Towers Nursing Home: Staffing, Turnover, and Inspection Record
Towers Nursing Home is a 120-bed nonprofit nursing home in Smithville, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.55 nurse aide hours per resident per day, 22% below the Texas average of 2.00, and 58.8% nursing staff turnover (Texas average 55.3%).
Towers Nursing Home
372 Hill RoadSmithville, TX 78957
Bastrop County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Towers Nursing Home, nurse aides logged 1.55 hours per resident per day, 22% below the Texas average. With about 111 residents a day, that works out to roughly 173 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.55 | 2.00 | 2.32 |
| Licensed practical nurses | 0.83 | 0.95 | 0.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff | 2.59 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.32 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
58.8% of nursing staff at Towers Nursing Home left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 33.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 31, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $15,239 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 20, 2024 | Fine | $15,239 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Towers Nursing Home holds 4 of 5 overall; the Texas average is 2.6.
About Towers Nursing Home
- Ownership: Non profit - Corporation
- Chain: Wellsential Health, 67 homes
- Legal name: Smithville Hospital Authority
- Medicare and Medicaid certified since: Dec 17, 2002
- Councils: resident council
- Area: urban
Nursing homes near Towers Nursing Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Windsor Nursing and Rehabilitation Center of Bastr Bastrop | 13.7 | 96 | 1.51 | 2.88 | 45.0% | 2 | $15,920 |
| Bastrop Lost Pines Nursing and Rehabilitation Cent Bastrop · abuse citation | 13.9 | 120 | 2.01 | 3.10 | 46.8% | 1 | $92,460 |
| Silver Pines Nursing and Rehabilitation Center Bastrop | 14.0 | 114 | 2.03 | 3.05 | 44.3% | 4 | None |
| Avir at La Grange La Grange · many days without an RN | 16.6 | 98 | 1.78 | 3.23 | 70.0% | 3 | None |
| Monument Rehabilitation and Nursing Center La Grange | 17.5 | 104 | 1.35 | 2.57 | 54.5% | 4 | $8,281 |
| Harmony Care at Giddings Giddings · SFF candidate · abuse citation | 17.7 | 84 | 2.91 | 3.99 | — | 1 | $193,468 |
| Avir at Giddings Giddings · many days without an RN | 17.9 | 102 | 1.96 | 3.00 | 30.3% | 1 | $39,701 |
| Flatonia Healthcare Center Flatonia · abuse citation | 21.4 | 70 | 2.96 | 4.04 | 43.6% | 1 | $15,098 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.