Towers Nursing Home
372 Hill Road, Smithville, TX 78957 · Bastrop County
Non-profit · 120 certified beds · 93% occupancy · (512) 237-4606
The U.S. government (CMS) rates Towers Nursing Home 4 out of 5 stars overall — above average. Its nurse staffing is 21% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.59 nurse hours per resident per day. 21% below the Texas median of 3.27.
Nursing staff turnover: 58.8% · RN turnover: 33.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0686 · Apr 1, 2026ComplaintCorrected Apr 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Apr 1, 2026ComplaintCorrected Apr 8, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0657 · Jan 29, 2026ComplaintCorrected Jan 30, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0558 · Jul 31, 2025Corrected Aug 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0677 · Jul 31, 2025Corrected Aug 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Jul 31, 2025Corrected Aug 1, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0760 · Aug 20, 2024ComplaintCorrected Aug 9, 2024
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Actual harmTag F0689 · Jun 6, 2024Corrected Jun 7, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Jun 6, 2024Corrected Jun 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0881 · Jun 6, 2024Corrected Jun 7, 2024
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Showing the 10 most recent and serious of 15 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Wellsential Health chain (68 facilities), chain average overall rating 2.6★.