Truman W Smith Children's Care Center
Nursing Home · Gladewater, TX
CMS certification number45F470
Contact & location
2200 W Upshur AveGladewater, TX 75647
Gregg County
- Phone
- (903) 845-2181
- ZIP code
- 75647 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 99.3 (83% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Legal Business Name Not Available
- Medicare certified since
- December 16, 1999
- Participates in
- Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.78 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.71 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.31 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.76 (state 2.00 · U.S. 2.32)
- Weekend total
- 4.13 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 35.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 26.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- November 18, 2025
- Health deficiencies (last cycle)
- 4.0 (state 9.3 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 13 health · 4 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-17 | 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-21 |
| 2025-11-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-19 |
| 2025-11-18 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-19 |
| 2025-11-18 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-19 |
| 2025-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-15 |
| 2025-01-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-15 |
| 2025-01-14 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-15 |
| 2024-02-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2023-12-06 | 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. F0688 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-06 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-12-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ownership Data Not Available |
Frequently asked questions
What is the rating of Truman W Smith Children's Care Center?
Truman W Smith Children's Care Center has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Truman W Smith Children's Care Center have?
It has 120 certified beds and cares for about 99 residents per day.
Has Truman W Smith Children's Care Center been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Truman W Smith Children's Care Center?
(903) 845-2181. The facility is located at 2200 W Upshur Ave, Gladewater, TX 75647.
Other nursing homes in Gladewater
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Legend Oaks Healthcare and Rehabilitation Center G
Nursing Home · Gladewater, TX · 100 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.