Truman W Smith Children'S Care Center
Gladewater, TX · Medicaid-certified nursing home (CCN 45F470) · 120 certified beds
Health inspection: 5 · Quality measures: 5 · Staffing: 2
Federal fines: none on current record
Phone: (903) 845-2181 · Verify on Medicare Care Compare ↗
Truman W Smith Children'S Care Center has a CMS overall rating of 5 out of 5 stars, above the Texas state average of 2.65 stars. Its health inspection rating is also 5 stars, while its staffing rating is 2 stars.
Truman W Smith Children'S Care Center reports total nurse staffing of 4.78 hours per resident per day, including 0.71 RN hours per resident per day, with a nursing staff turnover rate of 35.0%. CMS rates its staffing at 2 out of 5 stars.
Truman W Smith Children'S Care Center has no federal fines on record, with 0 fines totaling $0.00 and no payment denials reported by CMS. The supplied CMS data do not indicate an abuse icon or Special Focus Facility status for this facility.
About this facility
Truman W Smith Children'S Care Center is a Medicaid-certified nursing facility in Gladewater, Texas (Gregg County), operating under for-profit corporate ownership. The facility is certified for 120 beds and reports an average daily census of 99.3 residents. It has been Medicare/Medicaid certified since December 16, 1999.
According to CMS Care Compare, the facility holds an overall star rating of 5 out of 5, above the Texas state average of 2.65 stars. Its health inspection rating is 5 stars and its quality measure rating is also 5 stars. Staffing, however, is rated 2 stars. Nurse staffing data show total nurse hours of 4.78 per resident per day, with registered nurse hours of 0.71 per resident per day. Nursing staff turnover is reported at 35.0%.
On the penalty record, CMS data show no federal fines on record for this facility (0 fines totaling $0.00) and no payment denials. No abuse icon is indicated in the supplied data, and no Special Focus Facility designation is listed for this provider. Ownership has not changed within the past 12 months, so current ratings should reflect the present operator.
No chain affiliation data was provided for this facility. Families considering this facility for a child in need of long-term or specialized pediatric nursing care should review the full inspection record, staffing details, and quality measures directly on Medicare Care Compare, as this profile is based on CMS data current as of the most recent Care Compare refresh.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The facility has a CMS overall rating of 5 out of 5 stars, above the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
The provider is listed as a Medicaid provider type in CMS data.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.78 hours per resident per day, including 0.71 RN hours per resident per day, with 35.0% nursing turnover; the staffing star rating is 2 out of 5.
Does this facility have federal fines or penalties on record?
No, CMS records show 0 fines totaling $0.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility designation for this facility.
How large is this facility and how many residents live there?
The facility is certified for 120 beds with an average daily census of 99.3 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit corporation; no chain affiliation data was provided.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since December 16, 1999.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus separate ratings for health inspections, staffing, and quality measures; this facility scores 5, 5, 2, and 5 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the CMS data provided; please contact the facility at 9038452181 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This detail is not covered in the CMS data provided; please contact the facility at 9038452181 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current record at https://www.medicare.gov/care-compare/details/nursing-home/45F470?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.