About Towers Nursing Home

Towers Nursing Home is a nursing home in Smithville, Texas. Its capacity is 120 beds, above the Bastrop County median of 114 for nursing homes. It is run by a nonprofit operator and is part of Wellsential Health. It is Medicare certified. Its public inspection record shows 15 citations, the most recent on April 1, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.55 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

4.0

Staffing

1.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (15)

Records from August 2023 to April 2026.

April 1, 2026
Tag F0690
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: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
April 1, 2026
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
January 29, 2026
Tag F0657
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: isolated, no actual harm, potential for more than minimal harm. Corrected January 30, 2026.
July 31, 2025
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.
July 31, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.
July 31, 2025
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2025.
August 20, 2024
Tag F0760
Ensure that residents are free from significant medication errors.
Severity K: pattern, immediate jeopardy. Corrected August 9, 2024.
June 6, 2024
Tag F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0645
PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected June 7, 2024.
June 6, 2024
Tag F0695
Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0881
Implement a program that monitors antibiotic use.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
August 3, 2023
Tag F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 4, 2023.

See the source data on data.cms.gov

Penalties (1)

Total fines: $15,239

August 20, 2024 · Fine
CMS recorded a civil money penalty of $15,239 against this nursing home on August 20, 2024.

See the source data on data.cms.gov

Staffing

2.55 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

Part of Wellsential Health, a chain of 67 nursing homes.

Average CMS star ratings across the chain: 2.8 overall, 2.9 for health inspections, 1.6 for staffing, 4.3 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Texas cost breakdown

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