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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasTruman W Smith Children's Care Center

Truman W Smith Children's Care Center

2200 W Upshur Ave, Gladewater, TX 756479038452181
5/5Much Above Average
Accepts Medicaid
Health
5/5
Staffing
2/5
Quality
5/5
Beds
120
certified

Key Findings

• CMS rates this facility 5/5 stars (above average)

• Has 120 certified beds with an average of 101.5 residents per day (85% occupancy)

• Last health inspection found 3 deficiencies (inspected Nov 18, 2025)

• No fines on record

• Total nursing staff: 4.85 hours per resident per day

• Staff turnover rate: 34.7%

Truman W Smith Children's Care Center is a 5-star Medicaid certified nursing home in Gladewater, Texas with 120 certified beds. It has been operating since 1999. The facility scored above average compared to Texas facilities.

Beds
120
Avg Residents/Day
101.5
Ownership
For profit - Corporation
Provider Type
Medicaid
In Hospital
No
First Approved
Dec 16, 1999
Sprinklers
No
Council
Resident
County
Gregg
Last Inspection
Nov 18, 2025
Deficiencies (Cycle 1)
3
Weighted Score
16.0
Infection Citations
0

Deficiency Citations (12)

F0550Potential for Harm

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

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0921Potential for Harm

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

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 10, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor 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.

Survey: Jan 14, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 14, 2025Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jan 14, 2025Corrected: NoCycle: 2
F0688Potential for Harm

Provide 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.

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0813Potential for Harm

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

Survey: Dec 6, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 6, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.90 hrs
National avg: 2.35 hrs
LPN1.17 hrs
National avg: 0.86 hrs
RN0.78 hrs
National avg: 0.68 hrs
Total Nursing4.85 hrs
National avg: 3.89 hrs
Weekend Total4.06 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
34.7%
RN Turnover
20.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All Texas facilities

Legend Oaks Healthcare and Rehabilitation Center G

Gladewater, TX · 100 beds

For profit$124,559 in fines
Health
Staffing
Quality
5138 ft

Frequently Asked Questions

What is the CMS rating for Truman W Smith Children's Care Center?▾
Truman W Smith Children's Care Center has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Truman W Smith Children's Care Center had any health inspection violations?▾
Truman W Smith Children's Care Center had 3 deficiency citations in its most recent health inspection (Nov 18, 2025). The facility has no fines on record.
What are the staffing levels at Truman W Smith Children's Care Center?▾
Truman W Smith Children's Care Center provides 4.85 total nursing staff hours per resident per day, including 0.78 RN hours, 1.17 LPN hours, and 2.90 nurse aide hours. The total staff turnover rate is 34.7%.
How many beds does Truman W Smith Children's Care Center have?▾
Truman W Smith Children's Care Center has 120 certified beds with an average of 101.5 residents per day, resulting in approximately 85% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Truman W Smith Children's Care Center?▾
Yes, there are 1 other nursing home in Gladewater, Texas with an average rating of 3.5/5. You can compare all facilities on the Gladewater nursing homes page.