Towers Nursing Home
Nursing Home · Smithville, TX
CMS certification number675942
Contact & location
372 Hill RoadSmithville, TX 78957
Bastrop County
- Phone
- (512) 237-4606
- ZIP code
- 78957 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 111.3 (93% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Smithville Hospital Authority
- Chain
- Wellsential Health (67 facilities, avg 2.7★)
- Medicare certified since
- December 17, 2002
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.59 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.21 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.83 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.55 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.32 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 58.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 33.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 31, 2025
- Health deficiencies (last cycle)
- 8.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 17 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-11 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-19 |
| 2026-06-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-19 |
| 2026-04-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-04-01 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-01-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-30 |
| 2025-07-31 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2024-08-20 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-08-09 |
| 2024-06-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-07 |
| 2024-06-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2023-08-03 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-04 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $15,239 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-20 | Fine | $15,239 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Smithville Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Chudleigh, James (individual) | Administrator · NOT APPLICABLE | |
| Dekowski, Donovan (individual) | Administrator · NOT APPLICABLE | |
| Gray, Cole (individual) | Administrator · NOT APPLICABLE | |
| Migl, Gina (individual) | Administrator · NOT APPLICABLE | |
| Ognowski, Dustin (individual) | Administrator · NOT APPLICABLE | |
| Regency Ihs Clinical Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs of Smithville Towers LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs Rehab LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Integrated Health Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Smithville Hospital Authority (organization) | Administrator · NOT APPLICABLE | |
| Wilson, Linda (individual) | Corporate Officer · NOT APPLICABLE | |
| Regency Ihs of Smithville Towers LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| CSV Rhea Management Holdco, LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| DWD TX Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Jack and Nancy Dwyer Workforce Development Center INC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Reg Bridge Opco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Reg HG Opco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Reg Operator Holdco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Regency Integrated Health Services LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Regency Texas Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Baird, Daniel (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bunte, Mark (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Clapp, Barbara (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cortese, Daren (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Fulcher, Ann (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gibson, Patricia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Mandelbaum, Elliot (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Wilson, Linda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Dekowski, Donovan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gray, Cole (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Regency Ihs of Smithville Towers LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Regency Integrated Health Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Smithville Hospital Authority (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Towers Nursing Home?
Towers Nursing Home has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Towers Nursing Home have?
It has 120 certified beds and cares for about 111 residents per day.
Has Towers Nursing Home been fined?
Yes. CMS lists 1 penalty totaling $15,239 in the last three years.
Who owns Towers Nursing Home?
It is part of Wellsential Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Towers Nursing Home?
(512) 237-4606. The facility is located at 372 Hill Road, Smithville, TX 78957.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.