Towers Nursing Home
372 Hill Road, Smithville, TX 78957 · (512) 237-4606
Non profit - Corporation · 120 certified beds
Towers Nursing Home has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 3 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $15,239 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 31, 2025 found 3 citations. What an inspection citation means
- Reasonably accommodate the needs and preferences of each resident.July 31, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 31, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 31, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Provide enough food/fluids to maintain a resident's health.June 11, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 11, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 1, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 1, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 29, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.August 20, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Fines and payment denials
- Fine of $15,239August 20, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.59 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.21 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.83 | 0.95 | 0.86 |
| Nurse aides | 1.55 | 2.01 | 2.32 |
| Total nursing staff turnover | 58.8% | 55.3% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 120 |
| Average residents per day | 111.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Silver Pines Nursing and Rehabilitation Center Bastrop · ★★★★★ 4 out of 5 stars
- Windsor Nursing and Rehabilitation Center of Bastr Bastrop · ★★★★★ 2 out of 5 stars
- Elgin Nursing and Rehabilitation Center Elgin · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Towers Nursing Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.