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Complaint Investigation

Focused Care Of Gilmer

Inspection Date: November 20, 2025
Total Violations 1
Facility ID 675602
Location Gilmer, TX
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

infection and were at high risk if PPE was not worn. CNA C said he had not observed any staff members not wearing proper PPE. He said he would tell the staff member if he noticed they were not wearing proper PPE. CNA C said the charge nurse or DON were responsible for ensuring the staff were wearing proper PPE. During an interview on 11/8/2025 at 10:42 AM, the DON said she had been at the facility for 2 years and in her role as DON for 11 months. The DON said EBP were used when a resident had an insertion device such as a catheter, feeding tube, or a wound. The DON said she expected the staff to wear proper PPE when providing care to residents who were on EBP. The DON said the facility had in-services with staff

on which residents were on EBP. She said the facility had a Kardex and it was also on the care plan. The DON said the facility had signage on the door with what the precautions were. She said there was an organizer on the door with PPE available to staff. The DON said the facility had plenty of PPE. During an

interview on 11/8/2025 at 10:50 AM, the ADM said EBP was used when a resident had an open wound, feeding tube or a catheter. She said she expected the staff to be following proper precautions. The ADM said a resident would have an orange sticker on the door and an organizer in the room with supplies available to them. The ADM said the Infection Preventionist was primarily responsible, but all staff should make sure they were following the precautions. She said a resident could be at risk for infection if proper PPE was not followed. The ADM had identified the 2 CNA's as CNA A and CNA B.Record review of a facility's Standard and Enhanced Precautions policy dated 4/1/2024 indicated.Enhanced Barrier Precautions (EBP) are a CDC guidance to reduce the transmission of multi-drug-resistant organisms (MDRO) in healthcare settings, including nursing homes.Procedure.1. Determine residents MDRO status

on admission to community.2. Determine if a resident has wounds.3. Place signage on residents' closet door, maintain PPE in residents' room, and assure all team members are aware of resident status. 4. High contact resident care activities.Dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs, or assisting with toileting, device care or use: central line, urinary catheter, feeding tube, tracheostomy/ventilator, wound care: any skin opening requiring a dressing.

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📋 Inspection Summary

Focused Care of Gilmer in Gilmer, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Gilmer, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Focused Care of Gilmer or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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