Texas › Bastrop County › Smithville
Towers Nursing Home
372 Hill Road, Smithville, TX 78957
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Towers Nursing Home is a Non-profit, corporation nursing home in Smithville, Texas, certified for 120 beds and caring for about 111 residents a day.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 1 and quality measures 5.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (8, 8, 1 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 14.2 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $15K.
Reported nurse staffing is 2.6 hours per resident per day (0.2 RN), below the Texas median of 3.3; nursing staff turnover is 58.8%.
Compared with county, state and nation
| Measure | This facility | Bastrop Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 26 | 25 | 28.7 |
| Citations per 100 beds | 14.2 | 22.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.6 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 58.8% | 45.0% | 52.1% | 45.8% |
| Fines listed | $15,239 | $15,920 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 6 Jun 2024.
Severity mix: K ×1 G ×1 D ×13 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 19 Jun 2026 |
| 11 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Jun 2026 |
| 1 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Apr 2026 |
| 1 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 8 Apr 2026 |
| 29 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Jan 2026 |
| 31 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Aug 2025 |
| 20 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 9 Aug 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 7 Jun 2024 |
| 6 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Jun 2024 |
| 3 Aug 2023 | F0726 | 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. | D | Complaint investigation | 4 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Aug 2024 | Fine | $15,239 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.8%, RNs 33.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Smithville Hospital Authority. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Smithville Hospital Authority | 5% or greater direct ownership interest | 100% | 06/27/2016 |
| Regency Ihs of Smithville Towers LLC | Direct ownership interest | NOT APPLICABLE | 06/27/2016 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Reg Bridge Opco LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 06/27/2016 |
| Regency Ihs of Smithville Towers LLC | Operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| Smithville Hospital Authority | Operational/managerial control | NOT APPLICABLE | 06/27/2016 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 06/27/2016 |
| Regency Ihs of Smithville Towers LLC | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 06/27/2016 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
| Smithville Hospital Authority | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bastrop County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Silver Pines Nursing and Rehabilitation Center | Bastrop | 114 | 4 | 4 | 1 | 31 | 27.2 | — | 5 Jun 2025 |
| Elgin Nursing and Rehabilitation Center | Elgin | 114 | 2 | 2 | 2 | 26 | 22.8 | $36K | 17 Apr 2026 |
| Windsor Nursing and Rehabilitation Center of Bastr | Bastrop | 96 | 2 | 3 | 1 | 17 | 17.7 | $16K | 30 Jun 2026 |
| Bastrop Lost Pines Nursing and Rehabilitation Centabuse icon | Bastrop | 120 | 1 | 2 | 1 | 27 | 22.5 | $92K | 20 Mar 2026 |
All 5 facilities in Bastrop County
Questions and answers
How many deficiencies has Towers Nursing Home been cited for?
17 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Towers Nursing Home been fined?
Yes. CMS lists fines totalling $15K in the period covered.
How does staffing at Towers Nursing Home compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Towers Nursing Home?
It is part of the Wellsential Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Smithville Hospital Authority, Regency Ihs of Smithville Towers LLC and Csv Rhea Management Holdco, LLC. Individual owners and managers are not listed on this site.
When was Towers Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 31 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.