Where They Care · plain answers about nursing homes

Towers Nursing Home

372 Hill Road, Smithville, TX 78957 · 120 beds · Non profit - Corporation

The records flag: 1 citation at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★★
Above average · 4 of 5
All nursing staff, hours / resident
2.54
RNs, LPNs and aides · state average 3.46
Weekend RN coverage
−25%
vs weekdays
Staff turnover
59%
state average 55%
1 citation at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.20 hrs
Weekends
0.15 hrs
TX average
0.44 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage is about 25% lower at weekends.

Staff turnover: 59%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 15 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
1
Actual harm
A resident was harmed, without immediate danger to life
1
Potential for harm
No one harmed yet, but conditions could allow it
13
No harm
Rule and paperwork findings
0

5 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $15,239 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Smithville Hospital Authority
100% ownership interest
Direct owner (5% or more), Operational or managerial control, Additional disclosable party 06/27/2016
Csv Rhea Management Holdco, LLC Indirect owner 06/27/2016
Dwd Tx Holdings LLC Indirect owner 06/27/2016
Jack and Nancy Dwyer Workforce Development Center INC Indirect owner 06/27/2016
Reg Bridge Opco LLC Indirect owner 06/27/2016
Reg Hg Opco LLC Indirect owner 06/27/2016
Reg Operator Holdco LLC Indirect owner 06/27/2016
Regency Ihs of Smithville Towers LLC Direct owner, Operational or managerial control, Additional disclosable party 06/27/2016
Regency Integrated Health Services LLC Indirect owner, Operational or managerial control, Additional disclosable party 06/27/2016
Regency Texas Holdings LLC Indirect owner 06/27/2016
Baird, Daniel Governing body 04/13/2021
Bunte, Mark Governing body 10/27/2020
Clapp, Barbara Governing body 06/01/2021
Cortese, Daren Governing body 08/10/2021
Dekowski, Donovan Operational or managerial control, Additional disclosable party 06/27/2016
Fulcher, Ann Governing body 01/22/2015
Gibson, Patricia Governing body 08/01/2021
Gray, Cole Operational or managerial control, Additional disclosable party 03/17/2025
Mandelbaum, Elliot Governing body 01/01/2025
Wilson, Linda Governing body, Corporate officer 07/19/2023
Chudleigh, James Additional disclosable party 01/01/2025
Migl, Gina Additional disclosable party 01/01/2025
Ognowski, Dustin Additional disclosable party 01/01/2025
Regency Ihs Clinical Consulting, LLC Additional disclosable party 06/27/2016
Regency Ihs Rehab LLC Additional disclosable party 06/27/2016

Of the 25 parties disclosed here, 10 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Windsor Nursing and Rehabilitation Center of Bastr
Bastrop
13.7 3 0.41 −7%
Bastrop Lost Pines Nursing and Rehabilitation Cent
Bastrop
13.9 1 0.16 −10%
Silver Pines Nursing and Rehabilitation Center
Bastrop
14.0 4 0.22 +18%
Care Inn of la Grange
La Grange
16.6 3 0.30 −56%
Monument Rehabilitation and Nursing Center
La Grange
17.5 2
Harmony Care at Giddings
Giddings
17.7 1 0.39 −42%
Avir at Giddings
Giddings
17.9 1 0.33 −49%
Flatonia Healthcare Center
Flatonia
21.4 1 0.72 −29%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 59%. How long has the director of nursing been in post?
  3. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.