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Truman W Smith Childrens Care Center

Nursing Home Facility

2200 Hwy 80 W, Gladewater, TX 75647

Nursing Home Care Senior Living
Truman W Smith Childrens Care Center

Truman W Smith Childrens Care Center is a senior care community located in Gladewater, TX. It provides nursing home care and senior living for older adults in the Gladewater area. To learn more or schedule a tour, call (903) 845-2181.

Truman W Smith Childrens Care Center is licensed for 120 beds, about typical for the area, where senior care communities in Gregg County average about 157 beds.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gregg County average about 2.0 stars. The individual scores differ noticeably: 2 stars for staffing against 5 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in November 2025 and recorded 4 deficiencies.

Residents receive about 4.8 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Communities in Gregg County average about 3.6 hours. Nursing staff turnover over the past year was about 35%.

The community is located in Gregg County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 5/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 13 problems at Truman W Smith Childrens Care Center. None of them caused harm to a resident. 3 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    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.

    Inspected March 2026, after a complaint. Corrected by March 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected November 2025. Corrected by November 19, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected November 2025. Corrected by November 19, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected November 2025. Corrected by November 19, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Truman W Smith Childrens Care Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 120
  • Nursing hours per resident/day 4.8
  • Annual staff turnover 35%
  • Last health inspection November 2025

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