Truman W Smith Children's Care Center

Name: Truman W Smith Children's Care Center
Address: 2200 W UPSHUR AVE, Gladewater, TX, 75647, US
Telephone: 9038452181

2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County · 120 certified beds · avg 99 residents/day · certified since Dec 16, 1999

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.67

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 17, 2026	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Nov 18, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 18, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Nov 18, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jan 14, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Jan 14, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 14, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 10, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 6, 2023	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 6, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Year	Citations	Worst severity that year
2023	5	E
2024	1	E
2025	6	E
2026	1	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.67	3.46	3.95	bottom 7% in Texas; bottom 6% in the U.S.
Registered Nurse hours	0.39	0.44	0.69	top 48% in Texas; bottom 21% in the U.S.
Weekend total nurse staffing	2.30	3.04	3.50	bottom 7% in Texas; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.64	0.34	0.48	top 6% in Texas; top 20% in the U.S.
Total nursing staff turnover (%)	35.0	55.3	45.8	top 12% in Texas; top 24% in the U.S.
RN turnover (%)	26.3	54.6	42.9	top 14% in Texas; top 23% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.78, RN 0.71, weekend 4.13. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Legend Oaks Healthcare and Rehabilitation Center G	1.0 mi	Gladewater, TX	★★☆☆☆	2/5
Pine Tree Lodge Nursing Center	9.1 mi	Longview, TX	★☆☆☆☆	1/5
Buckner Westminster Place	12.5 mi	Longview, TX	★★★★☆	3/5
Heritage at Longview Healthcare Center	12.9 mi	Longview, TX	★☆☆☆☆	2/5
The Oaks at Longview	12.9 mi	Longview, TX	★★★☆☆	4/5
Focused Care of Gilmer	12.9 mi	Gilmer, TX	★☆☆☆☆	1/5
Avir at Longview	13.1 mi	Longview, TX	★☆☆☆☆	1/5	abuse
Gilmer Nursing & Rehabilitation	13.2 mi	Gilmer, TX	★☆☆☆☆	1/5
Willow Rehab & Nursing	13.4 mi	Kilgore, TX	★★★☆☆	2/5
Longview Hill Nursing and Rehabilitation Center	13.5 mi	Longview, TX	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Gladewater →

Facility data as of CMS processing date 2026-08-01. CCN 45F470.

The Care File

Visit checklist — Truman W Smith Children's Care Center

2200 W Upshur Ave, Gladewater, TX 75647 · 9038452181

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 45F470 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)