Gilmer Nursing & Rehabilitation
703 TITUS STREET, 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 - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 93 · avg 58 residents/day
- Total nursing staff turnover
- 50.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas 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)
- 3 fines · $218,053 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308188
- Service type
- Medicare/medicaid
- Licensed capacity
- 93 beds
- Bed type breakdown
- 7 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- January 1, 2025
- Current license expires
- January 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Gilmer I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Arron Strong
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2021
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2021
- Linda f Huggins
W-2 Managing Employee · since 2021
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
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 44)
- D0908·Dec 11, 2024
Environmental Deficiencies
Keep all essential equipment working safely.
- D0755·Dec 11, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0727·Dec 11, 2024
Nursing and Physician Services Deficiencies
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.
- E0656·Dec 11, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0655·Dec 11, 2024
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E0644·Dec 11, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0582·Dec 11, 2024
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- J0684·Aug 1, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20241 fine · $17K
- 20232 fines · $201K · 1 payment denial
Most recent events
- Aug 1, 2024Fine · $17K
- Oct 4, 2023Payment denial · 22 days · starting Nov 4, 2023
- Oct 4, 2023Fine · $152K
- Aug 10, 2023Fine · $49K
Largest single fine on record: $152K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Dec 11, 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
Gilmer Nursing & Rehabilitation is a 93-bed nursing home in Gilmer, Texas, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, with 1-star ratings on both health inspections and short-stay care outcomes. Three federal fines total $218,053 — more than ten times the Texas median. The facility holds an active state license through 2028 and accepts Medicare and Medicaid.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing — a tier shared by about 32% of Texas nursing homes. Each resident receives roughly 180 minutes of nursing care per day, about 61 minutes less than at a 4-star-staffing facility in Texas. Of those 180 minutes, only 15 are with a registered nurse. Residents here require more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so the same staffing hours are stretched thinner than the raw numbers already suggest.
Three federal fines total $218,053. The Texas median for fined facilities is $20,699, and about 30% of Texas nursing homes have received no fines at all. This facility's total is roughly ten times the state median.
Occupancy sits at approximately 62% of licensed beds — about 57 residents in a building licensed for 93. When other signals in a record suggest operational strain, low occupancy can reflect reduced admissions or referral avoidance by local discharge planners.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Cause of the three federal fines
Ask what specific deficiencies led to $218,053 in CMS fines and what changes were made in response to each citation.
Registered nurse coverage daily
CMS data shows an average of 15 minutes of registered nurse time per resident per day — ask how many hours an RN is physically on the floor each shift.
Why occupancy is running low
The building is licensed for 93 beds but averages about 58 residents — ask what is driving the lower census and whether admissions have been restricted by the state.
Weekend staffing levels
CMS data shows weekend nursing hours drop below the already-low weekday average — ask how many nurses and aides are scheduled on a typical Saturday and Sunday.
Short-stay rehabilitation outcomes
CMS rates short-stay care quality 1 star — ask what percentage of short-stay residents return home versus transfer to long-term care or a hospital.
Health inspection findings
The 1-star health inspection rating reflects the most recent inspection cycle — ask for a copy of the most recent survey report and what deficiencies remain open.
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.