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Nursing HomeMedicaid Investigative

Focused Care of Gilmer

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

623 Hwy 155n, Gilmer, TX 75644112 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 39 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (54%)
  • High RN turnover (60%)

Below average in Texas · Critically understaffed (RN) · $240,635 in fines

Source: Medicare data

What this means for your family

This facility offers exceptional activity programs and several highly praised nursing staff members. However, families should exercise extreme caution and closely monitor nutrition, hygiene, and medication administration, as recent reviews indicate serious lapses in basic care and responsiveness.

Google Reviews

Google Reviews

39 reviews analyzed
Families should be aware of significant discrepancies in care quality, as some residents experience exceptional, family-like treatment while others report severe medical neglect and poor hygiene. While the activity programs and specific nursing staff are frequently praised, there are serious allegations regarding unresponsive call buttons, inadequate nutrition, and mismanagement of medications.

Quality Themes

Tap a score for details
Food1.0Staff7.0Clean4.0Activities10.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Engaging and dedicated activity programming
  • Compassionate and attentive nursing staff
  • Warm, family-like atmosphere
  • Effective physical therapy and rehab services

Concerns

  • Medical neglect and poor response to call buttons (mentioned by 2 reviewers)
  • Inadequate food quality and nutrition (mentioned by 2 reviewers)
  • Staffing shortages and poor bedside manner (mentioned by 2 reviewers)
  • Facility cleanliness and maintenance issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'16(2)5.05.0'18(1)3.54.4'23(16)4.03.0'25(1)4.0'26(8)

Distribution

5
18
4
3
3
0
2
0
1
5

How They Respond to Reviews

13%response rate
Generic

The owner uses highly repetitive, templated responses that avoid addressing specific allegations or feedback. Every response directs the reviewer to contact a specific director or office via a phone number rather than engaging with the content of the review.

Questions for Your Tour

  • 1We've heard wonderful things about your activity programming; could you tell us more about what a typical day looks like for residents here?
  • 2How do you ensure that call buttons are answered promptly, especially during busy shifts or overnight?
  • 3What specific steps are in place to ensure medication management is handled accurately and consistently?
  • 4Could you describe your current process for maintaining facility cleanliness and managing maintenance requests?
  • 5How do you approach meal planning and nutrition to ensure residents are getting high-quality, appetizing food?
  • 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

Wendy is an amazing activity director and her love for her residents shows by how she treats them and interacts with them!! You’ve got one of the best!!

Resident's family · 2024★★★★★

We got connected with the right people to address our concerns. It took a couple days to get the water faucet fixed, but it did get done. Everyone has been kind and helpful, and they do genuinely seem to care and want to improve the facility

Rehab patient's family · 2024★★★★

The majority of the staff - nurses, therapist - that I interacted with really seemed to care, however the management and administration staff is the complete opposite. Only 1 person seemed to. It's understaffed and filthy.

Family member of resident · 2023☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
2.62hrs
64%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
19.4%
TX
14.2%
Upshur
23.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.3%
TX
14.9%
Upshur
21.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.5%
Mixed vs Avgs
Here
15.5%
US
14.4%
TX
16.1%
Upshur
27.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
12.1%
TX
2.5%
Upshur
2.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Upshur
99.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.5%
Mixed vs Avgs
Here
24.5%
US
19.5%
TX
18.4%
Upshur
26.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
81.8%
TX
89.2%
Upshur
82.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
79.7%
TX
88.0%
Upshur
87.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Worse than Avg
Here
1.8%
US
1.6%
TX
1.5%
Upshur
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Well above state avg (9.1)
12 complaint-triggered
$240,635 in fines

Focused Care of Gilmer has significant ongoing concerns with families filing 12 complaints leading to deficiencies for resident abuse/neglect, medication management errors, and food safety problems. These same issues persist across multiple surveys from 2022-2025, with medication error rates exceeding 5% repeatedly and recurring problems with dietary services and infection control. While the facility corrects deficiencies when cited, the pattern of repeated violations in critical care areas suggests systemic problems that warrant careful consideration.

Feb 25, 2026Routine
13
0676ModerateCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0656MinorCorrected

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.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Dec 1, 2025Complaint
1
0774MinorCorrected

Administration Deficiencies

Help the resident with transportation to and from laboratory services outside of the facility.

Nov 25, 2025Complaint
2
0584MinorCorrected

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.

0690MinorCorrected

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.

Nov 20, 2025Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 4, 2024Routine
20
0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0813ModerateCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0813ModerateCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0944MinorCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0944MinorCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Jul 10, 2024Complaint
1
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Federal Penalties

Fine

Apr 8, 2026

$23,520

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fpacp Upshur LLC

Organization Type

for profit

Management Company

FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC

Administrator

JUANITA JOHNSON

Chain Affiliation

Chain Name

Focused Post Acute Care Partners

Chain Size

25 facilities nationwide

Chain avg rating: 2.2/5 · Rank 14 of 25

Ownership & Management

Owners

Fpacp Upshur LLC

Owner · Organization

100%

Key personnel

Conley, ShawnOfficer / DirectorMckenzie, MarkOfficer / DirectorStrubbe, LorettaOfficer / DirectorFocused Post Acute Care Partners LLCManagerFocused Post Acute Care Partners Management, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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