The nursing home failed to ensure residents were free from significant medication errors. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
TOWERS NURSING HOME
SMITHVILLE, TX · Medicare-certified · 120 beds
Needs attention
Non-profitChain member
4 of 5 overall
Towers Nursing Home in Smithville, TX has an overall 4-star rating, with strong health inspection and quality measures scores, but very low staffing at 1 star and reported nurse staffing of 2.58 hours per resident per day versus the 4.1 federal benchmark. It also has $15,239 in fines in the last 24 months and a recent federal penalty, with recent citations for medication errors, accident hazards/supervision, and food handling standards.
Facility ratings
Health inspections
Staffing
2.5831 hrs/resident/day
Quality measures
Last inspection: January 29, 2026Penalties, last 24 months: $15,239recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5831.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 0.75
- Nurse aides
- 1.63
- Weekend nursing
- 2.36
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.8%6.8%Worsening
Residents with a fall causing major injury
5.9%2.2%Improving
Residents with pressure ulcers (bedsores)
3.8%0.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%10.1%Improving
Residents whose ability to walk got worse
16.9%3.5%Improving
Long-stay residents on antianxiety or sleep medication
14.6%18.5%Worsening
Short-stay residents newly given an antipsychotic
1.4%1.5%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.7%11.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.9%—
Short-stay residents given the pneumonia vaccine
100%93.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to monitor antibiotic use properly. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,239 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,239 in total fines.
- $15,239
Federal fine
Aug 20, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
- Occupancy
- 110.8 residents on an average day (92% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.