Non profit - Corporation · 120 certified beds · CMS number 675942
Towers Nursing Home, Smithville, TX
CMS records 16 health deficiencies at Towers Nursing Home in Smithville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 31, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $15,239 in the last three years.
- 16deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $15,239fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Towers Nursing Home as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Towers Nursing Home may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection Jul 31, 2025. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 11, 2026 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 19, 2026
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 19, 2026
Apr 1, 2026 · Complaint inspection
2 deficiencies, highest D
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2026
Jan 29, 2026 · Complaint inspection
1 deficiency, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2026
Jul 31, 2025 · Standard inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
Previous cycle: 7 deficiencies (standard inspection Jun 6, 2024)
Standard inspection Jun 6, 2024. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 6, 2024 · Standard inspection
7 deficiencies, highest G
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 7, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jun 7, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
Earlier cycle: 1 deficiency (standard inspection Apr 19, 2023)
Standard inspection Apr 19, 2023. CMS counts 1 health deficiency and 0 fire safety deficiencies in this cycle.
Aug 20, 2024 · Complaint inspection
1 deficiency, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Aug 9, 2024
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Towers Nursing Home; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F677 Help with daily care | 2 | Jul 31, 2025; Jun 6, 2024 |
| F880 Infection prevention and control program | 2 | Jun 11, 2026; Jul 31, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 20, 2024 | Fine | $15,239 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.59 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.21 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.32 h
- Nursing staff turnover
- 58.8% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Towers Nursing Home, copied as published; Texas medians are ours.
Facility details
- Address
- 372 Hill Road, Smithville, TX 78957
- Phone
- (512) 237-4606
- County
- Bastrop
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Wellsential Health
- Certified beds
- 120
- Average residents per day
- 111.3
- In Medicare/Medicaid since
- Dec 17, 2002
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
- How does the home confirm the pre-admission screening is done for new residents with a mental health condition or intellectual disability? (F645, cited 1 time)
Other nursing homes in Smithville and the same chain
- Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.