Towers Nursing Home
372 Hill Road, Smithville, TX, 78957
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 120 · avg 111 residents/day
- Total nursing staff turnover
- 65.5% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $15,239 total
Medicare certification
- CMS Certification Number
- 675942
- Certified beds
- 120 beds · avg 111 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Smithville Hospital Authority
- Chain affiliation
- Wellsential Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 68 facilities. Chain-wide average overall rating 2.6 / 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 May 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 15)
- D0690·Apr 1, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0686·Apr 1, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Towers Nursing Homeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.