Truman W Smith Children'S Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · 120 beds · For profit - Corporation
Nothing in the records stands out as a warning sign. The detail below is still worth reading before you decide.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Nurse coverage is actually about 62% higher at weekends.
Staff turnover: 35%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 13 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Potential for harm | 13 |
| No harm | 0 |
3 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation Center - | 1.0 | 2 | 0.41 | −62% |
| Pine Tree Lodge Nursing Center | 9.1 | 1 | 0.41 | −26% |
| Buckner Westminster Place | 12.5 | 4 | 0.69 | −12% |
| Heritage at Longview Healthcare Center | 12.9 | 2 | 0.36 | +1% |
| The Oaks at Longview | 12.9 | 3 | 0.18 | +10% |
| Focused Care of Gilmer | 12.9 | 1 | 0.26 | +0% |
| Avir at Longview | 13.1 | 1 | 0.54 | −36% |
| Gilmer Nursing and Rehabilitation | 13.2 | 1 | 0.17 | −1% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?