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HomeTexasTruman W Smith Children's Care Center

Truman W Smith Children's Care Center

2200 W Upshur Ave, Gladewater, TX 756479038452181WebsiteGoogle Maps
4.5on Google(67 reviews)
5/5Much Above Average
Accepts Medicaid

CMS data snapshot: July 2026

Health
5/5
Staffing
2/5
Quality
5/5
Beds
120
certified

How Truman W Smith Children's Care Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
5/5
TX average
2.7/5
Above state average
Health inspection rating
5/5
TX average
2.8/5
Above state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
4.78 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.71 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
35.0%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Texas average of 2.7/5.
Its 5/5 health inspection rating is above the Texas average of 2.8/5.
Reported nursing time is 4.78 hours per resident per day, above the state average of 3.39.
Reported RN time is 0.71 hours per resident per day, above the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
4
deficiency citations
Inspected Jan 14, 2025
Most recent cycle
4
deficiency citations
Inspected Nov 18, 2025
The two inspection cycles recorded the same number of deficiency citations.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Gregg County 65+
19,479
15.7% of county
County Population
124,245
Gregg County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 5 out of 5.

Beds
120
Avg Residents/Day
99.3
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)
4
Weighted Score
22.0
Infection Citations
0

Deficiency Citations (13)

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: Mar 17, 2026Corrected: NoCycle: 1
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 14, 2025Corrected: 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: Feb 10, 2024Corrected: NoCycle: 3
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
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
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
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 Aide2.76 hrs
National avg: 2.32 hrs
LPN1.31 hrs
National avg: 0.86 hrs
RN0.71 hrs
National avg: 0.69 hrs
Total Nursing4.78 hrs
National avg: 3.86 hrs
Weekend Total4.13 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
35.0%
RN Turnover
26.3%
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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Truman W Smith Children's Care Center and nearby alternatives.

All Texas facilities
Truman W Smith Children's Care Center
Gladewater, TXCurrent facility
CMS
5/5
Health
5/5
Staffing
2/5
Recorded fines: None
Legend Oaks Healthcare and Rehabilitation Center -
Gladewater, TX1.0 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $124,559
Pine Tree Lodge Nursing Center
Longview, TX9.1 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $244,330
Buckner Westminster Place
Longview, TX12.5 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: $29,716
Heritage at Longview Healthcare Center
Longview, TX12.9 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $81,752
The Oaks at Longview
Longview, TX12.9 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Focused Care of Gilmer
Gilmer, TX12.9 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $23,520
FacilityDistanceCMSHealthStaffingRecorded fines
Truman W Smith Children's Care Center
Gladewater, TX · Current facility
—5/55/52/5None recorded
Legend Oaks Healthcare and Rehabilitation Center -
Gladewater, TX
1.0 mi2/52/52/5$124,559
Pine Tree Lodge Nursing Center
Longview, TX
9.1 mi1/51/51/5$244,330
Buckner Westminster Place
Longview, TX
12.5 mi4/53/55/5$29,716
Heritage at Longview Healthcare Center
Longview, TX
12.9 mi2/53/51/5$81,752
The Oaks at Longview
Longview, TX
12.9 mi3/54/51/5None recorded
Focused Care of Gilmer
Gilmer, TX
12.9 mi1/51/51/5$23,520

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Truman W Smith Children's Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Truman W Smith Children's Care Center participates in Medicaid, which may cover some or all costs depending on eligibility.
Has Truman W Smith Children's Care Center had any health inspection violations?▾
Truman W Smith Children's Care Center had 4 deficiency citations in its most recent health inspection (Nov 18, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Truman W Smith Children's Care Center?▾
Truman W Smith Children's Care Center provides 4.78 total nursing staff hours per resident per day, including 0.71 RN hours, 1.31 LPN hours, and 2.76 nurse aide hours. The total staff turnover rate is 35.0%.
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 99.3 residents per day, resulting in approximately 83% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Truman W Smith Children's Care Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in Gladewater. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Truman W Smith Children's Care Center?▾
On Google Maps, Truman W Smith Children's Care Center has a rating of 4.5 out of 5 based on 67 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.