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Skilled nursing facility · CMS certified · CCN 45F470

Truman W Smith Children's Care Center

2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County · one of 1,177 skilled nursing facilities in Texas
120
certified beds
5 / 5
overall CMS rating
For-profit
ownership type
82.8%
occupancy, Oct 2026: 99 residents a day · Texas 67.5%
2.46
case mix, 1.75x the national average
4.78
nurse hours per resident day · Texas 3.39
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Truman W Smith Children's Care Center compares

Better than most of Gregg County on 7 of 8 lines.

Occupancy, Oct 202682.8%Better than mostHigher than 10 of the 11 other buildings in Gregg County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 64.1%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.78Better than mostHigher than 10 of the 11 other buildings in Gregg County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.29. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than all 11 other buildings in Gregg County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating5 / 5Better than mostHigher than all 11 other buildings in Gregg County

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Mid-packLevel with 7 of the 11 other buildings in Gregg County; the other 4 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than all 11 other buildings in Gregg County

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.60Better than mostHigher than 10 of the 11 other buildings in Gregg County

Registered nurse hours for each resident, each day. The middle of the set: 0.31. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited9Better than mostFewer than 7 of the 11 other buildings in Gregg County, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

Better than most of Texas on 7 of 8 lines.

Occupancy, Oct 202682.8%Better than mostHigher than 909 of the 1,163 other buildings in Texas, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 68.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.78Better than mostHigher than 1,107 of the 1,147 other buildings in Texas, level with 1

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.27. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 1,001 of the 1,165 other buildings in Texas, level with 164

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating5 / 5Better than mostHigher than 1,046 of the 1,165 other buildings in Texas, level with 119

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 507 of the 1,163 other buildings in Texas; the other 656 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than 801 of the 1,162 other buildings in Texas, level with 361

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.60Better than mostHigher than 974 of the 1,151 other buildings in Texas, level with 10

Registered nurse hours for each resident, each day. The middle of the set: 0.39. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited9Better than mostFewer than 669 of the 1,176 other buildings in Texas, the same as 86

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 10. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Texas
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Truman W Smith Children's Care Center
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Street View
2200 W Upshur Ave, Gladewater, TX
Map around Truman W Smith Children's Care Center
Map · Gregg County
Gregg County, Texas
8 skilled nursing facilities; average overall rating 2.6, Texas 2.8.
See how Gregg County compares ›
Cost report, against Texas
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Texas. The rank counts from the top: 1st is the highest figure among Texas's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Texas that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
65.9%
1,143
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
6.6%
1,146
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
66.8%
1,132
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$268
1,144
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$279
1,143
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$12
1,122
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.2%
1,111
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 2.8
Health inspection5 / 5 · state 2.8
Staffing1 / 5 · state 1.9
RN hours per resident per day0.6 · state 0.44
Overall rating, last 8 quarters
054Q3’245Q4’244Q1’254Q2’255Q3’255Q4’255Q1’265Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingTexasnationrecent quarters
Needed more help with daily activities16.2%worse than state15.8%13.5%2025Q2: 4.5%2025Q3: 18.2%2025Q4: 10.0%
4.5% → 10.0%
Q2’25 to Q4’25
Catheter inserted and left in0.7%worse than state0.3%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 1.7%2026Q2: 1.3%
0.0% → 1.3%
Q2’25 to Q2’26
Urinary tract infection0.0%better than state0.8%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury0.0%better than state3.2%3.2%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.4%1.5%too few quarters to chart
Ability to walk independently worsened3.4%better than state12.9%12.7%too few quarters to chart
Pressure ulcers0.3%better than state3.7%4.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.5%2026Q1: 0.0%2026Q2: 0.6%
0.0% → 0.6%
Q2’25 to Q2’26
Given an antipsychotic13.3%worse than state9.8%15.4%2025Q2: 10.7%2025Q3: 8.6%2025Q4: 13.2%2026Q1: 14.1%2026Q2: 16.1%
10.7% → 16.1%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Nov 2025
last standard survey
9
deficiencies cited · Texas avg 11.4
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Gregg County
buildingbedsoverallTruman W Smith Children's Care Center1205 / 5Buckner Westminster Place204 / 5The Oaks at Longview1083 / 5Heritage at Longview Healthcare Center1402 / 5Highland Pines Nursing Home1712 / 5Legend Oaks Healthcare and Rehabilitation Center G1002 / 5Willow Rehab & Nursing1182 / 5Avir at Longview1151 / 5
All Texas buildings in Gregg County ›
Texas at a glance
1,177
buildings
133,481
licensed beds
67%
occupancy
70%
for-profit
Texas market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyLegend Oaks Healthcare and Rehabilitation Center GGladewater · 1.0 mi1002 / 570-85%Pine Tree Lodge Nursing CenterLongview · 9.1 mi921 / 5under 70%Buckner Westminster PlaceLongview · 12.5 mi204 / 5over 85%Focused Care of GilmerGilmer · 12.9 mi1121 / 5under 70%Heritage at Longview Healthcare CenterLongview · 12.9 mi1402 / 5under 70%The Oaks at LongviewLongview · 12.9 mi1083 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Truman W Smith Children's Care Center?
Truman W Smith Children's Care Center in Gladewater, TX carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
How many beds does Truman W Smith Children's Care Center have?
Truman W Smith Children's Care Center is certified for 120 beds in the Oct 2026 CMS file.
How full is Truman W Smith Children's Care Center?
CMS's reported average residents put Truman W Smith Children's Care Center's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.