All states › Texas › Gladewater › Truman W Smith Children's Care Center
2200 W Upshur Ave Gladewater, TX 75647 · Gregg County
All 2 nursing homes in Gladewater, TX (2 take Medicaid)
CMS certification number 45F470 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
November 18, 2025 · 3 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
EProvide and implement an infection prevention and control program.
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.
February 10, 2024 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Truman W Smith Children's Care Center
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
- 13.4 mi
-
13.6 mi
Longview Regional Medical Center LongviewEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 15m for patients treated and sent home
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16.7 mi
University of Texas Health Science Center at Tyler TylerEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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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.