Truman W Smith Children'S Care Center
2200 W UPSHUR AVE, Gladewater, TX, 75647
State licensing & capacity
- License number
- 148418
- Service type
- Nf Medicaid Only
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid-only
- Current license effective
- November 1, 2023
- Current license expires
- November 1, 2026
- Initial license date
- October 18, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nexion Health At Truman Inc (FOR-PROFIT CORPORATION)
- Administrator
- Rhonda R Rolen
Texas HHSC licensing registry · as of April 16, 2026
About this community
Truman W Smith Children's Care Center is a 120-bed Medicaid-only nursing facility in Gladewater, Texas, licensed since 1991 and operated by Nexion Health At Truman Inc. All 120 beds are Medicaid-designated; the facility does not hold Medicare certification. No CMS Care Compare data is matched to this location, so federal inspection and staffing ratings are unavailable from this record.
Written from state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why no Medicare certification
All 120 beds are Medicaid-only — ask whether the facility plans to seek Medicare certification, and how that affects covered services for your family member.
Most recent state inspection
No federal inspection data is linked to this facility; ask for the date and results of the most recent Texas HHSC survey on file.
Staffing levels and turnover
With no CMS staffing rating available, ask how many nursing staff hours per resident the facility provides on a typical day, and what its annual staff turnover rate has been.
Nexion Health's oversight role
The licensed operator is Nexion Health At Truman Inc — ask what corporate oversight, quality reporting, or support Nexion Health provides to this specific location.
Children's specialty services
The facility name references children's care — ask whether the current resident population is pediatric, adult, or mixed, and what specialized services are in place for that population.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Summary, insights, and tour questions: Written from the state licensing records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.