Nursing home
Towers Nursing Home
372 Hill Road, Smithville, TX 78957 · Map
Non profit - Corporation · Part of Wellsential Health (67 facilities) · 120 certified beds
Towers Nursing Home is a Medicare-certified nursing home in Smithville, Texas. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.48 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 31, 2025 cited 4 deficiencies.
- 1 fine totaling $15,239In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Towers Nursing Home compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.48 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.23 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.58 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 56.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $15,239, 1 total penalty.
What inspectors found at Towers Nursing Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jan 29, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jul 31, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 20, 2024 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 6, 2024 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jun 6, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 372 Hill Road
Smithville, TX 78957 - CMS certification #
- 675942
- Ownership
- Non profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 115.0
- Provider type
- Medicare and Medicaid
- First certified
- 2002-12-17
- Chain
- Wellsential Health (67 facilities)
- Setting
- Urban
Part of Wellsential Health
Wellsential Health operates 67 nursing facilities across the United States. View all Wellsential Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Towers Nursing Home using Google Maps.
Other public records
- Website says A memory care unit, respite stays, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Towers Nursing Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Secure Memory Support Unit
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Seton Smithville, Smithville. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Windsor Nursing and Rehabilitation Center of Bastr, Bastrop. 13.7 miles away, straight line.
- Nearest home health agency office
- Jol Healthcare, Bastrop. 11.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bastrop Medicine Shop. 13.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78957 as metropolitan (metropolitan low commuting).
- Dialysis within 15 miles
- Fresenius Medical Care East Bastrop, Bastrop, 12.6 miles away, straight line (CMS rating 4 of 5 stars)
Nna Bastrop, Bastrop, 14.7 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 26 Medicare hospices tell CMS they serve ZIP code 78957.
Serenity Hospice, office in Bastrop, 12.0 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Manor. 35.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Towers Nursing Home a good nursing home?
CMS gives Towers Nursing Home an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Towers Nursing Home staffed?
Towers Nursing Home reports 2.48 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Towers Nursing Home had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Towers Nursing Home have?
Towers Nursing Home is certified for 120 beds.