D

TOWERS NURSING HOME

372 HILL ROAD, SMITHVILLE, TX 78957
Score: 54 / 100

Towers Nursing Home faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.

With 2.48 total nurse hours per resident per day, Towers Nursing Home falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 13 deficiencies at Towers Nursing Home, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.48 3.8 Below Average
Registered Nurses (RN) 0.23 0.7 Below Average
Licensed Practical Nurses (LPN) 0.68 0.7 Average
Certified Nursing Assistants (CNA) 1.58 2.4 Below Average
Weekend Total Nursing 2.22 3.8 Below Average
Weekend RN Hours 0.17 0.7 Below Average

🔍 Inspection & Deficiency History

13
Total Deficiencies
Jan 28, 2026
Most Recent Inspection
🟠 12 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jan 28, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Jul 30, 2025 · Resident Rights Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jul 30, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jul 30, 2025 · Infection Control Deficiencies
  • Tag 0760 Severity K
    Ensure that residents are free from significant medication errors.
    Aug 19, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.6% 4.5% Better
Falls with major injury 4.9% 3.0% Worse
On antipsychotic medication 6.5% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.8% 14.0% Average
Excessive weight loss 1.8% 7.5% Better
New/worsened incontinence 19.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $15,239

How This Grade Was Calculated

This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 30, 2025
Deficiencies (Cycle 1)
4