Gilmer Nursing and Rehabilitation Lp
703 Titus Street, Gilmer, TX 75644


Gilmer Nursing and Rehabilitation Lp is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 675801. The address is 703 Titus Street, Gilmer, TX 75644. The zip code is 75644. The phone number is 9038435529.


Gilmer Nursing and Rehabilitation Lp · 703 Titus Street, Gilmer, TX 75644

Federal Provider Number 675801
Provider Name GILMER NURSING AND REHABILITATION LP
Address 703 TITUS STREET
GILMER, TX 75644
Phone Number 9038435529
SSA County Code 943
County Name Upshur
Ownership Type For profit - Corporation
Certified Beds 95
Certified Beds Residents 46
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GILMER NURSING AND REHABILITATION LP
Date First Approved to Provide Medicare Medicaid Services 07/14/1999
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.69022
Reported LPN Staffing Hours per Resident per Day 1.38043
Reported RN Staffing Hours per Resident per Day 0.49783
Reported Licensed Staffing Hours per Resident per Day 1.87826
Reported Total Nurse Staffing Hours per Resident per Day 3.56848
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07174
Expected CNA Staffing Hours per Resident per Day 2.07649
Expected LPN Staffing Hours per Resident per Day 0.62583
Expected RN Staffing Hours per Resident per Day 1.13284
Expected Total Nurse Staffing Hours per Resident per Day 3.83516
Adjusted CNA Staffing Hours per Resident per Day 1.99727
Adjusted LPN Staffing Hours per Resident per Day 1.83077
Adjusted RN Staffing Hours per Resident per Day 0.32836
Adjusted Total Nurse Staffing Hours per Resident per Day 3.75061
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 72
Cycle 1 Standard Survey Health Date 02/01/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 72
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 128
Cycle 2 Standard Health Survey Date 03/23/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 128
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 0
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 04/08/2015
Cycle 3 Number of Health Revisits 0
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 81.333
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 2
Number of Fines 1
Total Amount of Fines in Dollars $845.00
Number of Payment Denials 0
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Gilmer Nursing and Rehabilitation Lp

Owner Name Role Association Date
CUNNINGHAM, SHERRI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 04/07/2013
DAYBREAK PARTNERS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 04/07/2013
DAYBREAK PARTNERS LLC (Organization) PARTNERSHIP INTEREST since 04/07/2013
DAYBREAK VENTURE, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/07/2013
DAYBREAK VENTURE, LLC (Organization) PARTNERSHIP INTEREST since 04/07/2013
DBP MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/20/2017
ESTATE OF PETER C. KERN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
since 04/28/2017
FLAGG, DAN (Individual) OFFICER since 03/20/2017
FLAGG, DAN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/20/2017
MAREZ, DONNA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 04/07/2013
RICHEY, SHARI (Individual) MANAGING EMPLOYEE since 04/28/2014

75644 · Nursing Home

Upshur Manor Nursing Home 623 Hwy 155n, Gilmer, TX 75644

Gilmer · Nursing Home

Upshur Manor Nursing Home 623 Hwy 155n, Gilmer, TX 75644

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