For profit - Corporation · 120 certified beds · CMS number 45F470
Truman W Smith Children's Care Center, Gladewater, TX
CMS records 13 health deficiencies at Truman W Smith Children's Care Center in Gladewater, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 18, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Truman W Smith Children's Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Truman W Smith Children's Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection Nov 18, 2025. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 17, 2026 · Complaint inspection
1 deficiency, highest E
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 21, 2026
Nov 18, 2025 · Standard inspection
3 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 19, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 19, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 19, 2025
Previous cycle: 3 deficiencies (standard inspection Jan 14, 2025)
Standard inspection Jan 14, 2025. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 14, 2025 · Standard + complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 15, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 15, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 15, 2025
Earlier cycle: 6 deficiencies (standard inspection Dec 6, 2023)
Standard inspection Dec 6, 2023. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 10, 2024 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 1, 2024
Dec 6, 2023 · Standard inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 8, 2023
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 8, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 8, 2023
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 8, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Truman W Smith Children's Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | Jan 14, 2025; Feb 10, 2024; Dec 6, 2023 |
| F693 Feeding tube use and care | 2 | Mar 17, 2026; Nov 18, 2025 |
| F812 Food safety and sanitation | 2 | Jan 14, 2025; Dec 6, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 4.78 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.71 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 4.13 h
- Nursing staff turnover
- 35.0% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Truman W Smith Children's Care Center, copied as published; Texas medians are ours.
Facility details
- Address
- 2200 W Upshur Ave, Gladewater, TX 75647
- Phone
- (903) 845-2181
- County
- Gregg
- Accepts
- Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 120
- Average residents per day
- 99.3
- In Medicare/Medicaid since
- Dec 16, 1999
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Data Not Available
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 3 times)
- How are residents with feeding tubes monitored, and is there a plan to try eating by mouth again? (F693, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
Other nursing homes in Gladewater
- Legend Oaks Healthcare and Rehabilitation Center G
Gladewater · 39 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.