F

GILMER NURSING AND REHABILITATION

703 TITUS STREET, GILMER, TX 75644
Score: 2 / 100

Gilmer Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Gilmer facility should carefully review its inspection history and quality metrics.

With 2.99 total nurse hours per resident per day, Gilmer Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 44 deficiencies at Gilmer Nursing And Rehabilitation, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: 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..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.99 3.8 Below Average
Registered Nurses (RN) 0.25 0.7 Below Average
Licensed Practical Nurses (LPN) 1.26 0.7 Above Average
Certified Nursing Assistants (CNA) 1.49 2.4 Below Average
Weekend Total Nursing 2.66 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

44
Total Deficiencies
Dec 10, 2024
Most Recent Inspection
⚪ 1 Minor 🟠 36 Moderate 🔴 7 Serious
View recent deficiencies (5 shown)
  • Tag 0727 Severity F
    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.
    Dec 10, 2024 · Nursing and Physician Services Deficiencies
  • Tag 0644 Severity E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    Dec 10, 2024 · Resident Rights Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Dec 10, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.3% 4.5% Better
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 8.3% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 30.9% 14.0% Worse
Excessive weight loss 4.7% 7.5% Better
New/worsened incontinence 24.3% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $218,053

How This Grade Was Calculated

This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
93
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 10, 2024
Deficiencies (Cycle 1)
7