All states › Texas › Smithville › Towers Nursing Home
372 Hill Road Smithville, TX 78957 · Bastrop County
CMS certification number 675942 · See this home on Medicare Care Compare
Is Towers Nursing Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Towers Nursing Home as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.55 hours per resident per day at Towers Nursing Home, below the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.23 hours, 13% below its all-week average. 57.6% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Towers Nursing Home: Medicare and Medicaid
Towers Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 31, 2025 and found 3 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 16 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 16 citations at Towers Nursing Home across 6 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 20, 2024 (complaint inspection). The most common areas cited were quality of life and care (8) and infection control (3). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, August 20, 2024).
June 11, 2026 · 2 citations · includes complaint inspection
DProvide enough food/fluids to maintain a resident's health.
DProvide and implement an infection prevention and control program.
April 1, 2026 · 2 citations · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
January 29, 2026 · 1 citation · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
July 31, 2025 · 3 citations
DReasonably accommodate the needs and preferences of each resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
August 20, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
KEnsure that residents are free from significant medication errors.
June 6, 2024 · 7 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EImplement a program that monitors antibiotic use.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Towers Nursing Home
- Inspectors cited the home at the immediate-jeopardy level on August 20, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $15,239 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 20, 2024 | Fine | $15,239 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
| August 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
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Location
Hospitals near Towers Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Ascension Seton Smithville SmithvilleEmergency roomMedian ER visit 1h 43m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Wellsential Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.