Truman W Smith Children'S Care Center
2200 W Upshur Ave, Gladewater, TX, 75647
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 120 · avg 101 residents/day
- Total nursing staff turnover
- 34.7% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 23.5% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 45F470
- Certified beds
- 120 beds · avg 101 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Legal Business Name Not Available
CMS Care Compare, processing date June 1, 2026
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- E0693·Mar 17, 2026Complaint
Quality of Life and Care Deficiencies
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.
- D0921·Nov 18, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0693·Nov 18, 2025
Quality of Life and Care Deficiencies
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.
- D0550·Nov 18, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0812·Jan 14, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0880·Jan 14, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0584·Jan 14, 2025
Resident Rights Deficiencies
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.
- E0880·Feb 10, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Nov 18, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Truman W Smith Children's Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.