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Truman W Smith Children's Care Center

All states › Texas › Gladewater › Truman W Smith Children's Care Center

2200 W Upshur Ave Gladewater, TX 75647 · Gregg County

(903) 845-2181

All 2 nursing homes in Gladewater, TX (2 take Medicaid)

Accepts Medicaid 120 certified beds For profit

CMS certification number 45F470 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Truman W Smith Children's Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Truman W Smith Children's Care Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 13 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.70 hours per resident per day at Truman W Smith Children's Care Center, above the Texas median of 3.30 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 4.06 hours, 14% below its all-week average. 33.1% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 4.70 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.60 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.06 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 33.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 38.1% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 101 About 84% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicaid
Certified sinceDecember 1999
Legal business nameLegal Business Name Not Available

Paying for care at Truman W Smith Children's Care Center: Medicare and Medicaid

Truman W Smith Children's Care Center is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Texas Medicaid.

Health inspections

The most recent standard inspection was on November 18, 2025 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 13 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 13 citations at Truman W Smith Children's Care Center across 5 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 13 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (4) and infection control (3). The most serious was cited under the CMS rule to "ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube" (tag F0693, level E, March 17, 2026).

March 17, 2026 · 1 citation · includes complaint inspection

EEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Complaint inspection · Deficient, Provider has date of correction (Mar 21, 2026)

November 18, 2025 · 3 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 19, 2025)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Nov 19, 2025)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Nov 19, 2025)

January 14, 2025 · 3 citations · includes complaint inspection

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Jan 15, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 15, 2025)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 15, 2025)

February 10, 2024 · 1 citation · includes complaint inspection

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 1, 2024)

December 6, 2023 · 5 citations

EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Dec 8, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 8, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Dec 8, 2023)

DHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Deficient, Provider has date of correction (Dec 8, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 8, 2023)

Questions to ask on a tour of Truman W Smith Children's Care Center

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 1/5 5/5
August 2026 5/5 5/5 2/5 5/5
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Location

Hospitals near Truman W Smith Children's Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Legend Oaks Healthcare and Rehabilitation Center Gardens Gladewater · 1.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 100 beds · Medicaid
Pine Tree Lodge Nursing Center Longview · 9.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 92 beds · Medicaid
Buckner Westminster Place Longview · 12.5 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 20 beds
The Oaks at Longview Longview · 12.9 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 108 beds · Medicaid
Heritage at Longview Healthcare Center Longview · 12.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 140 beds · Medicaid

More nursing homes near Truman W Smith Children's Care Center ›   All nursing homes in Gladewater ›

Compare Truman W Smith Children's Care Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/gladewater/truman-w-smith-childrens-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.