Towers Nursing Home
372 Hill Road, Smithville, TX 78957 · Bastrop County
Non-profit · 120 certified beds · 93% occupancy · (512) 237-4606
Towers Nursing Home reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 2.59 hrs/resident/day (-21% vs TX median)
- Antipsychotic drug use
- 7.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $15,239
- Inspection findings
- 17 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
Concerns
- !Nurse staffing of 2.59 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Towers Nursing Home
Is Towers Nursing Home a good nursing home?
Towers Nursing Home in Smithville, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Towers Nursing Home staffed?
Towers Nursing Home reports 2.59 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Towers Nursing Home been fined or flagged for abuse?
Towers Nursing Home has paid approximately $15,239 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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 F0692 · Jun 11, 2026ComplaintCorrected Jun 19, 2026
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Jun 11, 2026ComplaintCorrected Jun 19, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- 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
Showing the 10 most recent and serious of 17 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - corporation). It is part of the Wellsential Health chain, which operates 67 facilities, with a chain-average CMS rating of 2.7 stars.