Nursing Home in Gladewater, TX · CMS Data August 2026

Truman W Smith Children's Care Center

How Does Truman W Smith Children's Care Center Rate?

Truman W Smith Children's Care Center is a 120-bed for-profit nursing home in Gladewater, TX. CMS rates it 5 out of 5 stars overall (August 2026), with 5 for health inspections, 2 for staffing and 5 for quality measures. Residents got an average of 4.8 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on November 18, 2025, cited 4 health deficiencies.

CMS overall rating: 5 of 5
Nursing per resident per day: 4.8 hours
Deficiencies at last inspection: 4
Certified beds: 120

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

2200 W Upshur Ave
Gladewater, TX 75647

5 of 5 CMS overall · Much above average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

Loading map…

Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Truman W Smith Children's Care Center
Rating	Stars	CMS label
Overall rating	5 of 5	Much above average
Health inspections	5 of 5	Much above average
Staffing	2 of 5	Below average
Quality measures	5 of 5	Much above average
Quality for long-stay residents	5 of 5	Much above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Truman W Smith Children's Care Center and the national median
Measure	This home	National median
Total nursing hours per resident per day	4.8 hours	3.7 hours
Registered nurse hours per resident per day	0.7 hours	0.6 hours
Nurse aide hours per resident per day	2.8 hours	2.2 hours
Total nursing hours per resident on weekends	4.1 hours	3.3 hours
Nursing staff turnover (past year)	35%	45%
Registered nurse turnover (past year)	26%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Truman W Smith Children's Care Center
Last standard health inspection	November 18, 2025
Health deficiencies cited at that inspection	4
Deficiencies from complaint inspections (same rating cycle)	1
Fines in the past 3 years	None
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Truman W Smith Children's Care Center who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Truman W Smith Children's Care Center
Residents who	This home	National median	Compared
Received an antipsychotic medication	12%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	61%	18%	Higher than the national median
Had a fall with major injury	0.0%	2.8%	Lower than the national median
Have pressure ulcers	0.1%	4.2%	Lower than the national median
Lost too much weight	0.0%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	0.0%	3.6%	Lower than the national median
Needed more help with daily activities over time	12%	13%	Lower than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Truman W Smith Children's Care Center
Certified beds	120
Average residents per day	99
Ownership	For profit - Corporation
Certified for	Medicaid
First certified	December 1999
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.