Nursing home report
Gilmer, TX · Medicare-certified · 112 beds
Focused Care of Gilmer (Gilmer, TX) has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings but a 4-star quality measures rating. It also has a recent abuse citation, $23,520 in fines over the last 24 months, and reported nurse staffing of 3.03 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.0292 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0292.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited November 2023 — widespread issue, potential for harm.
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited February 2026 — limited pattern, potential for harm.
F-Tag 676 — 42 CFR §483.24 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $23,520 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $23,520 in total fines.
Federal fine
Apr 8, 2026
Now operated by Focused Care of Gilmer, previously Upshur Manor Nursing Home.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
