Nursing homes › Texas › Gilmer Nursing and Rehabilitation
703 Titus Street, Gilmer, TX 75644 · 9038435529 · 93 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 2.99 (Texas median: 3.27). RN hours: 0.17. Weekend total: 2.62.
All-time on record: 62 deficiency citations, including 7 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2026-03-14 |
| 2026-03-13 | 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 2026-03-14 |
| 2026-03-13 | 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 | Health | corrected 2026-03-14 |
| 2026-03-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-14 |
| 2026-03-13 | 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 | Health | corrected 2026-03-14 |
| 2026-03-13 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | 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 | Health | corrected 2026-03-14 |
| 2026-03-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-14 |
| 2026-03-13 | Have policies on smoking. | D | Health | corrected 2026-03-14 |
| 2026-02-11 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2026-02-12 |
| 2026-02-11 | 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 | corrected 2026-02-12 |
| 2026-02-11 | 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 | corrected 2026-02-12 |
| 2026-02-11 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2026-02-12 |
| 2026-02-11 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-02-12 |
| 2024-12-11 | 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 | Health | corrected 2024-12-12 |
| 2024-12-11 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2024-12-12 |
| 2024-12-11 | 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 2024-12-12 |
| 2024-12-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-12-12 |
| 2024-12-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-12-12 |
| 2024-12-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-12-12 |
| 2024-12-11 | Keep all essential equipment working safely. | D | Health | corrected 2024-12-12 |
| 2024-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-02-02 |
| 2023-11-02 | Provide and implement an infection prevention and control program. | L | complaint | corrected 2023-11-03 |
| 2023-11-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-03 |
| 2023-11-02 | 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 2023-11-25 |
| 2023-11-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-11-03 |
| 2023-11-02 | 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 | Health | corrected 2023-11-26 |
| 2023-11-02 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2023-11-26 |
| 2023-11-02 | 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 | Health | corrected 2023-11-03 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-01 | Fine | $17,068 |
| 2023-10-04 | Fine | $151,711 |
| 2023-10-04 | Payment Denial | 22 days payment denial |
| 2023-08-10 | Fine | $49,274 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/02/2021 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2021 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675801. Corrections: data@carerecords.org.