• CMS rates this facility 2/5 stars (below average)
• Has 112 certified beds with an average of 64.1 residents per day (57% occupancy)
• Last health inspection found 12 deficiencies (inspected Dec 4, 2024)
• Has been fined a total of $240,635 across 1 fine(s)
• Total nursing staff: 2.81 hours per resident per day
• Staff turnover rate: 53.8% (high)
• Part of the Focused Post Acute Care Partners chain (25 facilities)
Focused Care of Gilmer is a 2-star Medicare and Medicaid certified nursing home in Gilmer, Texas with 112 certified beds. It has been operating since 1996. The facility scored below average compared to Texas facilities.
Help the resident with transportation to and from laboratory services outside of the facility.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide and implement an infection prevention and control program.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure each resident receives an accurate assessment.
PASARR screening for Mental disorders or Intellectual Disabilities
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
+ 15 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 20, 2016 |
| FPACP UPSHUR LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2017 |
| CONLEY, SHAWN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jul 1, 2018 |
| MCKENZIE, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 70% | Feb 1, 2017 |
| STRUBBE, LORETTA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jul 1, 2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| FPACP UPSHUR LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| BRENTON, HONEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 16, 2024 |
| CONLEY, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2017 |
| MCDANIEL, ADAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| MCKENZIE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2017 |
| POWELL, PAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 17, 2024 |
| SHELTON, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 23, 2024 |
| STRUBBE, LORETTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2017 |
| CONLEY, SHAWN | CORPORATE OFFICER | Individual | N/A | Feb 1, 2017 |
| MCKENZIE, MARK | CORPORATE OFFICER | Individual | N/A | Feb 1, 2017 |
| STRUBBE, LORETTA | CORPORATE OFFICER | Individual | N/A | Jul 1, 2018 |
This chain operates 25 facilities. View all →