Nursing homeFAID #14271
Gilmer Nursing & Rehabilitation
703 TITUS STREET, GILMER, TX, 75644
(903) 843-5529
93 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
93
CMS facility ID
675801
Care type
Nursing home
County
Upshur
Facility name
Gilmer Nursing & Rehabilitation
Street address
703 TITUS STREET
City / state / ZIP
Gilmer, TX 75644
Phone
(903) 843-5529
About this facility — Gilmer Nursing & Rehabilitation
Gilmer Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Gilmer, Texas. It is licensed for 93 beds — below the median for skilled nursing facilities in Texas (120 beds).
It is one of 4 senior care facilities in Gilmer and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Gilmer Nursing & Rehabilitation 67 times across 12 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $168,779 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Limited Liability company
Registered owners & officers
Blake, Gary
Operational control — since 2021
Blake, Malisa
Operational control — since 2021
Creative Solutions In Healthcare Inc
Operational control — since 2021
Huggins, Linda
Managing employee — since 2021
Regulatory standing
Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1999-07-14
CMS overall rating
1 of 5 stars
Health deficiencies
25 at the last standard inspection
Federal fines
$168,779 total
Last standard inspection
2026-03-13
Nurse staffing
3.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$221 per day (≈ $6,720/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 12% Medicare · 29% private/other
Occupancy
66% (fiscal year 2023)
Vs. state median
20% below the TX median of $277/day — full state cost breakdown
Services & coverage
Licensed beds
93
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-13Health inspection20 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-14
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-03-14
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-03-14
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-03-14
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2026-03-14
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-03-14
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-03-14
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-14
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-14
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-14
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-14
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-03-14
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-03-14
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-03-14
F-0808
D · No harm foundFood safety
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2026-03-14
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-14
F-0849
E · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2026-03-14
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-14
F-0926
D · No harm found
Have policies on smoking.
Corrected 2026-03-14
2026-02-11Health inspectionComplaint-triggered5 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-02-12
F-0585
D · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2026-02-12
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2026-02-12
F-0773
D · No harm foundFrom a complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2026-02-12
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-02-12
9 earlier / fire-safety inspections (42 citations)
2024-12-11Health inspection7 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-12
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-12
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-12
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-12
F-0727
F · No harm found
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.
Corrected 2024-12-12
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-12
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-12-12
2024-08-01Health inspectionComplaint-triggered1 citation
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-02
2023-11-02Health inspectionComplaint-triggered14 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-11-26
F-0622
D · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-11-03
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-26
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-25
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-25
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-26
F-0700
D · No harm found
Try 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.
Corrected 2023-11-26
F-0758
E · No harm found
Implement 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.
Corrected 2023-11-26
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-11-03
F-0880
L · Immediate jeopardyFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
2023-10-04Health inspectionComplaint-triggered7 citations
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-15
F-0607
K · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-15
F-0677
H · Actual harmFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-15
F-0725
H · Actual harmFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-11-15
F-0728
F · No harm foundFrom a complaint
Ensure 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.
Corrected 2023-11-15
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2023-10-05
F-0800
D · No harm foundFood safetyFrom a complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-10-05
2023-09-03Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-21
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-21
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-21
2023-08-10Health inspectionComplaint-triggered5 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-11
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-11
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-11
F-0697
J · Immediate jeopardyFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-11
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-08-11
2026-03-13Fire-safety inspection2 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-14
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-12-11Fire-safety inspection2 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-12
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2023-11-02Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal penalties
2024-08-01Fine$17,068
2023-10-04Fine$151,711
2023-10-04Medicare payment denial — 22 days
Total fines$168,779
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675801.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered