Towers Nursing Home
372 HILL ROAD, Smithville, TX, 78957
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 120 · avg 115 residents/day
- Total nursing staff turnover
- 56.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $15,239 total
State licensing & capacity
- License number
- 145745
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- June 27, 2025
- Current license expires
- June 27, 2028
- Initial license date
- June 27, 2016
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Smithville Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Smithville Towers Llc
- Administrator
- Bertha G G Garza
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (25 on record)
- Regency Ihs of Smithville Towers Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Smithville Hospital Authority
Adp of The Snf · since 2025
- Cole Donald Gray
Operational/managerial Control · since 2025
- Dustin Ognowski
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
+ 19 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 13)
- D0657·Jan 29, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0880·Jul 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0677·Jul 31, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0558·Jul 31, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- K0760·Aug 20, 2024Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0881·Jun 6, 2024
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- F0812·Jun 6, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0695·Jun 6, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20241 fine · $15K
Most recent events
- Aug 20, 2024Fine · $15K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jul 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Towers Nursing Home is a 120-bed Medicare/Medicaid facility in Smithville, Bastrop County, operated under a hospital district license and managed by Regency IHS of Smithville Towers LLC. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — while health inspections and long-stay outcome measures rate 4 and 5 stars respectively. The facility is running at 96% of licensed beds, leaving little room for new admissions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 149 minutes of total nursing care per day, about 92 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 149 minutes stretch thinner than the number alone suggests. RN coverage is 14 minutes per resident per day, against a 4-star Texas benchmark of 37 minutes.
One administrator has turned over in the past year — an elevated rate, though not the highest tier.
One CMS fine totaling $15,239 has been issued. The state median fine across facilities that receive any fine is $20,699, and about 30% of Texas nursing homes have received no fines at all.
The facility is operating at 96% of its 120 licensed beds — effectively full. Prospective residents should expect limited bed availability and plan accordingly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star CMS staffing rating and weekend nursing hours reported at 2.2 hours per resident per day, ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
RN coverage during your parent's hours
Reported RN time is 14 minutes per resident per day — ask which shifts have a registered nurse physically present in the building, not just on call.
Current waitlist and admission timeline
At 96% occupancy across 120 beds, ask whether there is an active waitlist and what the typical wait has been over the past six months.
Administrator continuity going forward
One administrator left in the past year — ask how long the current administrator has been in the role and what their plans are.
Resident Council meeting access
The facility has a Resident Council but no Family Council — ask how family members typically raise concerns and who receives and responds to them.
Care planning for higher-need residents
Residents here tend to need more hands-on care than at a typical facility; ask how frequently care plans are reviewed and who leads those meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.