Nursing HomeInspections

Truman W Smith Children's Care Center

Nursing home in Gladewater, TX

Medicaid-certified5★ overall (CMS)

Call (903) 845-2181Send a messageMap ↗

Public-record details

Address
2200 W Upshur Ave, Gladewater, TX 75647
Phone
(903) 845-2181
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
45F470
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
99
Ownership
For-profit, corporation
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Dec 16, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Data Not Available

CMS certification number 45F470. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 18, 2025. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 6, 2023 to Mar 17, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 17, 2026Ensure 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.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 18, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 18, 2025Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 18, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated
Jan 14, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 14, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 14, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Feb 10, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 6, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 6, 2023Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 6, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 6, 2023Provide 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.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.78 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.76 hours
Total nurse staffing on weekends
4.13 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
26%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Gladewater

Legend Oaks Healthcare and Rehabilitation Center G1201 Fm 2685 · Gladewater, TX 75647 · (903) 845-2175 · Government-owned39 health citations in 3 inspection cycles · last standard inspection Apr 15, 2026 · $124,559 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

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