Overview
Truman W Smith Children's Care Center has a Medicare overall rating of 5 out of 5, above the Texas average of 2.8. It is the highest-rated of the 2 nursing homes in Gladewater. It scores best on health inspections (5 of 5) and lowest on staffing (1 of 5).
Residents receive about 4.7 hours of nursing care per day, more than at 96% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.6 hours come from registered nurses.
Its most recent standard inspection, on November 18, 2025, found 4 health deficiencies, fewer than the Texas average of 9.6. 1 of them came from complaint investigations. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.
Truman W Smith Children's Care Center is a for-profit facility with 120 certified beds, caring for about 101 residents on an average day. It accepts Medicaid and has participated since 1999.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 50%
Top 4%
Top 4%
Family reviews
No reviews yet. If your family has experience with Truman W Smith Children's Care Center, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- November 18, 2025
- Health deficiencies cited
- 4
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.70 hrs
- Registered nurses (RN)0.60 hrs
- Licensed practical nurses (LPN)1.37 hrs
- Nurse aides2.72 hrs
- Physical therapists0.01 hrs
Facility details
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Average residents per day
- 101
- Participates in
- Medicaid
- Medicare/Medicaid since
- December 16, 1999
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Data Not Available