Truman W Smith Children'S Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County
For-profit · 120 certified beds · 83% occupancy · (903) 845-2181
Truman W Smith Children'S Care Center reviews: what the government record shows
The U.S. government (CMS) rates Truman W Smith Children'S Care Center 5 out of 5 stars overall, much above average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 5 of 5 stars
- Nurse staffing
- 4.78 hrs/resident/day (+46% vs TX median)
- Antipsychotic drug use
- 11.8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 0% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 13 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 5 of 5 stars overall from CMS.
- ✓Nurse staffing of 4.78 hrs/resident/day is at or above the Texas median of 3.27.
- ✓No federal fines on record in roughly the last three years.
Questions to ask on your visit
- ·What does a typical day look like for a resident with my parent's needs?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Truman W Smith Children'S Care Center
Is Truman W Smith Children'S Care Center a good nursing home?
Truman W Smith Children'S Care Center in Gladewater, Texas holds a 5 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Truman W Smith Children'S Care Center staffed?
Truman W Smith Children'S Care Center reports 4.78 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Truman W Smith Children'S Care Center been fined or flagged for abuse?
Truman W Smith Children'S Care Center has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
4.78 nurse hours per resident per day. 46% above the Texas median of 3.27.
Nursing staff turnover: 35% · RN turnover: 26.3%
Safety & compliance flags
- Sprinklers not in all required areas
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0693 · Mar 17, 2026ComplaintCorrected Mar 21, 2026
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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0550 · Nov 18, 2025Corrected Nov 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0693 · Nov 18, 2025Corrected Nov 19, 2025
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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0921 · Nov 18, 2025Corrected Nov 19, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0812 · Jan 14, 2025ComplaintCorrected Jan 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 14, 2025Corrected Jan 15, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0584 · Jan 14, 2025Corrected Jan 15, 2025
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.
Resident Rights Deficiencies
- Potential for harmTag F0880 · Feb 10, 2024ComplaintCorrected Mar 1, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0688 · Dec 6, 2023Corrected Dec 8, 2023
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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Dec 6, 2023Corrected Dec 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.