Truman W. Smith Children's Care Center

    2200 W Upshur Ave, Gladewater, TX, 75647
    4.5 · 63 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    5.0

    Compassionate, attentive staff providing peace

    I placed my child here and have been consistently impressed by the loving, compassionate staff - especially Cayla Lopez-Nicholas and the clinical liaison team - who handled the quick, well-organized admission, clear communication, and went above and beyond to meet medically complex needs. The facility feels like family: clean, well-maintained, full of activities, and offers 24/7, high-quality care that gave me real peace of mind. A few isolated safety/cleanliness concerns have been reported, but overall I highly recommend this warm, dedicated team.

    Pricing

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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

    4.51 · 63 reviews

    Overall rating

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

      4.2
    • Staff

      4.7
    • Meals

      4.0
    • Amenities

      2.0
    • Value

      4.5

    Pros

    • Compassionate, dedicated nursing and caregiving staff
    • Strong teamwork and individualized/specialized care plans
    • Clinical liaison praised for exceptional support and communication
    • Efficient and smooth referral and admission process
    • 24/7 availability and after-hours responsiveness noted
    • Experience caring for medically complex and ventilator-dependent children
    • Timely equipment delivery and in-person evaluations during intake
    • Engaging activities and events (seasonal parties, singers, games)
    • Home-like, family-oriented atmosphere
    • Personalized, healthy meals and attention to dietary needs
    • Supportive, faith-filled environment appreciated by families
    • Well-organized facility and many reports of cleanliness
    • Housekeeping staff praised by multiple reviewers
    • Comfort and peace of mind for many families
    • Strong community support and positive social-media engagement

    Cons

    • Reports of very poor care in some cases, including lack of progress with therapy
    • Allegations of hygiene neglect (filthy patient, no bathing, bad odor)
    • Staff sometimes hard to locate or unresponsive during critical moments
    • Emergency-response failures (delayed ambulance, mismanaged allergic reaction)
    • Serious safety concerns and at least two deaths referenced
    • Inconsistent cleanliness—some reviews report dirty rooms and unclean environment
    • Occasional reports of rude or inattentive staff
    • Incidents suggesting inadequate monitoring of residents
    • Conflicting accounts of care quality indicating variability between shifts/teams
    • Specific minor incidents (e.g., fingernail clipping dispute, beds placed on floor) reflecting lapses

    Summary review

    Overall impression: The reviews reflect a strongly mixed but predominantly positive impression of Truman W. Smith Children's Care Center, with a substantial majority of commenters praising the staff, clinical liaison support, and the facility's ability to manage medically complex children. Many families describe the staff as compassionate, loving, and dedicated — often saying that staff treat residents like family and provide individualized, specialized care that addresses medical, respiratory, therapeutic, and dietary needs. The center is repeatedly recognized for its experience with medically fragile children, including ventilator-dependent residents, and reviewers often express gratitude for the peace of mind the facility provides.

    Care quality and clinical processes: Several reviews emphasize high clinical competence and smooth operational processes. The clinical liaison (frequently named in reviews) is singled out for going above and beyond: evaluating patients in person, coordinating equipment delivery, assisting with placement for medically complex children, handling out-of-state referrals, and facilitating timely admissions. Multiple reviewers reported efficient, well-organized intake and referral procedures, good communication between facility teams, and after-hours responsiveness that helped families feel supported. That said, there are important negative reports that indicate inconsistency: a subset of reviews describe very poor patient care, lack of progress with physical therapy, severe contractures, and even hygiene neglect. These serious allegations contrast strongly with the many positive clinical accounts and point to variability in the resident experience.

    Staff, culture, and family engagement: A dominant theme is the quality of the workforce and the culture they foster. Reviewers praise nurses and aides for being compassionate, knowledgeable, and emotionally supportive; staff involvement in holiday and seasonal activities, dress-up parties, and personalized attention are recurring positives. Multiple comments note a faith-filled, family-like atmosphere and that parents are encouraged to interact with their children. Specific staff members receive repeated commendation for calming and reassuring children, explaining care clearly, and providing emotional as well as medical support. This contributes to a reputation for warmth, engagement, and strong interpersonal care.

    Facilities, cleanliness, and housekeeping: Many reviewers describe the facility as well-maintained and clean, and housekeeping staff are praised for their work. However, there are conflicting accounts: several reviews report dirty rooms, an overall unclean environment, and specific incidents of poor hygiene (a patient reportedly filthy and emitting a bad odor, allegations of no bathing). This split suggests inconsistent housekeeping or variable standards across units or shifts. Families generally find the facility organized and welcoming during tours, but the presence of serious cleanliness complaints is notable and requires attention.

    Activities and dining: The center receives positive marks for programming and meals. Reviewers note engaging, child-focused activities such as weekly singers, Halloween entertainment, game engagement during visits, and dress-up parties. Dining is described as personalized and healthy, with attention to dietary needs, which families appreciate as part of individualized care plans.

    Safety and adverse incidents: While many reviews explicitly state that fatalities noted were not due to neglect or misconduct, other reviewers report alarming safety concerns: delayed ambulance response, mismanagement of an allergic reaction, claims of inadequate monitoring, and references to the deaths of two children. Additionally, some families experienced staff who were difficult to locate during emergency moments. These accounts stand in stark contrast to the praise for clinical competence and contribute to a picture of inconsistency in emergency responsiveness and monitoring practices. Given the vulnerability of the resident population, even a small number of such reports is significant.

    Patterns and variability: The reviews show clear patterns of excellence in staff compassion, liaison coordination, and family-oriented programming, but they also reveal intermittent and serious lapses in hygiene, monitoring, and emergency response. Multiple reviewers name specific staff members positively (notably the clinical liaison), indicating strong individual performers and points of continuity for families. At the same time, the presence of both glowing endorsements and grave criticisms suggests variability across shifts, units, or over time.

    Conclusion: Truman W. Smith Children's Care Center is widely regarded by many families as a place where medically complex children receive compassionate, individualized care within a family-like environment, supported by an effective clinical liaison and strong programming. However, there are serious and specific negative reports — including hygiene neglect, emergency-response failures, and alleged monitoring lapses — that contrast with otherwise positive accounts. These conflicting signals mean the center demonstrates important strengths (staff dedication, coordinated admissions, and engaging activities) but also has isolated but consequential weaknesses that warrant further review and corrective action to ensure consistent safety and quality for all residents.

    Location

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

    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.

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