TOWERS NURSING HOME

372 HILL ROAD, SMITHVILLE, TX 78957 · CCN 675942 · 120 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing1 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-08-20 — IMMEDIATE JEOPARDY (tag F0760, severity K)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2024-06-06 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

1.98

state median 2.67

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.12

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

59%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $15,239 in fines.

Date	Type	Amount
2024-08-20	Fine	$15,239

Ownership

Ownership type: Non profit - Corporation. Part of the WELLSENTIAL HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Laredo West Nursing and Rehabilitation Center (Laredo, TX) — CMS overall1 of 5
Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) — CMS overall2 of 5
Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) — CMS overall2 of 5
Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) — CMS overall3 of 5
Longview Hill Nursing and Rehabilitation Center (Longview, TX) — CMS overall1 of 5
Monument Rehabilitation and Nursing Center (La Grange, TX) — CMS overall2 of 5
SPINDLETOP HILL NURSING & REHAB CENTER (BEAUMONT, TX) — CMS overall1 of 5
Town and Country Nursing and Rehabilitation Center (Boerne, TX) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 13 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-01	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-04-01	F0690	Quality of Life and Care Deficiencies	D	not recorded
2026-01-29	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-31	F0558	Resident Rights Deficiencies	D	not recorded
2025-07-31	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-07-31	F0880	Infection Control Deficiencies	D	not recorded
2024-08-20	F0760	Pharmacy Service Deficiencies	K	not recorded
2024-06-06	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-06	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-06-06	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-06-06	F0694	Quality of Life and Care Deficiencies	D	not recorded
2024-06-06	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-06-06	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-06-06	F0881	Infection Control Deficiencies	E	not recorded
2023-08-03	F0726	Nursing and Physician Services Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “TOWERS NURSING HOME, SMITHVILLE” at medicare.gov/care-compare.