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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasTowers Nursing Home

Towers Nursing Home

372 Hill Road, Smithville, TX 789575122374606
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
1/5
Quality
4/5
Beds
120
certified
1 fine(s) totaling $15,239

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 120 certified beds with an average of 115 residents per day (96% occupancy)

• Last health inspection found 3 deficiencies (inspected Jul 31, 2025)

• Has been fined a total of $15,239 across 1 fine(s)

• Total nursing staff: 2.48 hours per resident per day

• Staff turnover rate: 56.5% (high)

• Part of the Wellsential Health chain (67 facilities)

Towers Nursing Home is a 3-star Medicare and Medicaid certified nursing home in Smithville, Texas with 120 certified beds. It has been operating since 2002. The facility scored at average compared to Texas facilities.

Beds
120
Avg Residents/Day
115
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 17, 2002
Sprinklers
Yes
Council
Resident
County
Bastrop
Last Inspection
Jul 31, 2025
Deficiencies (Cycle 1)
3
Weighted Score
30.0
Infection Citations
0

Deficiency Citations (12)

F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Aug 20, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Aug 3, 2023Corrected: NoCycle: 3
Total Fines
$15,239
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 20, 2024
$15,239

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.58 hrs
National avg: 2.35 hrs
LPN0.68 hrs
National avg: 0.86 hrs
RN0.23 hrs
National avg: 0.68 hrs
Total Nursing2.48 hrs
National avg: 3.89 hrs
Weekend Total2.22 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
56.5%
RN Turnover
57.1%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
SMITHVILLE HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 27, 2016
REGENCY IHS OF SMITHVILLE TOWERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 27, 2016
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 27, 2016
SMITHVILLE HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 27, 2016
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 27, 2016
GRAY, COLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 17, 2025
WILSON, LINDACORPORATE OFFICERIndividualN/AJul 19, 2023

Frequently Asked Questions

What is the CMS rating for Towers Nursing Home?▾
Towers Nursing Home has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated average.
Has Towers Nursing Home had any health inspection violations?▾
Towers Nursing Home had 3 deficiency citations in its most recent health inspection (Jul 31, 2025). The facility has been fined a total of $15,239 across 1 fine(s).
What are the staffing levels at Towers Nursing Home?▾
Towers Nursing Home provides 2.48 total nursing staff hours per resident per day, including 0.23 RN hours, 0.68 LPN hours, and 1.58 nurse aide hours. The total staff turnover rate is 56.5%.
How many beds does Towers Nursing Home have?▾
Towers Nursing Home has 120 certified beds with an average of 115 residents per day, resulting in approximately 96% occupancy. The facility is Non profit - Corporation owned and is part of the Wellsential Health chain.

Part of Wellsential Health

This chain operates 67 facilities. View all →