Towers Nursing Home
Nursing home in Smithville, Texas, CMS certification number 675942
372 Hill Road, Smithville, TX 78957 · Bastrop County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 31, 2025
- Deficiencies at that inspection
- 8
- Fines in 3 years
- $15,239 (1)
Does Towers Nursing Home take Medicare and Medicaid?
Yes to both. Towers Nursing Home is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Towers Nursing Home reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.55
- Registered nurse hours
- 0.29
- Licensed practical nurse hours
- 0.77
- Nurse aide hours
- 1.50
- Weekend total hours
- 2.23
- Nursing staff turnover
- 57.6%
- Registered nurse turnover
- 40%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on July 31, 2025 and cited 8 deficiencies, plus 5 from complaint visits.
The visit before, on June 6, 2024, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Towers Nursing Home 1 time in the past 3 years, for $15,239 in total.
Beds and residents
On an average day 110.3 residents live here, about 92% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 110.3
- Certified since
- December 17, 2002
- Resident or family council
- Resident
Who owns Towers Nursing Home
- Legal business name
- Smithville Hospital Authority
- Ownership type
- Non profit - Corporation
- Chain
- 67 homes nationally under Wellsential Health, 2.8-star chain average
Other nursing homes near Towers Nursing Home
- Windsor Nursing and Rehabilitation Center of Bastr400 Old Austin HWY, Bastrop 78602
- Bastrop Lost Pines Nursing and Rehabilitation Cent430 Old Austin Hwy, Bastrop 78602
- Silver Pines Nursing and Rehabilitation Center503 Old Austin Highway, Bastrop 78602
- Avir at La Grange457 N. Main Street, La Grange 78945
- Monument Hill Nursing and Rehabilitation Center120 State Loop 92, La Grange 78945
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Towers Nursing Home, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Towers Nursing Home
What is the CMS star rating of Towers Nursing Home?
4 out of 5 stars overall.
Does Towers Nursing Home accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Towers Nursing Home?
8 cited at the last standard visit.
Who owns Towers Nursing Home?
Smithville Hospital Authority, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.