Towers Nursing Home
372 HILL ROAD, Smithville, TX, 78957
Yes. Federal inspectors cited 6 deficiencies against Towers Nursing Home in Smithville, Texas at its most recent standard inspection on 2025-07-31, 3 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $15,239. Medicare rates it 4 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 15 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-04-01 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-04-01 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2024-08-20 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-06-06 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · F0694 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-06-06 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0726 · 2023-08-03 · from a complaint · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Towers Nursing Home
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SMITHVILLE HOSPITAL AUTHORITY | Organization | 100% | since 06/27/2016 |
| REGENCY IHS OF SMITHVILLE TOWERS LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| CSV RHEA MANAGEMENT HOLDCO, LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| DWD TX HOLDINGS LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | Organization | NOT APPLICABLE | since 06/27/2016 |
| REG BRIDGE OPCO LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| REG HG OPCO LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| REG OPERATOR HOLDCO LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| REGENCY TEXAS HOLDINGS LLC | Organization | NOT APPLICABLE | since 06/27/2016 |
| BAIRD, DANIEL | Individual | NOT APPLICABLE | since 04/13/2021 |
| BUNTE, MARK | Individual | NOT APPLICABLE | since 10/27/2020 |
Part of the WELLSENTIAL HEALTH group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675942.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction