GILMER NURSING AND REHABILITATION
703 TITUS STREET, GILMER, TX 75644 · CCN 675801
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 93
- Avg residents/day
- 57.7
- Phone
- 9038435529
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-11 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2023-11-02 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2022-08-10 | 22 | 8.1 | 9.3 | +13.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.99 | 50.9% |
| RN staffing (reported) | 0.25 | 50.0% |
| Total nurse staffing (adjusted) | 3.49 | — |
Fines & penalties
- Total fines
- $218,053
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (44)7 immediate jeopardy2 actual harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- FF0727Have 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.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-12-11 · Health · corrected 2024-12-12
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-01 · Health · corrected 2024-02-02
Immediate jeopardy
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-02 · Health · corrected 2023-11-26
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-02 · Health · corrected 2023-11-26
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-25
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-02 · Health · corrected 2023-11-25
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-02 · Health · corrected 2023-11-26
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-11-02 · Health · corrected 2023-11-26
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-11-02 · Health · corrected 2023-11-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- LF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-03
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-04 · Health · corrected 2023-11-15
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-04 · Health · corrected 2023-11-15
Immediate jeopardy
- HF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-04 · Health · corrected 2023-11-15
Actual harm
- HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-04 · Health · corrected 2023-11-15
Actual harm
- FF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2023-10-04 · Health · corrected 2023-11-15
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-10-04 · Health · corrected 2023-10-05
Potential for minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-10-04 · Health · corrected 2023-10-05
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-03 · Health · corrected 2023-09-21
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-03 · Health · corrected 2023-09-21
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-03 · Health · corrected 2023-09-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-10 · Health · corrected 2023-08-11
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-10 · Health · corrected 2023-08-11
Immediate jeopardy
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-10 · Health · corrected 2023-08-11
Immediate jeopardy
- JF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-10 · Health · corrected 2023-08-11
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
- DF0926Have policies on smoking.2022-08-10 · Health · corrected 2022-08-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-01-02 |
| BLAKE, GARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-02 |
| BLAKE, MALISA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-02 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-01-02 |
Other facilities in GILMER
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.