Texas › Gregg County › Gladewater
Truman W Smith Children'S Care Center
2200 W Upshur Ave, Gladewater, TX 75647
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Truman W Smith Children'S Care Center, in Gladewater, Texas, is certified for 120 beds under for-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 2 and quality measures 5.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (4, 3, 6 by cycle, most recent first), none at the actual-harm level. That is 10.8 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.8 hours per resident per day (0.7 RN), above the Texas median of 3.3; nursing staff turnover is 35.0%.
Compared with county, state and nation
| Measure | This facility | Gregg Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 44 | 25 | 28.7 |
| Citations per 100 beds | 10.8 | 37.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.8 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 35.0% | 48.5% | 52.1% | 45.8% |
| Fines listed | $0 | $150,705 | $16,801 | — |
County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Nov 2025, 14 Jan 2025.
Severity mix: D ×7 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Mar 2026 | F0693 | 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. | E | Complaint investigation | 21 Mar 2026 |
| 18 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | F0693 | 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 | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 19 Nov 2025 |
| 14 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 15 Jan 2025 |
| 14 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Jan 2025 |
| 14 Jan 2025 | F0584 | 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 | Standard survey | 15 Jan 2025 |
| 10 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Mar 2024 |
| 6 Dec 2023 | F0688 | 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 | Standard survey | 8 Dec 2023 |
| 6 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Dec 2023 |
| 6 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Dec 2023 |
| 6 Dec 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 8 Dec 2023 |
| 6 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 35.0%, RNs 26.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Gregg County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Buckner Westminster Place | Longview | 20 | 4 | 3 | 5 | 15 | 75.0 | $30K | 4 Jun 2025 |
| The Oaks At Longview | Longview | 108 | 3 | 4 | 1 | 33 | 30.6 | — | 11 Dec 2025 |
| Willow Rehab & Nursing | Kilgore | 118 | 3 | 2 | 2 | 33 | 28.0 | $219K | 1 Apr 2026 |
| Legend Oaks Healthcare and Rehabilitation Center G | Gladewater | 100 | 2 | 2 | 2 | 39 | 39.0 | $125K | 23 May 2026 |
| Avir At Longviewabuse icon | Longview | 115 | 1 | 1 | 2 | 55 | 47.8 | $263K | 7 May 2026 |
| Heritage At Longview Healthcare Center | Longview | 140 | 1 | 2 | 1 | 32 | 22.9 | $82K | 28 Apr 2026 |
| Highland Pines Nursing Home | Longview | 171 | 1 | 2 | 1 | 48 | 28.1 | $18K | 14 Jan 2026 |
| Longview Hill Nursing and Rehabilitation Center | Longview | 198 | 1 | 1 | 1 | 60 | 30.3 | $225K | 18 Mar 2026 |
All 12 facilities in Gregg County
Questions and answers
How many deficiencies has Truman W Smith Children'S Care Center been cited for?
13 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Truman W Smith Children'S Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Truman W Smith Children'S Care Center compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Truman W Smith Children'S Care Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Truman W Smith Children'S Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Mar 2026; the most recent standard health survey was 18 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.