2026
Keep residents' personal and medical records private and confidential.
Corrected March 14, 2026 · Resident Rights
-
Potential for harm · D March 13, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 13, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 13, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 13, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 13, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 13, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 14, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 13, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2026 · Quality of Life and Care
-
Potential for harm · D March 13, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2026 · Quality of Life and Care
-
Potential for harm · D March 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 14, 2026 · Pharmacy Service
-
Potential for harm · D March 13, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 14, 2026 · Pharmacy Service
-
Potential for harm · E March 13, 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.
Corrected March 14, 2026 · Nutrition and Dietary
-
Potential for harm · D March 13, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 14, 2026 · Nutrition and Dietary
-
Potential for harm · D March 13, 2026
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.
Corrected March 14, 2026 · Nutrition and Dietary
-
Potential for harm · E March 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 14, 2026 · Nutrition and Dietary
-
Potential for harm · E March 13, 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.
Corrected March 14, 2026 · Administration
-
Potential for harm · D March 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 14, 2026 · Infection Control
-
Potential for harm · D March 13, 2026
Have policies on smoking.
Corrected March 14, 2026 · Environmental
-
Potential for harm · D February 11, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 12, 2026 · Resident Rights
-
Potential for harm · D February 11, 2026 · found via complaint
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.
Corrected February 12, 2026 · Resident Rights
-
Potential for harm · D February 11, 2026 · found via complaint
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 12, 2026 · Pharmacy Service
-
Potential for harm · D February 11, 2026 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 12, 2026 · Administration
-
Potential for harm · D February 11, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 12, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2024 | Fine | $17,068 |
| October 4, 2023 | Fine | $151,711 |
| October 4, 2023 | Payment Denial | 22 days |
| August 10, 2023 | Fine | $49,274 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675801 · certified since July 14, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.