Nursing HomeMedicaid

Towers Nursing Home

Strong Medicare quality ratings; families often praise excellent physical and occupational therapy. Still worth an in-person visit.

372 Hill Road, Smithville, TX 78957|120 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 87 Google reviews

(512) 237-4606 Directions Website

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What this means for your family

This facility is an excellent choice for rehabilitation and physical therapy, with many families reporting miraculous recoveries. However, if you are looking for long-term care, you should proactively verify staffing levels on weekends and ensure you have a direct line of communication with the administration to avoid the delays reported by others.

Google Reviews

87 reviews analyzed

“Towers Nursing Home is highly regarded by many families for its exceptional physical therapy, rehabilitation success, and a warm, community-oriented atmosphere. While many reviewers praise specific nursing and activity staff, some families have reported serious concerns regarding staffing shortages, communication gaps with administration, and inconsistent hygiene care in certain units.”

Quality Themes

Tap a score for details

Strengths

Excellent physical and occupational therapy
Compassionate and attentive nursing staff
Clean and aesthetically pleasing facility
Engaging and diverse activities programs

Concerns

Staffing shortages and slow response times (mentioned by 3 reviewers)
Difficulty communicating with administrative staff (mentioned by 2 reviewers)
Inconsistent hygiene and incontinence care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

⚡27 reviews posted between Aug 3, 2022 – Aug 5, 2022 · 27 were 5-star

How They Respond to Reviews

100%response rate

Good

The owner provides highly personalized responses to positive reviews, often naming specific staff members mentioned by the reviewer. For negative reviews, they use a consistent template to acknowledge the feedback and invite further discussion via email to leadership.

Questions for Your Tour

1It's wonderful to see how much care you put into responding to family feedback; how do you ensure that families are kept in the loop regarding any changes in a resident's care plan?
2We've heard great things about your physical and occupational therapy programs; how often do residents typically participate in these sessions?
3With the facility being so clean and well-maintained, what is your routine for ensuring resident hygiene and personal care stays consistent throughout every shift?
4Since we want to make sure they stay active, could you tell us more about the variety of activities available and how residents choose what to participate in?
5How does the nursing team handle medical emergencies or urgent needs during the night or during periods when the floor is particularly busy?
6We noticed the dining experience is a big part of daily life here; could you tell us more about the meal service and how you handle specific dietary preferences?

Personalized based on this facility's data

Key Review Excerpts

“Wonderful staff, effective physical therapy, and thoughtful decor make the Towers an excellent place to rehab or reside.”

Rehab patient's family · 2025★★★★★

“The entire staff at Towers were very caring during my Mother’s stay in the memory care unit. They kept me updated and when she started hospice they were very sensitive to her and the family' needs.”

Memory care family member · 2025★★★★★

“My dad had his legs amputated back in January and he had to come here for wound healing and care to get his strength back. ... They really spoiled him if you ask me. lol”

Rehab patient's family · 2025★★★★★

Source: 87 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.20hrs

27%

Registered nurses for medical care

Total Nursing

2.58hrs

63%

All nurses + aides combined

Staff Turnover

66%

Lower is better (< 30% = good)

RN Turnover

40%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

12.1%

2.5%

Bastrop

1.5%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.0%

Better than Avg

Here

6.0%

15.4%

9.4%

Bastrop

7.1%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Bastrop

99.9%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility10.8%

Better than Avg

Here

10.8%

14.4%

16.1%

Bastrop

13.7%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility10.0%

Better than Avg

Here

10.0%

15.3%

14.9%

Bastrop

12.9%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility14.7%

Mixed vs Avgs

Here

14.7%

19.4%

14.2%

Bastrop

14.3%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility97.8%

Mixed vs Avgs

Here

97.8%

81.8%

89.2%

Bastrop

98.3%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility94.9%

Mixed vs Avgs

Here

94.9%

79.7%

88.0%

Bastrop

98.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.8%

Worse than Avg

Here

1.8%

1.6%

1.5%

Bastrop

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

1penalties

Well below state avg (9.1)

3 complaint-triggered

$15,239 in fines

Families have filed three complaint reports, including concerns about serious medication errors and care planning issues. The facility shows recurring problems in basic daily care assistance, infection control, and resident assessment planning across multiple surveys. While the provider has correction dates for most deficiencies, the pattern of complaints and repeated issues with fundamental care areas suggests families should carefully evaluate current conditions during visits.

Jan 29, 2026Complaint1 finding

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jul 31, 2025Routine4 findings

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 20, 2024Complaint1 finding

0760Severe

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 6, 2024Routine7 findings

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Aug 3, 2023Complaint1 finding

0726MinorCorrected

Nursing and Physician Services Deficiencies

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.

Federal Penalties

Fine

Aug 20, 2024

$15,239

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smithville Hospital Authority

Organization Type

for profit

Management Company

REGENCY IHS OF SMITHVILLE TOWERS LLC

Administrator

BERTHA G G GARZA

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 19 of 67

Ownership & Management

Owners

Smithville Hospital Authority

Owner · Organization

100%

Regency Ihs of Smithville Towers LLC

Owner · Organization

Csv Rhea Management Holdco, LLC