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
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.