Truman W Smith Children's Care Center
Truman W Smith Children's Care Center – Medicare Certified Since 1999
Truman W Smith Children's Care Center is a Medicare and Medicaid certified skilled nursing facility located in Gladewater, Texas. This facility has been serving the community for 27 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 120 certified beds with a current occupancy rate of 85% (averaging 102 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.67 hours of total nursing care per resident per day (2.75 hours from CNAs, 1.08 hours from LPNs, 0.84 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day. This represents above-average staffing compared to national benchmarks.
Medicare Quality Ratings: According to CMS, Truman W Smith Children's Care Center has an overall quality rating of 5 out of 5 stars, which is much above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 4 stars, staffing: 2 stars, quality measures: 5 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Truman W Smith Children's C... compares to 18 facilities in Longview, TX
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Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 18 facilities in Longview, TX.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 18 other nursing homes in Longview, TX
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in GLADEWATER
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Find Jobs Near MeReviews
I'm a musician and have performed here a few times. It is always so heart warming to see the love and care shown to these children. I wish adult nursing homes were so excellent and compassionate. These people are truly angels on earth!
I can not say enough great things about Truman Smith and the care that they provide. They recently assisted with the placement of a medically complex child. Cayla the clinical liaison went above and beyond to ensure the placement process went smoothly and timely without any hiccups. She came to our out of state facility multiple times to evaluate the patient in person, deliver his equipment, and speak with our staff regarding his needs. I appreciate the work that she does and it shows with the great care that Truman provides!! Looking forward to working with you all in the future.
My son came to Truman's back in January since then I have been nothing less than pleased. All the staff care for these kids like they are theirs with the same love and compassion they would their own. The employee also allows parents to interact with your child when the parent(s) are there. Over all this place is helping kids strive and reach full potential to have an amazing life no matter what gets them there. Even the house keeping staff is wonderful.
I have visited this facility with my mom multiple times in the past. The kids always seem happy and the staff is always kind, they made me feel welcome. My mom works here and always talks about how much she loves her job, what she does, her coworkers and the kids. It makes me want to work with kids in the future.
I found this facility when researching a long term care facility for my special needs niece , we haven't been admitted but the referral process has been great so far . I was amazed at how quick Cayla , the intake coordinator responded to my request for information. Cayla has been so helpful . We were able to tour the facility and it seems all the staff love each and every kid as their own .
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