Focused Care of Gilmer

Nursing Home · Gilmer, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number675602

Contact & location

623 Hwy 155N
Gilmer, TX 75644
Upshur County
Phone
(903) 797-2143
ZIP code
75644 – all care providers

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Facility details

Certified beds
112
Residents per day
63.7 (57% occupied)
Ownership
For profit - Corporation
Legal name
Fpacp Upshur LLC
Chain
Focused Post Acute Care Partners (25 facilities, avg 1.9★)
Medicare certified since
July 9, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.03 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.87 (state 0.95 · U.S. 0.86)
Nurse aides
1.86 (state 2.00 · U.S. 2.32)
Weekend total
2.51 (state 2.98 · U.S. 3.42)
Nursing staff turnover
51.0 (state 55.3 · U.S. 45.8)%
RN turnover
33.3 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
February 25, 2026
Health deficiencies (last cycle)
27.0 (state 9.3 · U.S. 9.3)
From complaints
16
Citations on record (3 years)
48 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-18 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-06-18 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-15
2026-06-18 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-15
2026-04-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0676 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-25 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2025-12-01 Help the resident with transportation to and from laboratory services outside of the facility.
F0774 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-02
2025-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-27
2024-12-04 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-27
2024-12-04 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-30
2024-12-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-27
2024-12-04 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-27
2024-12-04 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-27
2024-12-04 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0851 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-15 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-15 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-15 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-15 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16
2023-11-07 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08
2023-11-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $15,288 in fines.

DateTypeAmount
2026-04-08Fine$15,288

Ownership & management

NameRoleSince
Fpacp Upshur LLC (organization)5%+ Direct Ownership Interest · 100%
Focused Post Acute Care Partners LLC (organization)Administrator · NOT APPLICABLE
Focused Post Acute Care Partners Management, LLC (organization)Administrator · NOT APPLICABLE
McDaniel, Adam (individual)Administrator · NOT APPLICABLE
Powell, Pam (individual)Administrator · NOT APPLICABLE
Shelton, Ashley (individual)Administrator · NOT APPLICABLE
Conley, Shawn (individual)Corporate Officer · NOT APPLICABLE
McKenzie, Mark (individual)Corporate Officer · NOT APPLICABLE
Strubbe, Loretta (individual)Corporate Officer · NOT APPLICABLE
Brenton, Honey (individual)Operational/managerial Control · NOT APPLICABLE
Conley, Shawn (individual)Operational/managerial Control · NOT APPLICABLE
Focused Post Acute Care Partners LLC (organization)Operational/managerial Control · NOT APPLICABLE
Focused Post Acute Care Partners Management, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Fpacp Upshur LLC (organization)Operational/managerial Control · NOT APPLICABLE
McDaniel, Adam (individual)Operational/managerial Control · NOT APPLICABLE
McKenzie, Mark (individual)Operational/managerial Control · NOT APPLICABLE
Powell, Pam (individual)Operational/managerial Control · NOT APPLICABLE
Shelton, Ashley (individual)Operational/managerial Control · NOT APPLICABLE
Strubbe, Loretta (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Focused Care of Gilmer?

Focused Care of Gilmer has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Focused Care of Gilmer have?

It has 112 certified beds and cares for about 64 residents per day.

Has Focused Care of Gilmer been fined?

Yes. CMS lists 1 penalty totaling $15,288 in the last three years.

Who owns Focused Care of Gilmer?

It is part of Focused Post Acute Care Partners and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Focused Care of Gilmer?

(903) 797-2143. The facility is located at 623 Hwy 155N, Gilmer, TX 75644.

Other nursing homes in Gilmer

Compare all nursing homes in Gilmer, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.