Truman W. Smith Children's Care Center

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

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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

    4.56·(73)

    Overall rating

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

      4.3
    • Staff

      4.8
    • Meals

      4.0
    • Amenities

      2.0
    • Value

      4.6

    Pros

    • Compassionate, family-oriented staff
    • Helpful clinical liaison and responsive admission coordination
    • Long-term family relationships and parent involvement
    • Individualized medical, respiratory, therapy, and dietary care
    • Special events, holiday celebrations, music, and activities
    • Clean, organized facility noted by some visitors
    • Staff teamwork and support during severe weather and other disruptions

    Cons

    • Inconsistent resident personal-care and room-cleanliness standards
    • Gaps in clinical monitoring and urgent-response readiness
    • Inconsistent therapy follow-through and mobility oversight
    • Uneven staff responsiveness, communication, and courtesy

    Summary of reviews

    Truman W. Smith Children’s Care Center provides long-term care for children with significant medical and support needs. Many families and visitors describe staff as kind, attentive, and deeply invested in the children, with some families reporting long-standing relationships and confidence in the care. Parents are described as able to interact with their children during visits. Positive accounts also highlight coordinated support across medical, respiratory, social, therapy, and dietary services. However, the experiences are not uniformly positive: a few family accounts raise concerns about personal care, cleanliness, staff responsiveness, and clinical follow-through, indicating that care consistency is an important area for families to assess directly.

    Staff are a prominent strength in the positive reviews. The clinical liaison team is frequently praised for clear explanations, prompt communication, help with referrals and admissions, and coordination with other facilities; one family also valued after-hours support. Nurses and other employees are described as welcoming and helpful, and staff reportedly supported children during a prolonged power outage. In contrast, individual family accounts describe difficulty getting questions answered, concerns about staff courtesy, and limited responsiveness. One family described delayed recognition and escalation during a severe allergic reaction, including uncertainty about the trigger and emergency medication. A separate brief comment raised concerns about monitoring in connection with two children’s deaths; it provides no further detail, so the circumstances cannot be assessed from these reviews.

    Reviews of personal care and the physical environment are mixed. Some visitors describe the facility as clean, organized, and well maintained, while family members in other accounts raise concerns about room cleanliness, odor, and whether regular bathing and other personal-care needs were being met. One family also questioned whether promised physical therapy was being carried out consistently and described limited progress in mobility. These concerns contrast with positive reports of attentive care, so prospective families may wish to ask how personal-care routines, therapy plans, and clinical concerns are tracked and communicated. A visitor also found the low beds difficult to access, though this was a concern about the visitor’s own mobility rather than resident care.

    Dining is described positively in one detailed account, which notes meals tailored to each child’s nutritional needs; the reviews offer little other information about food quality or meal service. Activities receive more frequent praise: families and visitors mention singers, holiday celebrations, themed events, parties, and staff participation, with children described as engaged and smiling. Management is not discussed in depth, but the admission and referral process is repeatedly characterized as organized and smooth, especially through the clinical liaison. Overall, the reviews portray a facility with strong personal commitment, family support, and engaging activities, alongside meaningful concerns about consistency in cleanliness, therapy follow-through, communication, and urgent clinical response.

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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

    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 15 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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RrIJQAA3
    StatusActive
    Facility typeNursing Facility (nf Medicaid Only)
    License classLicensed
    Capacity120 residents
    LicenseeNEXION HEALTH AT TRUMAN INC
    Care servedNf Medicaid Only
    View the official license record

    Inspection Reports

    2

    Reports

    5

    Citations

    0

    Complaints

    1

    Years

    13 Jan 2026Life Safety
    Identified two life-safety deficiencies: air-conditioner shutoffs to prevent smoke spread during alarm activation, and failure to inspect sprinkler heads per NFPA requirements.
    • —Life Safety Code
    • —Life Safety Code
    18 Nov 2025Inspection
    Identified deficiencies related to residents' rights, feeding-tube care, and the living environment.
    • —Health Visit
    • —Health Visit
    • —Health Visit

    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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