Starfile

Starfile / Texas

Focused Care of Gilmer

623 Hwy 155N, Gilmer, TX 75644 · CCN 675602

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
112
Avg residents/day
64.1
Phone
9037972143

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-12-04129.19.5+2.9 worse
22023-11-15119.49.8+1.6 worse
32022-09-15228.19.3+13.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident rights1
Nutrition and dietary2
Pharmacy service2
Environmental1
Administration2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.8153.8%
RN staffing (reported)0.3160.0%
Total nurse staffing (adjusted)2.70

Fines & penalties

Total fines
$240,635
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
FOCUSED POST ACUTE CARE PARTNERS
Facilities in chain
25
Chain avg overall
2.20 / 5

Inspection citations (45)3 immediate jeopardy

  1. DF0774Help the resident with transportation to and from laboratory services outside of the facility.2025-12-01 · Health · corrected 2025-12-02

    Potential for more than minimal harm

  2. DF0584Honor 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.2025-11-25 · Health · corrected 2025-12-02

    Potential for more than minimal harm

  3. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-25 · Health · corrected 2025-12-02

    Potential for more than minimal harm

  4. DF0880Provide and implement an infection prevention and control program.2025-11-20 · Health · corrected 2025-11-21

    Potential for more than minimal harm

  5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  6. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  7. EF0759Ensure medication error rates are not 5 percent or greater.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  9. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-12-04 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  10. EF0880Provide and implement an infection prevention and control program.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  11. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  12. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-12-04 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-10 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  14. DF0641Ensure each resident receives an accurate assessment.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  15. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  17. DF0693Ensure 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.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  18. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  19. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  20. EF0759Ensure medication error rates are not 5 percent or greater.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  22. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  23. DF0880Provide and implement an infection prevention and control program.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  24. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-11-07 · Health · corrected 2023-11-08

    Potential for more than minimal harm

  25. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-07 · Health · corrected 2023-11-08

    Potential for more than minimal harm

  26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-31 · Health · corrected 2023-08-01

    Potential for more than minimal harm

  27. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-07-31 · Health · corrected 2023-08-01

    Potential for more than minimal harm

  28. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-06 · Health · corrected 2023-04-07

    Immediate jeopardy

  29. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-06 · Health · corrected 2023-05-19

    Immediate jeopardy

  30. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-06 · Health · corrected 2023-07-11

    Potential for more than minimal harm

  31. EF0584Honor 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.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  32. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  34. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-15 · Health · corrected 2022-08-04

    Immediate jeopardy

  35. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  36. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  37. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  38. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  39. EF0759Ensure medication error rates are not 5 percent or greater.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  40. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  41. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  42. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  43. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  44. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

  45. DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-09-15 · Health · corrected 2022-09-19

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MCKENZIE, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST70%2017-02-01
STRUBBE, LORETTAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2018-07-01
CONLEY, SHAWNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2018-07-01
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-02-01
FPACP UPSHUR LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-02-01
BRENTON, HONEYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-16
CONLEY, SHAWNIndividualOPERATIONAL/MANAGERIAL CONTROL2017-02-01
MCDANIEL, ADAMIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-01
MCKENZIE, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL2017-02-01
POWELL, PAMIndividualOPERATIONAL/MANAGERIAL CONTROL2024-06-17
SHELTON, ASHLEYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-09-23
STRUBBE, LORETTAIndividualOPERATIONAL/MANAGERIAL CONTROL2017-02-01
CONLEY, SHAWNIndividualCORPORATE OFFICER2017-02-01
MCKENZIE, MARKIndividualCORPORATE OFFICER2017-02-01
FOCUSED POST ACUTE CARE PARTNERS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2016-12-20
STRUBBE, LORETTAIndividualCORPORATE OFFICER2018-07-01
FPACP UPSHUR LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2017-02-01
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-02-01

Other facilities in Gilmer

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.