Nursing home report
GLADEWATER, TX · Medicare-certified · 120 beds
TRUMAN W SMITH CHILDREN'S CARE CENTER in Gladewater, TX has a 5-star overall rating, with 5 stars for health inspections and quality measures, but only 2 stars for staffing. Reported nurse staffing is 4.73 hours per resident per day, above the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Health inspections
Staffing
4.7317 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7317.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited March 2026 — limited pattern, potential for harm.
F-Tag 693 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited December 2023 — limited pattern, potential for harm.
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2025 — isolated incident, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
Health inspection found 3 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
