Truman W. Smith Children's Care Center

    2200 W Upshur Ave, Gladewater, TX 75647
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Welcoming professional staff, compassionate care

    I felt welcomed and confident - the loving, professional staff (especially Cayla Lopez-Nicholas and the clinical liaison team) made a smooth, quick admission, handled logistics, and kept communication strong while caring compassionately for medically fragile kids. The clean, homey facility with engaging activities and a faith-filled, family atmosphere gave me real peace of mind; I recommend them.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.54·(69)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.7
    • Meals

      4.0
    • Amenities

      2.0
    • Value

      4.5

    Pros

    • Compassionate, family-oriented nursing staff
    • Dedicated clinical liaison and admissions coordination
    • Specialized medical and respiratory care for high-acuity children
    • Strong interdisciplinary teamwork
    • Individualized therapy and dietary planning
    • Engaging recreational and seasonal activities
    • Personalized meal preparation and healthy menus
    • Responsive equipment delivery and care logistics
    • Home-like, welcoming atmosphere
    • Well-organized referral and intake processes
    • 24/7 clinical availability and after-hours responsiveness
    • Longstanding staff relationships and volunteer support

    Cons

    • Inconsistent staff responsiveness and bedside presence
    • Gaps in emergency-response and incident-handling protocols
    • Inconsistent environmental cleanliness and sanitation practices
    • Variable clinical-care consistency across shifts or units
    • Gaps in continuous monitoring for medically fragile residents
    • Occasional delays in ambulance/transport coordination

    Summary of reviews

    The reviews present a mixed but distinct pattern: many families and referral partners emphasize strong clinical capabilities, empathetic staff, and a family-like environment, while a subset of accounts point to operational weaknesses that may affect vulnerable residents. Strengths cluster around the clinical-liaison/admissions pathway and direct caregiving. Multiple comments single out a named clinical liaison who expedites placements, conducts timely in-person evaluations, coordinates equipment delivery, and smooths out referral logistics. Admissions and referral workflows are frequently described as well-organized and efficient, with staff able to assist out-of-state placements and provide prompt communication during the intake process.

    Clinical care for medically complex and ventilator-dependent children is repeatedly framed as comprehensive: families cite focused respiratory, therapeutic, dietary, and social supports, plus individualized therapy plans. Nursing staff are commonly described as compassionate and committed; many reviews emphasize staff engagement, longstanding relationships, and 24/7 availability. Interdisciplinary teamwork is a clear strength in many accounts, with clinicians, therapists, dietary staff, and housekeeping sometimes noted as coordinating effectively to meet complex needs.

    Dining and activities are another positive area. Several reviewers describe personalized, healthy meals and attention to dietary needs. Recreational programming — including seasonal events, dress-up days, visits from singers, and small-group activities — is frequently mentioned and contributes to a home-like, engaging atmosphere. Social programming appears to be purposeful and family-friendly, supporting both resident enjoyment and family visitation.

    However, a consistent counterpoint in the feedback involves facility operations and safety processes. Some families reported sanitation and odor concerns in particular rooms or areas and described inconsistent cleanliness practices. There are reports indicating delays or gaps in bedside responsiveness and in continuous clinical monitoring for high-acuity residents; a few reviews linked these operational gaps to decisions to transfer residents to closer facilities where families observed improvement. Emergency-response performance is another recurring concern: reviewers described delayed ambulance/transport coordination and uneven handling of acute allergic or other urgent events. Together these items point to gaps in incident-response protocols and handoffs rather than to a uniform absence of clinical skill.

    Management and culture appear to be strong in areas of family engagement, spiritual support, and community involvement, with many accounts praising holiday events, volunteers, and staff who go beyond assigned duties. At the same time, the divergence between highly positive caregiving narratives and reports of environmental or responsiveness lapses suggests variability in performance across shifts or units. Prospective families should weigh the facility's clear strengths in specialized, compassionate care and streamlined admissions against operational concerns about environmental maintenance, monitoring practices for medically fragile residents, and emergency-response consistency. When considering placement, ask management for current quality metrics on environmental audits, staffing ratios and shift coverage, incident-response protocols, and specific monitoring plans for high-acuity residents; also request direct contact information for the clinical liaison and examples of recent transfers or outcomes for similar-case patients.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Truman W. Smith Children's Care Center

    Truman W. Smith Children's Care Center is located at 2200 W Upshur Ave, Gladewater, TX, 75647.

    About Truman W. Smith Children's Care Center

    Truman W. Smith Children's Care Center sits at 2200 West Upshur Avenue in Gladewater, Texas, and serves as a specialized pediatric long-term care community with 120 certified beds, usually seeing about 95 residents each day, and unlike most places, it focuses on caring for medically fragile children who need long-term medical help, ventilator support, or rehabilitation, and you can find it as part of the Nexion Health network. This place is open every day, all day and night, and doesn't have posted visiting hours, so families can come visit whenever they want which many families appreciate. The rooms for children get personalized decorations to help make them feel more at home, and children get access to classrooms and play areas for learning, group activities, and even places to enjoy music or dance if they'd like. The atmosphere tries to be warm and home-like, and there are outdoor areas for recreation and spaces designed specifically for children's physical and social needs, all of it aimed at giving kids a bit of normalcy while they get long-term care.

    Staffed by skilled pediatric nurses and medical specialists, the team at Truman W. Smith builds personalized treatment plans for every child, and lots of the staff have experience handling complex medical needs which you don't always see in other places. The nurse turnover rate, which shows how many nurses leave and get replaced, is lower than the state average, meaning more consistency in care, and the nurse staffing hours per resident per day are higher than what most Texas facilities provide. While families hope for perfect care, public reports show some deficiencies, including those related to keeping the environment clean and homelike, meeting nutrition standards, and infection control, all of which are detailed in the inspection reports that anyone can look up, so you know the full story. Truman W. Smith says it focuses on creating a "Home Away From Home" for each child and offers a family-friendly space, and you can find further helpful details on the website, including directions, resources, and a facility finder if you need it. Many folks say this is the only high-acuity pediatric long-term care facility in Texas, so if you're looking for somewhere that helps children with serious medical needs in a structured way, this one's designed to meet those demands, keeping children's well-being and family support at the center of their efforts.

    People often ask...

    Truman W. Smith Children's Care Center offers assisted living, memory care, and skilled nursing.

    There are 14 photos of Truman W. Smith Children's Care Center on Mirador.

    The full address for this community is 2200 W Upshur Ave, Gladewater, TX 75647.

    No, Truman W. Smith Children's Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Truman W. Smith Children's Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Truman W. Smith Children's Care Center directly. There is no cost for this service. We are compensated by the community you select.

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