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Data / Nursing homes / Texas / Towers Nursing Home

Towers Nursing Home, Smithville, TX: 4 star rating, fined $15,239 across 1 fine

Towers Nursing Home in Smithville, TX is owned by Smithville Hospital Authority and Regency Ihs of Smithville Towers LLC, is rated 4 of 5 stars by Medicare, and was fined $15,239 across 1 fine in the three years to October 1, 2026. CMS lists 16 health citations from inspections in that time, the latest survey on June 11, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
372 Hill Road, Smithville, TX 78957
Overall rating
4 of 5 stars
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5
Certified beds
120
Residents per day
110 on average
Ownership type
Nonprofit, corporation
Legal business name
Smithville Hospital Authority
Chain
Wellsential Health, 67 facilities
Fines
$15,239 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
16, of which 2 with actual harm or immediate jeopardy
Latest survey
June 11, 2026
CMS Certification Number
675942
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
August 20, 2024Fine$15,239Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 11, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2026data.cms.gov
June 11, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2026data.cms.gov
April 1, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
April 1, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
January 29, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2026data.cms.gov
July 31, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2025data.cms.gov
July 31, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2025data.cms.gov
July 31, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2025data.cms.gov
August 20, 2024F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyPast noncomplianceAugust 9, 2024data.cms.gov
June 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 16 individual or personal trusts (10 managers, 1 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Smithville Hospital AuthorityDirect owner100%June 27, 2016data.cms.gov
Regency Ihs of Smithville Towers LLCDirect ownerNot listedJune 27, 2016data.cms.gov
CSV Rhea Management HOLDCO, LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
DWD TX Holdings LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownerNot listedJune 27, 2016data.cms.gov
Reg Bridge OPCO LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Reg HG OPCO LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Reg Operator HOLDCO LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Regency Integrated Health Services LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Regency Texas Holdings LLCIndirect ownerNot listedJune 27, 2016data.cms.gov
Regency Ihs of Smithville Towers LLCOperational or managerial controlNot listedJune 27, 2016data.cms.gov
Regency Integrated Health Services LLCOperational or managerial controlNot listedJune 27, 2016data.cms.gov
Smithville Hospital AuthorityOperational or managerial controlNot listedJune 27, 2016data.cms.gov
Regency Ihs Clinical Consulting, LLCAdditional disclosable partyNot listedJune 27, 2016data.cms.gov
Regency Ihs of Smithville Towers LLCAdditional disclosable partyNot listedJune 16, 2025data.cms.gov
Regency Ihs Rehab LLCAdditional disclosable partyNot listedJune 27, 2016data.cms.gov
Regency Integrated Health Services LLCAdditional disclosable partyNot listedJune 16, 2025data.cms.gov
Smithville Hospital AuthorityAdditional disclosable partyNot listedJune 16, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.