Gladewater · 1.0 mi
Legend Oaks Healthcare and Rehabilitation Center G
2 of 5 · Medicare
View facility →Truman W Smith Children's Care Center
Children’s facility. This home cares for children and young adults. It is usually not an option for an older adult.
⌖ Gladewater, TX · Gregg County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds120
Medicare / MedicaidMedicaid only
OwnershipFor-profit (corporation)
About Truman W Smith Children's Care Center
Truman W Smith Children's Care Center is a 120-bed for-profit nursing home in Gladewater, TX. Medicare rates it 5 out of 5 stars overall (much above average); the average in Texas is 2.7.
- Inspections: 4 problems at its last full inspection (Nov 2025), fewer than the Texas average of 9.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 47 min a day with each resident, more than the Texas average of 3 hr 23 min. About 35% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameTruman W Smith Children's Care Center
LocationGregg County, Texas
Phone(903) 845-2181
Address2200 W Upshur Ave, Gladewater, TX 75647 · Gregg County
Medicare provider number45F470
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 16, 1999 (26 years)
✗ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
6 strengths in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Nov 2025No citations for actual harm or immediate jeopardy since Nov 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection4 (Nov 2025)Texas average: 9.4.Strength
- Nurse staffing per resident4 hr 47 min a dayTexas average: 3 hr 23 minStrength
- Registered nurse time per resident42 min a dayTexas average: 26 minStrength
- Nursing staff turnover35% a yearTexas average: 55%Strength
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 3.3%Better than average
- Pressure sores (bedsores)0.1%State average: 3.8%Better than average
- Given antipsychotic drugs11.8%State average: 9.6%Worse than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 3 to 5 stars and changed 14 times.
Overall rating5★
Health inspections5★
Staffing2★
Quality of care5★
Nurse hours per resident per day4.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 2 | 5 | 5.2 |
| Jan 2020 | 3 | 3 | 1 | 5 | 4.6 |
| Jan 2021 | 5 | 4 | 2 | 5 | 4.9 |
| Jan 2022 | 5 | 4 | 2 | 5 | 5.2 |
| Jan 2023 | 5 | 4 | 3 | 5 | 5.0 |
| Jan 2024 | 5 | 4 | 2 | 5 | 4.2 |
| Feb 2025 | 4 | 4 | 2 | 4 | 4.8 |
| Feb 2026 | 5 | 5 | 2 | 5 | 4.9 |
| Sep 2026 | 5 | 5 | 2 | 5 | 4.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.