Overview
Towers Nursing Home has a Medicare overall rating of 4 out of 5, above the Texas average of 2.8. It is the only Medicare-rated nursing home in Smithville. Its strongest area is quality of care (5 of 5), and its weakest is staffing (1 of 5).
Residents receive about 2.6 hours of nursing care per day, fewer than at 98% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.3 hours come from registered nurses.
Its most recent standard inspection, on July 31, 2025, found 8 health deficiencies, fewer than the Texas average of 9.6. 5 of them came from complaint investigations. Medicare records 1 fine totaling $15,239 in the past three years.
Towers Nursing Home is a nonprofit facility with 120 certified beds, caring for about 110 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2002.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 12%
Top 15%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- July 31, 2025
- Health deficiencies cited
- 8
- Complaint-related deficiencies
- 5
- Fines in the last 3 years
- 1 totaling $15,239
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff2.55 hrs
- Registered nurses (RN)0.29 hrs
- Licensed practical nurses (LPN)0.77 hrs
- Nurse aides1.50 hrs
- Physical therapists0.10 hrs
Facility details
- Ownership
- Non profit - Corporation
- Certified beds
- 120
- Average residents per day
- 110
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- December 17, 2002
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes