Truman W Smith Children's Care Center: Staffing, Turnover, and Inspection Record
Truman W Smith Children's Care Center is a 120-bed for-profit nursing home in Gladewater, Texas. In the CMS August 2026 release it reported 2.76 nurse aide hours per resident per day, 38% above the Texas average of 2.00, and 35.0% nursing staff turnover (Texas average 55.3%).
Truman W Smith Children's Care Center
2200 W Upshur AveGladewater, TX 75647
Gregg County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Truman W Smith Children's Care Center, nurse aides logged 2.76 hours per resident per day, 38% above the Texas average. With about 99 residents a day, that works out to roughly 275 aide hours a day, or about 34 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.76 | 2.00 | 2.32 |
| Licensed practical nurses | 1.31 | 0.95 | 0.86 |
| Registered nurses | 0.71 | 0.43 | 0.69 |
| All nursing staff | 4.78 | 3.39 | 3.86 |
| All nursing staff, weekends | 4.13 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.0% of nursing staff at Truman W Smith Children's Care Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 26.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Truman W Smith Children's Care Center holds 5 of 5 overall; the Texas average is 2.6.
About Truman W Smith Children's Care Center
- Ownership: For profit - Corporation
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Dec 16, 1999
- Councils: resident council
- Area: urban
Nursing homes near Truman W Smith Children's Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Legend Oaks Healthcare and Rehabilitation Center G Gladewater | 1.0 | 100 | 1.41 | 3.11 | 42.6% | 2 | $124,559 |
| Pine Tree Lodge Nursing Center Longview | 9.1 | 92 | 1.74 | 3.29 | 93.8% | 1 | $232,525 |
| Buckner Westminster Place Longview | 12.5 | 20 | 3.53 | 5.28 | 30.8% | 4 | $29,716 |
| The Oaks at Longview Longview | 12.9 | 108 | 1.32 | 2.65 | 48.5% | 3 | None |
| Heritage at Longview Healthcare Center Longview | 12.9 | 140 | 1.39 | 2.81 | — | 1 | $81,752 |
| Focused Care of Gilmer Gilmer | 12.9 | 112 | 1.86 | 3.03 | 51.0% | 1 | $15,288 |
| Avir at Longview Longview · abuse citation | 13.1 | 115 | 2.05 | 3.56 | 73.3% | 1 | $262,731 |
| Gilmer Nursing & Rehabilitation Gilmer | 13.2 | 93 | 1.46 | 2.99 | — | 1 | $168,779 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.