Truman W Smith Children's Care Center
Nursing home in Gladewater, Texas, CMS certification number 45F470
2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County
- CMS overall rating
- 5 of 5 stars
- Certified beds
- 120
- Certified for
- Medicaid
- Last standard inspection
- November 18, 2025
- Deficiencies at that inspection
- 4
- Fines in 3 years
- No fines
Does Truman W Smith Children's Care Center take Medicare and Medicaid?
Truman W Smith Children's Care Center is certified for Medicaid only, so Medicare won't pay for a stay here.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Truman W Smith Children's Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.70
- Registered nurse hours
- 0.60
- Licensed practical nurse hours
- 1.37
- Nurse aide hours
- 2.72
- Weekend total hours
- 4.06
- Nursing staff turnover
- 33.1%
- Registered nurse turnover
- 38.1%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on November 18, 2025 and cited 4 deficiencies, plus 1 from complaint visits.
The visit before, on January 14, 2025, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Truman W Smith Children's Care Center in the past 3 years.
Beds and residents
On an average day 100.6 residents live here, about 84% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 100.6
- Certified since
- December 16, 1999
- Resident or family council
- Resident
Who owns Truman W Smith Children's Care Center
- Legal business name
- Legal Business Name Not Available
- Ownership type
- For profit - Corporation
Other nursing homes near Truman W Smith Children's Care Center
- Legend Oaks Healthcare and Rehabilitation Center G1201 FM 2685, Gladewater 75647
- Pine Tree Lodge Nursing Center2711 Pine Tree Rd, Longview 75604
- Buckner Westminster Place2201 Horseshoe Ln, Longview 75605
- Heritage at Longview Healthcare Center112 Ruthlynn Dr, Longview 75605
- The Oaks at Longview111 Ruthlynn Dr., Longview 75601
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Truman W Smith Children's Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Truman W Smith Children's Care Center
What is the CMS star rating of Truman W Smith Children's Care Center?
5 out of 5 stars overall.
Does Truman W Smith Children's Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Truman W Smith Children's Care Center?
4 cited at the last standard visit.
Who owns Truman W Smith Children's Care Center?
Legal Business Name Not Available, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.