Towers Nursing Home
372 Hill Road · Smithville, TX · 78957 · 5122374606
120 certified beds Non profit - Corporation Chain: Wellsential Health
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.58 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $15,239 |
Inspection citations (15 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 8, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 1, 2025 · Resident Rights
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Potential for harm · D July 31, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Immediate jeopardy · K August 20, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 9, 2024 · Pharmacy Service
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Actual harm · G June 6, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · F June 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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Potential for harm · E June 6, 2024
Implement a program that monitors antibiotic use.
Corrected June 7, 2024 · Infection Control
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Potential for harm · D August 3, 2023 · found via complaint
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.
Corrected August 4, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 20, 2024 | Fine | $15,239 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675942 · certified since December 17, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.