Truman W Smith Children's Care Center
2200 W Upshur Ave, Gladewater, TX 75647
Phone: 9038452181
CMS ratings and facility information
Truman W Smith Children's Care Center is a Medicare-certified nursing facility in Gladewater, Gregg County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 5 of 5 stars |
|---|---|
| Health inspection rating | 5 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 5 of 5 |
| Certified beds | 120 |
| Ownership | For profit - Corporation |
| CMS certification number | 45F470 |
Staffing
| Total nurse hours per resident day | 4.78 |
|---|---|
| RN hours per resident day | 0.71 |
| Nurse aide hours per resident day | 2.76 |
| Total nursing staff turnover percent | 35 |
| RN turnover percent | 26.3 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 0 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 0.13 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 11.82 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-11-18 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-11-18 | 0693 | 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. | D |
| 2025-11-18 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-01-14 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-01-14 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-01-14 | 0584 | 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. | D |
| 2023-12-06 | 0688 | 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. | E |
| 2023-12-06 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-12-06 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-12-06 | 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2023-12-06 | 0880 | Provide and implement an infection prevention and control program. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| Ownership Data Not Available |
Compare nursing homes in Gregg County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.