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Towers Nursing Home

Smithville, TX · Medicare and Medicaid-certified nursing home (CCN 675942) · 120 certified beds

CMS overall rating: 4★ (state average 2.65★ — above state average)
Health inspection: 4 · Quality measures: 5 · Staffing: 1
Federal fines: 1 totaling $15,239
Phone: (512) 237-4606 · Verify on Medicare Care Compare ↗

Towers Nursing Home in Smithville, Texas has a CMS overall rating of 4 out of 5 stars, above the Texas state average of 2.65. Its health inspection rating is 4 out of 5, and its staffing rating is 1 out of 5.

Towers Nursing Home reports total nurse staffing of about 2.59 hours per resident per day, including roughly 0.21 RN hours per resident per day, with a nursing staff turnover rate of 58.8%. CMS rates its staffing at 1 out of 5 stars.

Towers Nursing Home has 1 federal fine on record totaling $15,239.00 and 0 payment denials. CMS does not display an abuse icon for this facility, and it is not part of the Special Focus Facility program.

Overall rating vs. benchmarks
Towers Nursing Home Towers Nursing Home: 4★ 4★ TX average TX average: 2.65★ 2.65★ Wellsential Health chain avg Wellsential Health chain avg: 2.7★ 2.7★

About this facility

Towers Nursing Home is a non-profit corporation-owned skilled nursing facility in Smithville, Bastrop County, Texas, certified for Medicare and Medicaid since December 17, 2002. The facility is licensed for 120 certified beds and reports an average daily census of 111.3 residents.

According to CMS Care Compare, Towers Nursing Home carries an overall star rating of 4 out of 5, which is above the Texas state average of 2.65. The facility's health inspection rating is 4 out of 5, its quality measure (QM) rating is 5 out of 5, and its staffing rating is 1 out of 5.

On staffing, CMS reports total nurse staffing of 2.58861 hours per resident per day, with registered nurse (RN) time of 0.20602 hours per resident per day. Nursing staff turnover is reported at 58.8%.

Regarding penalties, CMS records show 1 federal fine totaling $15,239.00 for this facility, and 0 payment denials on record. CMS does not display an abuse icon for this facility, and it is not currently listed under CMS's Special Focus Facility program, which is reserved for homes with a history of persistent poor performance placed under increased inspection scrutiny.

Towers Nursing Home is part of the Wellsential Health chain, which operates 67 facilities nationally with an average CMS rating of 2.7. There has been no ownership change reported in the last 12 months, so current ratings reflect the present operator.

Source: CMS Medicare Care Compare.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Towers Nursing Home has an overall CMS rating of 4 out of 5 stars, which is above the Texas state average of 2.65.

Does this facility accept Medicare, Medicaid, or both?

Yes, Towers Nursing Home is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 2.59 hours per resident per day, with about 0.21 RN hours per resident per day, and nursing turnover of 58.8%; CMS rates staffing 1 out of 5 stars.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 1 fine totaling $15,239.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No, CMS does not display an abuse icon for this facility, and it is not listed in the Special Focus Facility program.

How large is this facility and how many residents live there?

Towers Nursing Home is certified for 120 beds and has an average daily census of 111.3 residents.

Who owns this facility — and is it part of a chain?

It is owned by a non-profit corporation and is part of the Wellsential Health chain, which operates 67 facilities nationally with an average rating of 2.7.

How long has this facility been Medicare/Medicaid certified?

It has been certified since December 17, 2002.

What do the four different CMS star ratings mean?

CMS rates facilities on an overall score plus three components: health inspections, staffing, and quality measures; Towers Nursing Home scores 4, 4, 1, and 5 respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

This is not specified in the CMS data provided; contact the facility at 5122374606 and verify details on Medicare Care Compare.

What should I look for when touring this facility?

This data does not cover tour details; contact the facility at 5122374606 to arrange a visit.

How do I verify this facility's current record on Medicare Care Compare?

You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/675942?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.