2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County
Truman W. Smith is a pediatric long-term care community uniquely suited for babies and kids who are medically fragile. Our facility offers compassionate clinical and rehabilitative care to maintain the highest quality of life. We are one of just a handful of specialized pediatric communities throughout the nation and …
Photos via google places, facility website.
Typically 84% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
Truman W Smith Children's Care Center is a for-profit skilled nursing facility in Gladewater, TX, with 120 certified beds and an average of about 101 residents per day.
Medicare rates it 5 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 5/5 on health inspections, 2/5 on staffing, 5/5 on quality measures.
Staff provide about 4.73 total nurse hours per resident each day (0.72 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 34.7%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 4 health deficiencies at its most recent standard survey.
None noted in the public data.
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $4,800–$7,180/mo (median $5,790) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Longview prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
The most recent findings from federal health inspections (13 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide and implement an infection prevention and control program.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
2200 W Upshur Ave, Gladewater, TX
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Talk to an advisor about this communityTruman W Smith Children's Care Center does not publish exact rates. Comparable skilled nursing in the Gladewater, TX area typically runs $4,800–$7,180 per month (median $5,790, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
Medicare (CMS) rates Truman W Smith Children's Care Center 5 out of 5 stars overall, including 5/5 for health inspections, 2/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.
Staff provide about 4.73 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 34.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
Truman W Smith Children's Care Center has 13 health citations on its recent federal inspection record (last standard survey: 2025-11-18). The full citation-by-citation detail, with severity levels, is published on this page.
Typically 84% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
Truman W Smith Children's Care Center in Gladewater, TX offers skilled nursing and is licensed for 120 beds.
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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