Gilmer Nursing and Rehabilitation in Gilmer, TX has an overall 1-star rating, with 1-star health inspection and staffing ratings and 2 stars for quality measures. Reported nurse staffing is 3.20 hours per resident per day versus the 4.1 federal benchmark, and the facility had $17,068 in fines in the last 24 months plus a recent federal penalty.
Last inspection: March 13, 2026Penalties, last 24 months: $17,068recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2047.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
1.27
Nurse aides
1.71
Weekend nursing
2.74
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.1%8.8%Worsening
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
2.6%1.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.7%52.6%Worsening
Residents whose ability to walk got worse
28.1%17.4%Improving
Long-stay residents on antianxiety or sleep medication
20.5%10%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24%11.5%Improving
Residents with depressive symptoms
0%4.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,068 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $218,053 in total fines · 1 payment denial.
Federal fine
Aug 1, 2024
$17,068
Medicare/Medicaid payment denial
Oct 4, 2023
22 days
Federal fine
Oct 4, 2023
$151,711
Federal fine
Aug 10, 2023
$49,274
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
55 residents on an average day (59% of 93 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
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.