Towers Nursing Home
372 Hill Road, Smithville, TX 78957
Towers Nursing Home is a nursing home in Smithville, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (512) 237-4606
- Last standard health inspection
- July 31, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 110.3
- Ownership type
- Non profit - Corporation
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (16 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
2 citations
Health inspection on June 11, 2026
CMS lists this as a complaint inspection.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on June 19, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 19, 2026.
CMS has cited this home for F0880 2 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
2 citations
Health inspection on April 1, 2026
CMS lists this as a complaint inspection.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 8, 2026.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on April 8, 2026.
1 citation
Health inspection on January 29, 2026
CMS lists this as a complaint inspection.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 30, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
3 citations
Health inspection on July 31, 2025
CMS lists this as a standard inspection.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on August 1, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 1, 2025.
CMS has cited this home for F0677 2 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 1, 2025.
1 citation
Fire safety inspection on July 31, 2025
CMS lists this as a standard inspection.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 8, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
1 citation
Health inspection on August 20, 2024
CMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
Citation F0760. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 9, 2024.
Fine
August 20, 2024 (2 years ago)
CMS fine of $15,239 on August 20, 2024.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
7 citations
Health inspection on June 6, 2024
CMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 7, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 7, 2024.
Citation F0881. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on June 7, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on June 7, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on June 7, 2024.
Citation F0694. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on June 7, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 7, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SMITHVILLE HOSPITAL AUTHORITY5% or greater direct ownership interest · 100% · since 06/27/2016
- REGENCY IHS OF SMITHVILLE TOWERS LLCDirect ownership interest · not applicable · since 06/27/2016
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 06/27/2016
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 06/27/2016
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 06/27/2016
- REG BRIDGE OPCO LLCIndirect ownership interest · not applicable · since 06/27/2016
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 06/27/2016
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 06/27/2016
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 06/27/2016
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 06/27/2016
- REGENCY IHS OF SMITHVILLE TOWERS LLCOperational/managerial control · not applicable · since 06/27/2016
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 06/27/2016
- SMITHVILLE HOSPITAL AUTHORITYOperational/managerial control · not applicable · since 06/27/2016
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 06/27/2016
- GRAY, COLEOperational/managerial control · not applicable · since 03/17/2025
Questions
When was Towers Nursing Home last inspected?
CMS lists July 31, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Towers Nursing Home have?
CMS lists 16 health citations since June 6, 2024. CMS also calls these deficiencies.
Has Towers Nursing Home been fined?
CMS lists 1 fine in the past three years, $15,239 in total.
What is the CMS star rating of Towers Nursing Home?
Its CMS overall star rating is 4 of 5.
Is Towers Nursing Home a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.