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Nursing HomeMedicaid Top Rated

Truman W Smith Children's Care Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

2200 W Upshur Ave, Gladewater, TX 75647120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 68 Google reviews

5
4
3
2
1

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What this means for your family

This facility is exceptional for its clinical liaison services and the deep emotional bond the staff shares with the children. While recent years show overwhelming praise, families should verify current hygiene protocols and staffing levels during shift changes to ensure the high standards mentioned in older, critical reviews are being strictly maintained.

Google Reviews

Google Reviews

68 reviews analyzed
Truman W. Smith Children's Care Center is highly regarded by families for its compassionate, family-like atmosphere and an exceptional clinical liaison team that simplifies the admission process. While the vast majority of recent reviews praise the loving care and specialized activities for medically fragile children, a small number of older reviews raise serious concerns regarding hygiene and emergency response times.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean4.0Activities10.0MedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Exceptable clinical liaison and intake process
  • Engaging specialized activities and holiday events
  • Welcoming and transparent communication with families

Concerns

  • Hygiene and cleanliness issues (mentioned by 2 reviewers)
  • Slow response to medical emergencies

Rating Trends

Tap a year to see what changed

234'16(2)'18(3)'20(5)'22(5)'24(8)'26(3)

Distribution

5
56
4
4
3
0
2
0
1
7

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your holiday events and specialized activities; could you tell us more about what a typical week of engagement looks like for residents?
  • 2Since we value transparent communication, how does the clinical liaison keep families updated on changes in a resident's condition?
  • 3What specific protocols are in place to ensure that medical emergencies are addressed immediately and effectively by the nursing team?
  • 4How does your housekeeping team manage daily cleaning schedules to ensure all resident areas and common spaces remain pristine?
  • 5With the high clinical standards you maintain, how do you ensure that the nursing staff is able to provide attentive care even during busy shifts?
  • 6We've seen great feedback regarding your intake process; what can we expect during the first few days of a resident transitioning into the center?

Personalized based on this facility's data


Key Review Excerpts

All the staff care for these kids like they are theirs with the same love and compassion they would their own. Over all this place is helping kids strive and reach full potential to have an amazing life no matter what gets them there.

Parent of a resident · 2024★★★★★

Cayla and Jael were able to answer all of the questions for me that I had and were so compassionate and understanding. This is such a special place with extra special and loving staff.

Prospective family · 2024★★★★★

The clinical liaison goes above and beyond for the families, even answering calls and concerns after hours. It gives me comfort and peace of mind that the medically fragile children who need this level of care, are in the loving and compassionate hands of the nurses and staff at Truman!

Long-term resident's family · 2023★★★★★
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
4.73hrs
OK
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
24%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 14 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility60.4%
Worse than Avg
Here
60.4%
US
19.5%
TX
18.4%
Gregg
21.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
19.4%
TX
14.2%
Gregg
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Gregg
1.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
TX
14.9%
Gregg
13.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Gregg
97.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
14.4%
TX
16.1%
Gregg
17.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (9.1)
3 complaint-triggered

This facility has recurring issues with fire safety barriers and infection control programs appearing across multiple surveys, with families filing complaints about infection control and food safety practices. While all deficiencies show correction dates, the repeated problems with fire safety construction and infection prevention suggest ongoing challenges with maintaining consistent safety standards that families should carefully consider.

Mar 17, 2026Complaint
1
0693ModerateCorrected

Quality of Life and Care Deficiencies

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.

Nov 18, 2025Routine
4
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0693MinorCorrected

Quality of Life and Care Deficiencies

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.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jan 14, 2025Routine
4
0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0584MinorCorrected

Resident Rights Deficiencies

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.

Jan 14, 2025Complaint
1
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 10, 2024Complaint
1
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 6, 2023Routine
6
0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0688ModerateCorrected

Quality of Life and Care Deficiencies

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nexion Health at Truman INC

Organization Type

for profit

Administrator

RHONDA R ROLEN

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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