Focused Care Of Gilmer
Focused Care of Gilmer in Gilmer, TX — inspection on November 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID: