Truman W Smith Children's Care Center
2200 W Upshur Ave · Gladewater, TX · 75647 · 9038452181
120 certified beds For profit - Corporation
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 4.24 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (13 in the current record)
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Potential for harm · E March 17, 2026 · found via complaint
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.
Corrected March 21, 2026 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 19, 2025 · Resident Rights
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Potential for harm · D November 18, 2025
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.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 19, 2025 · Environmental
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Potential for harm · D January 14, 2025
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.
Corrected January 15, 2025 · Resident Rights
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Potential for harm · E January 14, 2025
Provide and implement an infection prevention and control program.
Corrected January 15, 2025 · Infection Control
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Potential for harm · E January 14, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2025 · Nutrition and Dietary
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Potential for harm · E February 10, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 1, 2024 · Infection Control
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Potential for harm · E December 6, 2023
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · D December 6, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · E December 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2023 · Nutrition and Dietary
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Potential for harm · D December 6, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 8, 2023 · Nutrition and Dietary
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Potential for harm · D December 6, 2023
Provide and implement an infection prevention and control program.
Corrected December 8, 2023 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 45F470 · certified since December 16, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.