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Nursing homeFAID #12285

Truman W Smith Children's Care Center

2200 W UPSHUR AVE, GLADEWATER, TX, 75647
(903) 845-2181
www.nexion-health.com/truman-smith-childrens-care
120 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of TRUMAN W SMITH CHILDREN'S CARE CENTER
Photo via Google · Truman W. Smith Children's Care Center

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
45F470
Care type
Nursing home
County
Gregg
Facility name
Truman W Smith Children's Care Center
Street address
2200 W UPSHUR AVE
City / state / ZIP
Gladewater, TX 75647
Phone
(903) 845-2181
Website
www.nexion-health.com/truman-smith-childrens-care

About this facility — Truman W Smith Children's Care Center

Truman W Smith Children's Care Center is a Medicare/Medicaid-certified skilled nursing facility in Gladewater, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Gladewater and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Truman W Smith Children's Care Center 17 times across 9 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Regulatory standing

Licensed / certified since
1999-12-16
CMS overall rating
5 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-11-18
Nurse staffing
4.8 hours per resident per day

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-17Health inspectionComplaint-triggered1 citation
F-0693
E · No harm foundFrom a 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 2026-03-21
2025-11-18Health inspection3 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-19
F-0693
D · No harm found
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 2025-11-19
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-11-19
6 earlier / fire-safety inspections (13 citations)
2025-01-14Health inspectionComplaint-triggered3 citations
F-0584
D · No harm found
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 2025-01-15
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-15
2024-02-10Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-01
2023-12-06Health inspection5 citations
F-0688
E · No harm found
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 2023-12-08
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-08
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-12-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
2025-11-18Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-13
2025-01-14Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-01-15
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-15
2023-12-06Fire-safety inspection1 citation
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-01-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 45F470.

Visitor reviews

What people say on Google.
4.678 ratings on Google
★★★★★Kathy Smith · 2026-06-19 · via Google

“My son moved to Truman Smith in 2011. I have always found the staff very friendly and efficient. I can’t say enough about Stephanie who has always been so helpful and keeps me informed of any issues. I would recommend this facility if you have a need to place a family member here. Thanks to the entire staff! ❤️”

★★★★★Erin Kendrix · 2026-07-07 · via Google

“Truman Smith is an amazing Long Care Facility. My son is 19 now and he's been there since he was 16. Stefanie is amazing and answers all my questions to her ability. Adam, Dorrie, Michael, Tiffany, Rachel, and many more nurses on E wing are Fabulous nurses, Christian is an amazing Social Worker. Keep up the Amazing work everyone.”

★★★★★Leslie Pickens · 2025-12-01 · via Google

“Truman Center has been a happy and loving home to my Grandbaby for 3 years. She is well taken care of by all of the staff. You can rest with confidence that your loved one is in excellent hands at the Truman W. Smith Children's Center.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 17 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered