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HomeTexasTowers Nursing Home

Towers Nursing Home

372 Hill Road, Smithville, TX 789575122374606WebsiteGoogle Maps
4.3on Google(86 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
1/5
Quality
5/5
Beds
120
certified
1 fine(s) totaling $15,239

How Towers Nursing Home Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
TX average
2.7/5
Above state average
Health inspection rating
4/5
TX average
2.8/5
Above state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.59 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.21 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
58.8%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Texas average of 2.7/5.
Its 4/5 health inspection rating is above the Texas average of 2.8/5.
Reported nursing time is 2.59 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.21 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
9
deficiency citations
Inspected Jun 6, 2024
Most recent cycle
6
deficiency citations
Inspected Jul 31, 2025
The most recent cycle recorded 3 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bastrop County 65+
15,129
15.4% of county
County Population
98,435
Bastrop County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Towers Nursing Home is a 4-star Medicare and Medicaid certified nursing home in Smithville, Texas with 120 certified beds. It has been operating since 2002. Its overall CMS rating is 4 out of 5.

Beds
120
Avg Residents/Day
111.3
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)
6
Weighted Score
39.0
Infection Citations
0

Deficiency Citations (15)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 29, 2026Corrected: NoCycle: 1
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
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
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
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
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
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 Aide1.55 hrs
National avg: 2.32 hrs
LPN0.83 hrs
National avg: 0.86 hrs
RN0.21 hrs
National avg: 0.69 hrs
Total Nursing2.59 hrs
National avg: 3.86 hrs
Weekend Total2.32 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
58.8%
RN Turnover
33.3%
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 (34)

NameRoleTypeOwnership %Since
SMITHVILLE HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 27, 2016
REGENCY IHS OF SMITHVILLE TOWERS LLCDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AJun 27, 2016
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 13, 2021
BUNTE, MARKMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 27, 2020
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 1, 2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 10, 2021
FULCHER, ANNMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 22, 2015
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 1, 2021
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2025
WILSON, LINDAMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 19, 2023
WILSON, LINDACORPORATE OFFICERIndividualN/AJul 19, 2023
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
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationN/AJun 27, 2016
REGENCY IHS OF SMITHVILLE TOWERS LLCADP OF THE SNFOrganizationN/AJun 16, 2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationN/AJun 27, 2016
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationN/AJun 16, 2025
SMITHVILLE HOSPITAL AUTHORITYADP OF THE SNFOrganizationN/AJun 16, 2025
CHUDLEIGH, JAMESADP OF THE SNFIndividualN/AJan 1, 2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualN/AJun 27, 2016
GRAY, COLEADP OF THE SNFIndividualN/AMar 17, 2025
MIGL, GINAADP OF THE SNFIndividualN/AJan 1, 2025
OGNOWSKI, DUSTINADP OF THE SNFIndividualN/AJan 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Towers Nursing Home and nearby alternatives.

All Texas facilities
Towers Nursing Home
Smithville, TXCurrent facility
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: $15,239
Windsor Nursing and Rehabilitation Center of Bastr
Bastrop, TX13.7 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $15,920
Bastrop Lost Pines Nursing and Rehabilitation Cent
Bastrop, TX13.9 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $101,156
Silver Pines Nursing and Rehabilitation Center
Bastrop, TX14.0 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Care Inn of La Grange
La Grange, TX16.6 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Monument Rehabilitation and Nursing Center
La Grange, TX17.5 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,281
Harmony Care at Giddings
Giddings, TX17.7 miAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $237,415
FacilityDistanceCMSHealthStaffingRecorded fines
Towers Nursing Home
Smithville, TX · Current facility
—4/54/51/5$15,239
Windsor Nursing and Rehabilitation Center of Bastr
Bastrop, TX
13.7 mi3/54/51/5$15,920
Bastrop Lost Pines Nursing and Rehabilitation Cent
Bastrop, TX
13.9 mi1/52/51/5$101,156
Silver Pines Nursing and Rehabilitation Center
Bastrop, TX
14.0 mi4/54/51/5None recorded
Care Inn of La Grange
La Grange, TX
16.6 mi3/53/51/5None recorded
Monument Rehabilitation and Nursing Center
La Grange, TX
17.5 mi2/53/51/5$8,281
Harmony Care at Giddings
Giddings, TX
17.7 mi1/51/52/5$237,415

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Towers Nursing Home?▾
Towers Nursing Home has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated above average.
How much does Towers Nursing Home cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Towers Nursing Home participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Towers Nursing Home had any health inspection violations?▾
Towers Nursing Home had 6 deficiency citations in its most recent health inspection (Jul 31, 2025). The current CMS dataset records 1 fine(s) totaling $15,239.
What are the staffing levels at Towers Nursing Home?▾
Towers Nursing Home provides 2.59 total nursing staff hours per resident per day, including 0.21 RN hours, 0.83 LPN hours, and 1.55 nurse aide hours. The total staff turnover rate is 58.8%.
How many beds does Towers Nursing Home have?▾
Towers Nursing Home has 120 certified beds with an average of 111.3 residents per day, resulting in approximately 93% occupancy. The facility is Non profit - Corporation owned and is part of the Wellsential Health chain.
Are there other nursing homes near Towers Nursing Home?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Towers Nursing Home?▾
On Google Maps, Towers Nursing Home has a rating of 4.3 out of 5 based on 86 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.

Part of Wellsential Health

This chain operates 68 facilities. View all →