Nursing homes › Texas › Focused Care of Gilmer
623 Hwy 155N, Gilmer, TX 75644 · 9037972143 · 112 certified beds
Per CMS filings, this facility is affiliated with Focused Post Acute Care Partners, a group operating 25 facilities in 1 states. Group record: average rating 1.9/5, 8 abuse citation icons, 2 facilities on the Special Focus list, $1,840,773 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 3.03 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.51. Nursing staff turnover: 51%.
All-time on record: 40 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2026-04-09 |
| 2026-04-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-04-09 |
| 2026-02-25 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Health | corrected 2026-02-27 |
| 2026-02-25 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-02-27 |
| 2026-02-25 | 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. | E | Health | corrected 2026-02-27 |
| 2026-02-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-27 |
| 2026-02-25 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-02-27 |
| 2026-02-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2026-02-27 |
| 2025-12-01 | Help the resident with transportation to and from laboratory services outside of the facility. | D | complaint | corrected 2025-12-02 |
| 2025-11-25 | 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. | D | complaint | corrected 2025-12-02 |
| 2025-11-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-12-02 |
| 2025-11-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-11-21 |
| 2024-12-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-12-27 |
| 2024-12-04 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-12-27 |
| 2024-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-27 |
| 2024-12-04 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2024-12-30 |
| 2024-12-04 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-12-27 |
| 2024-12-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-12-27 |
| 2024-12-04 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-12-27 |
| 2024-12-04 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Health | corrected 2024-12-27 |
| 2024-07-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-07-17 |
| 2023-11-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-16 |
| 2023-11-15 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2023-11-16 |
| 2023-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-11-16 |
| 2023-11-15 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-11-16 |
| 2023-11-15 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-11-16 |
| 2023-11-15 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-11-16 |
| 2023-11-15 | Ensure 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. | D | Health | corrected 2023-11-16 |
| 2023-11-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-11-16 |
| 2023-11-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-11-16 |
| 2023-11-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-11-16 |
| 2023-11-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2023-11-08 |
| 2023-11-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-11-08 |
| 2023-07-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2023-08-01 |
| 2023-07-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2023-08-01 |
| Date | Type | Amount |
|---|---|---|
| 2026-04-08 | Fine | $23,520 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FPACP UPSHUR LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/01/2017 |
| CONLEY, SHAWN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2017 |
| MCKENZIE, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2017 |
| STRUBBE, LORETTA | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| FPACP UPSHUR LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| BRENTON, HONEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/16/2024 |
| CONLEY, SHAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
| MCDANIEL, ADAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
| MCKENZIE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
| POWELL, PAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/17/2024 |
| SHELTON, ASHLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/23/2024 |
| STRUBBE, LORETTA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675602. Corrections: data@carerecords.org.