Towers Nursing Home
Smithville, Bastrop County, Texas · CCN 675942 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Towers Nursing Home 4 of 5 overall as of August 2026. 120 certified beds, 111 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $15,239.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 2.58861 hours per resident per day |
|---|---|
| Registered nurses | 0.20602 hours per resident per day |
| Weekend total | 2.32386 hours per resident per day |
| Nursing staff turnover | 58.8% (registered nurses 33.3%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-11 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-19 |
| 2026-06-11 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-19 |
| 2026-04-01 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-08 |
| 2026-04-01 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-08 |
| 2026-01-29 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-30 |
| 2025-07-31 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2024-08-20 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
K Immediate jeopardy to resident health or safety; pattern | Past Non-Compliance 2024-08-09 |
| 2024-06-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-07 |
| 2024-06-06 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-07 |
| 2023-08-03 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-04 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-20 | Fine | $15,239 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Smithville Hospital Authority Organization | 5% or greater direct ownership interest | 100% | 2016-06-27 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2016-06-27 |
| Regency Ihs Of Smithville Towers LLC Organization | adp of the snf | — | 2025-06-16 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2016-06-27 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-06-16 |
| Smithville Hospital Authority Organization | adp of the snf | — | 2025-06-16 |
| Regency Ihs Of Smithville Towers LLC Organization | direct ownership interest | — | 2016-06-27 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2016-06-27 |
| Reg Bridge Opco LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2016-06-27 |
| Regency Ihs Of Smithville Towers LLC Organization | operational/managerial control | — | 2016-06-27 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2016-06-27 |
| Smithville Hospital Authority Organization | operational/managerial control | — | 2016-06-27 |
| Chudleigh, James Individual | adp of the snf | — | 2025-01-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2016-06-27 |
| Gray, Cole Individual | adp of the snf | — | 2025-03-17 |
| Migl, Gina Individual | adp of the snf | — | 2025-01-01 |
| Ognowski, Dustin Individual | adp of the snf | — | 2025-01-01 |
| Wilson, Linda Individual | corporate officer | — | 2023-07-19 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Bunte, Mark Individual | managing control - governing body | — | 2020-10-27 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Fulcher, Ann Individual | managing control - governing body | — | 2015-01-22 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Wilson, Linda Individual | managing control - governing body | — | 2023-07-19 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2016-06-27 |
| Gray, Cole Individual | operational/managerial control | — | 2025-03-17 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Towers Nursing Home.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bastrop County.