Focused Care Of Gilmer
Focused Care of Gilmer in Gilmer, TX — inspection on November 25, 2025.
Found 2 citations. 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
always deal with the urine odors in a timely manner. He stated he had never noticed Resident #3's call light going off to ask for staff assistance with emptying his urinal.
The Administrator stated he was unsure what the process was for emptying urinals but expected alert residents to be more involved with their care.
The Administrator stated it was important to ensure urine odors were managed because he would not have wanted to live or work in a facility that smelt bad.
Record review of the Quality of Life - Homelike Environment policy, revised May 2017, reflected The facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflected a personalized, homelike setting.
These characteristics include: .clean, sanitary and orderly environment. pleasant, neutral scents.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Focused Care of Gilmer
623 Hwy 155n Gilmer, TX 75644
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 11/25/25 at 2:03 PM, the Assistant Director of Clinical Operations stated she expected the CNAs to ensure infection control practices were at the forefront of their mind while performing incontinent or catheter care.
She stated the nursing management provided in-service education and check offs for incontinent and catheter care all the time.
The Assistant Director of Clinical Operations stated she understood the staff became nervous when state surveyors were watching, but she still expected them to follow the infection control practices during incontinent or catheter care.
She stated it was important to ensure infection control practices were followed during incontinent or catheter care to prevent the risk of urinary tract infections.
The clinical checkoffs for incontinent care were requested for CNA A and CNA B.
During an interview on 11/25/25 at 2:26 PM, the Director of Clinical Operations stated she expected the staff to ensure they were sanitizing their hands and changing gloves at the appropriate times during incontinent or catheter care.
She stated the staff completed checkoffs and online training and in-service education.
She stated next month several of the facilities were providing a skills fair that would have included incontinent care.
The Director of Clinical Operations stated it was important to ensure infection control practices were followed during incontinent or catheter care, so the staff did not contaminate other body openings and decreased the risk of UTIs.
She stated poor incontinent care could have contributed to Resident #1 and Resident #2's recurrent UTIs.
During an interview on 11/25/25 at 3:01 PM, the Administrator stated he expected the nursing staff to ensure the best practices were utilized when performing incontinent or catheter care.
The Administrator stated he did not have a clinical background and the administrative nursing staff were responsible for monitoring to ensure infection control practices were utilized during incontinent and catheter care. He stated it was important for infection control issues.
Record review of the Nursing Services - Competency Evaluation, dated 11/03/25, reflected CNA A met the performance criteria for incontinent care, with no comments noted.
Record review of the Nursing Services – Competency Evaluation, dated 11/03/25, reflected CNA B met the performance criteria for incontinent care, with no comments noted.
Record review of the Elimination, Perineal Care policy, effective 10/01/21, reflected To provide cleanliness and comfort to the resident, to prevent infections and skin irritation.
The policy did not address infection control practices related to incontinent or catheter care .
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.