Focused Care Of Gilmer
623 HWY 155N, Gilmer, TX, 75644
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Focused Post Acute Care Partners
- Certified beds
- 112 · avg 64 residents/day
- Total nursing staff turnover
- 53.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $240,635 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 149462
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Bed type breakdown
- 39 Medicare-only · 73 Medicaid/Medicare
- Current license effective
- February 1, 2024
- Current license expires
- February 1, 2027
- Initial license date
- April 24, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fpacp Upshur Llc (Limited Liability Company (LLC))
- Operator / manager
- Focused Post Acute Care Partners Management, Llc
- Administrator
- Juanita Johnson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Focused Post Acute Care Partners chain — 25 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (14 on record)
- Focused Post Acute Care Partners Llc
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Pam y Powell
Adp of The Snf · since 2025
- Honey Rulane Brenton
Operational/managerial Control · since 2024
- Adam o Mcdaniel
Operational/managerial Control · since 2024
- Ashley Grace Shelton
Operational/managerial Control · since 2024
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0774·Dec 1, 2025Complaint
Administration Deficiencies
Help the resident with transportation to and from laboratory services outside of the facility.
- D0690·Nov 25, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0584·Nov 25, 2025Complaint
Resident Rights Deficiencies
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.
- D0880·Nov 20, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0944·Dec 4, 2024
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D0919·Dec 4, 2024
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Dec 4, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0813·Dec 4, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Federal penalties
By year
- 20231 fine · $241K · 1 payment denial
Most recent events
- Apr 6, 2023Payment denial · 84 days · starting May 9, 2023
- Apr 6, 2023Fine · $241K
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Dec 4, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Focused Care of Gilmer is a 112-bed nursing home in Gilmer, Texas, operating at roughly 57% of licensed capacity — about 64 residents on an average day. CMS rates it 2 stars overall, with 1-star staffing and a single fine of $240,635. Quality-measure scores run counter to those numbers: CMS rates long-stay care outcomes at 5 stars and short-stay outcomes at 4 stars. Managed by Focused Post Acute Care Partners.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 169 minutes of total nursing care per day, about 72 minutes less than at a 4-star-staffing facility in Texas. Registered nurse time is 18 minutes per resident per day, compared to 37 minutes at the 4-star threshold. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those already-limited nursing hours stretch further than the raw numbers suggest.
CMS recorded one fine totaling $240,635. The median fine among penalized Texas nursing homes is about $20,700, so this single penalty is roughly 12 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at about 57% of its 112 licensed beds, with roughly 64 residents on an average day. That level of vacancy, alongside a 1-star staffing rating and a penalty of this size, is a combination worth examining closely when visiting.
Despite the staffing and fine signals, CMS rates long-stay quality measures at 5 stars and short-stay measures at 4 stars. These scores reflect clinical outcomes — things like pressure wounds, falls, and medication management — as reported to CMS. The gap between the staffing rating and the outcome ratings is an unusual pairing.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
About the $240,000 fine
Ask what the single CMS fine of $240,635 was issued for, what corrective steps followed, and how the facility verified those steps worked.
Registered nurse hours daily
Reported RN time is 18 minutes per resident per day — ask how many registered nurses are on-site each shift and whether any shifts currently run without one.
How occupancy affects staffing
With roughly 64 of 112 beds filled, ask whether staffing levels would hold if occupancy climbed significantly closer to licensed capacity.
Outcome data and care planning
CMS rates long-stay outcomes at 5 stars despite 1-star staffing — ask how care plans are monitored and who is accountable for tracking resident health changes between nurse visits.
Resident Council access
The facility has a Resident Council but no Family Council — ask how families are formally notified of concerns residents raise, and how often the council meets.
Weekend staffing levels
Reported weekend nursing hours run lower than weekday figures — ask specifically how many nurses and aides are scheduled on a typical Saturday or Sunday.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.