Focused Care of Gilmer

    623 State Hwy 155 N, Gilmer, TX, 75644
    4.1 · 34 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Great rehab staff, poor management

    I had a mixed experience. The nurses, CNAs, therapists and activity team (especially Courtney, Charlotte, Jennifer and Wendy) were warm, attentive and great for rehab - residents were social, cared for and the activities lifted spirits. However, management and administration felt poor and understaffed, with medication/documentation problems, slow call-button responses, spotty cleanliness/maintenance (broken TVs, cold taps), questionable meals and safety concerns for long-term residents. I'd recommend cautiously for short-term rehab if you get the right staff, but I would not trust it for long-term care without clear fixes.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.12 · 34 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      4.2
    • Meals

      3.0
    • Amenities

      3.5
    • Value

      4.1

    Pros

    • Caring and compassionate staff
    • Skilled physical therapy and successful rehab outcomes
    • Engaged, highly praised activity director (Wendy)
    • Attentive nurses and CNAs
    • Staff often go above and beyond
    • Family-like, homey atmosphere
    • Personalized resident-focused care
    • Cleanliness reported under new management
    • Top-notch dining and relaxation areas
    • Positive, social resident life

    Cons

    • Understaffing and short-staffed shifts
    • Slow response to call buttons and requests
    • Medication mismanagement and documentation issues
    • Alleged Medicare noncompliance in labeling/documentation
    • Incidents of discharge against medical advice with missing paperwork
    • Filthy conditions reported by some reviewers
    • Bedsores and skin care concerns
    • Slow or inadequate maintenance/repairs (e.g., bathroom tap, TVs)
    • Lack of in-room entertainment (broken TVs)
    • Inadequate or unsatisfactory meals reported
    • Rude bedside manner or lack of compassion from some staff
    • Concerns about long-term resident rights and quality of care

    Summary review

    The reviews for Focused Care of Gilmer present a mixed but strongly polarized picture, with a substantial number of very positive reports about the frontline caregiving, therapy services, activities, and atmosphere, alongside a number of serious operational and quality concerns. A major positive theme is consistently warm descriptions of hands-on caregivers: nurses, CNAs, therapists, and aides are repeatedly called caring, attentive, and willing to go the extra mile. Physical therapy and rehab services receive multiple specific commendations for producing good outcomes and measurable progress. Several reviewers explicitly recommend the facility for rehab and short-term stays based on therapy and nursing performance.

    Activities and social life are another clear strength. The activity director (frequently named Wendy) is singled out repeatedly as exceptional — residents look forward to daily activities, staff help residents attend events, and the facility is described as "full of life and love." This contributes to reports of an engaging, family-like environment where residents are social and active. Dining and shared spaces are praised in several accounts as "top-notch" and relaxing, which supports the positive impressions of communal life.

    However, these positive impressions are offset by multiple reports of operational and safety problems that should not be overlooked. Staffing shortages and slow responses to call buttons are a recurring complaint and appear to affect timeliness of care. Some reviewers describe rude bedside manner or lack of compassion from certain staff members, indicating inconsistency in interpersonal care. More serious quality-of-care concerns surface as well: reports include medication mismanagement, documentation problems, alleged Medicare noncompliance in labeling or paperwork, and at least one account of discharge against medical advice without proper paperwork. These administrative and clinical documentation issues raise important compliance and safety questions.

    Facility maintenance and in-room amenities also generate mixed feedback. Several reviewers praise cleanliness, particularly under new management, but others describe the facility as filthy. Complaints include broken in-room TVs and lack of entertainment, a bathroom cold water tap not working, and slow repairs overall. There are also reports of bedsores and requests for transfers, which speak to potential gaps in ongoing skin care and resident safety for some long-term patients. Meal quality is noted positively in some reviews and criticized in others, suggesting variability or inconsistency in dining services.

    The pattern in these reviews suggests two distinct experiences: many residents and families report exceptionally caring frontline staff, strong therapy outcomes, active programs, and a warm atmosphere, while a smaller but important subset report serious lapses related to staffing levels, compassion in bedside manner, clinical documentation, medication handling, and maintenance. Management and administrative performance appears to be a focal point: some comments praise improvements under new leadership and a cleaner facility, while others explicitly call out poor management, Medicare documentation issues, and administrative failures that materially affected care and discharge processes.

    In summary, Focused Care of Gilmer appears to offer strong strengths in direct caregiving, rehabilitation services, and resident activities that create a welcoming and social environment for many residents. At the same time, there are recurring operational and safety concerns — understaffing, delayed responses, maintenance problems, inconsistent meal quality, documentation and medication issues, and occasional reports of neglect or poor compassion — that warrant attention. Prospective residents and families should weigh the highly praised aspects of therapy and activities against the documented inconsistencies and consider asking facility leadership for specifics on staffing ratios, medication safety protocols, recent corrective actions for documentation/Medicare compliance, repair turnaround times, and how bedsores and skin care concerns are monitored and prevented.

    Location

    Map showing location of Focused Care of Gilmer

    About Focused Care of Gilmer

    Focused Care of Gilmer sits close to a hospital, pharmacies, restaurants, churches, and grocery stores, so folks living there don't have far to go for things they need, and it's been serving the community under Focused Care ownership for several years now, always focusing on bringing people together and building connections through community activities and events, games, music, movies, and spiritual support at nearby churches, and it does all this while providing both skilled nursing and nursing care across 112 certified beds, though as of June 2025, 56 beds are open for use. The facility's got licensed status as both a Skilled Nursing Facility and Nursing Facility with number 005293, and the staff look after residents with compassion, though they do have a reported nurse turnover rate of 53.7%, which sits just a bit above the state average, and their nurse hours per resident per day comes in at 2.89, falling below the state average of 3.4. You'll find services like help with moving in, daily housekeeping and laundry, and support with transfers, bathing, dressing, medication, and all the activities of daily life, available around the clock, with a 24-hour call system and emergency alert setup for security. They serve meals prepared by a professional chef, accommodating food allergies and special diets for diabetes or other needs, offering both restaurant-style and all-day dining. The rooms are furnished and come with private bathrooms, cable TV, kitchenettes, phones, air conditioning, Wi-Fi, and pleasant spaces like a library, garden, outdoor paths, a game and arts room, music programs, and a movie theater.

    Focused Care of Gilmer is known for its patient-centered approach, delivering skilled services like acute and chronic wound management, acute care, joint rehab, pain management, cardiovascular and pulmonary therapy, contracture management, dysphagia therapy, fall prevention, and specialized support for memory and dementia with updated Alzheimer's care methods. The facility handles dialysis, keeps medical and pharmacy information connected using electronic records, and holds a new private wing for rehabilitation, especially for stroke recovery and post-orthopedic therapy. They've got therapy staff for physical, occupational, and speech assistance, manage respiratory therapy for issues like COPD or tracheostomies, provide IV and enteral feeding, and keep up a focus on infection control, though recent inspection reports show 2 infection-related deficiencies and a total of 47 documented deficiencies, including one for pharmacy services. Medicaid and Medicare are accepted, and insurance options are broad, with the community functioning as a for-profit facility. It's affiliated with Focused Post Acute Care Partners, and residents find support for their physical and emotional well-being in a secure place that puts their needs at the front, but like any facility, it's important to review inspection reports and consider both the care strengths and the areas where deficiencies have occurred.

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