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Towers Nursing Home

Nursing Home Facility

372 Hill Road, Smithville, TX 78957

Nursing Home Care Senior Living

Towers Nursing Home is a senior care community located in Smithville, TX. It provides nursing home care and senior living for older adults in the Smithville area. To learn more or schedule a tour, call (512) 237-4606.

Operated by Wellsential Health, which runs 38 communities in our directory.

With 120 beds, Towers Nursing Home is one of the larger communities in the area, senior care communities in Bastrop County average about 68 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Bastrop County average about 3.0 stars. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 8 deficiencies.

Residents receive about 2.6 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 59%.

The community is located in Bastrop County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 17 problems at Towers Nursing Home. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 7 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $15,239.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected June 2026, after a complaint. Corrected by June 19, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint. Corrected by June 19, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected April 2026, after a complaint. Corrected by April 8, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected April 2026, after a complaint. Corrected by April 8, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected January 2026, after a complaint. Corrected by January 30, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected July 2025. Corrected by August 1, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected July 2025. Corrected by August 1, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected July 2025. Corrected by August 1, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Towers Nursing Home offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Other
  • Beds / units 120
  • Nursing hours per resident/day 2.6
  • Annual staff turnover 59%
  • Last health inspection July 2025

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