Truman W Smith Children'S Care Center
Nursing Home · 2200 W Upshur Ave, Gladewater, TX 75647 · 9038452181
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 2.6 / 5 | high |
| Clinical outcomes | 4.4 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 120 |
| Ownership | For Profit - Corporation |
| Operator | Legal Business Name Not Available |
| Certified since | 1999-12-16 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 13 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-17 | 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. (Quality of Life and Care Deficiencies, tag 0693) | E | corrected 2026-03-21 |
| 2025-11-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | D | corrected 2025-11-19 |
| 2025-11-18 | 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. (Quality of Life and Care Deficiencies, tag 0693) | D | corrected 2025-11-19 |
| 2025-11-18 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Environmental Deficiencies, tag 0921) | D | corrected 2025-11-19 |
| 2025-01-14 | 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. (Resident Rights Deficiencies, tag 0584) | D | corrected 2025-01-15 |
| 2025-01-14 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2025-01-15 |
| 2025-01-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2025-01-15 |
| 2024-02-10 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2024-03-01 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.73 hrs/resident/day (expected 6.76 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.72 hrs/resident/day (expected 1.19 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.78 · LPN 1.23 hrs/resident/day
- Weekend total staffing: 4.24 hrs/resident/day (expected 5.99 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 34.7% · RN turnover 23.5% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 2.43 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 11% | 11.1 → 4.5 → 18.2 → 10 | better than 60% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 10.2% | 8.2 → 10.7 → 8.6 → 13.2 | better than 65% of US homes · TX median 8.1% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 7.8% | not reported | better than 76% of US homes · TX median 13% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 0.1% | 0 → 0 → 0 → 0.5 | better than 97% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 3% |
What this costs
- This facility's reported charges: no recent federal cost report on file — typically a new certification, an exempt unit, or a filing CMS hasn't processed yet
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Gregg County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Christus Good Shepherd Medical Center | Longview | Yes | 4★ | Acute care |
| Longview Regional Medical Center | Longview | Yes | 3★ | Acute care |
| Oceans Behavioral Hospital of Longview | Longview | No | — | Psychiatric |
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Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Gregg County nursing homes coverage. Spot an error? Tell us.