# Truman W Smith Children's Care Center Truman W Smith Children's Care Center is a Medicare/Medicaid-certified nursing home (Nursing facility · Medicaid only) in Gladewater, TX, CMS Certification Number 45F470, with 120 certified beds and about 101 residents per day. CMS rates it 5/5 overall (health inspections 5/5, staffing 1/5, quality measures 5/5). ## Key facts - Status: Active CMS certification - Address: 2200 W Upshur Ave, Gladewater, TX 75647 (Gregg County) - Ownership type: For profit - Corporation - Operator (legal business name): not published - CMS chain: not part of a CMS-reported chain - Phone: 9038452181 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/45F470 ## Inspection record 8 inspections in the CMS window (latest 2026-03-17); 17 citations (13 health, 4 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-03-17 — [F-0693](https://carefield.site/deficiency/cms-f0693) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-11-18 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-11-18 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-11-18 — [F-0693](https://carefield.site/deficiency/cms-f0693) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-11-18 — [F-0921](https://carefield.site/deficiency/cms-f0921) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-14 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-01-14 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-01-14 — [F-0584](https://carefield.site/deficiency/cms-f0584) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-01-14 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-01-14 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2024-02-10 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2023-12-06 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2023-12-06 — [F-0688](https://carefield.site/deficiency/cms-f0688) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2023-12-06 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-06 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2023-12-06 — [F-0813](https://carefield.site/deficiency/cms-f0813) Have a policy regarding use and storage of foods brought to residents by family and other visitors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2023-12-06 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 4.7007 (state avg 3.41615, US 3.90085) - RN: 0.60217 - Nursing staff turnover: 33.1% ## Nearby nursing homes - [Legend Oaks Healthcare and Rehabilitation Center G](https://carefield.site/facility/cms-676048) — 1.6 km, CMS overall 2/5 - [Pine Tree Lodge Nursing Center](https://carefield.site/facility/cms-675177) — 14.7 km, CMS overall 1/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45F470&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-45f470 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.