Truman W Smith Children'S Care Center is one of the top-rated nursing facilities in Gladewater, Texas, earning an A grade based on CMS data. With a score of 88/100, it ranks in the top 4% of facilities statewide — a strong indicator of quality care.
Truman W Smith Children'S Care Center provides above-average staffing with 4.85 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 12 deficiencies at Truman W Smith Children'S Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.85 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.78 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.17 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.90 | 2.4 | Above Average |
| Weekend Total Nursing | 4.06 | 3.8 | Average |
| Weekend RN Hours | 0.64 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 17, 2025 · Resident Rights Deficiencies
- Tag 0693 Severity DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a fNov 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0921 Severity DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Nov 17, 2025 · Environmental Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 13, 2025 · Infection Control Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 13, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.1% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 9.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.4% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 2.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 88 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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