Truman W Smith Children's Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · (903) 845-2181
For profit - Corporation · 120 certified beds
Truman W Smith Children's Care Center has a 5-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 3 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 5 out of 5 stars · Much above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 5 out of 5 stars · Much above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 18, 2025 found 3 citations. What an inspection citation means
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 18, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 18, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.November 18, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 3 citations.
- 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.March 17, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 10, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.78 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.71 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.31 | 0.95 | 0.86 |
| Nurse aides | 2.76 | 2.01 | 2.32 |
| Total nursing staff turnover | 35% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 120 |
| Average residents per day | 99.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Legend Oaks Healthcare and Rehabilitation Center G Gladewater · ★★★★★ 2 out of 5 stars
- Willow Rehab & Nursing Kilgore · ★★★★★ 3 out of 5 stars
- Arbor Grace Guest Care Center Kilgore · ★★★★★ 1 out of 5 stars
- Buckner Westminster Place Longview · ★★★★★ 4 out of 5 stars
- The Oaks at Longview Longview · ★★★★★ 3 out of 5 stars
Compare every nursing home in Gladewater, TX · Nursing homes in Texas
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Data from Medicare (CMS), updated October 2026, from Truman W Smith Children's Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.