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Towers Nursing Home

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Reviews
Overall Rating 2.6 / 5.0 ★★★★★

  • ★★★★★ 3 months ago

    My mother was in Towers for several years. I first had issues when a cleaning staff member knocked her dentures in the trash and they were discarded and they refused to take responsibility and made me pay out of pocket for replacement teeth. Then my mother complained they were showering her and making her wear the same clothes and other peoples clothes even though they are supposed to provide new clothes periodically and I never minded buying and marking clothes for her. Following a horrible divorce and ongoing issues I tried to move and move my mother to San Marcos and they refused to allow me to relocate my mother so I slowed payments and they contacted SS and took guardianship of her even though I was not incapacitated and was still actively employed at the time. They refused to allow me to move her to Lockhart to share a room with my aunt whom she dearly loved and when I became disabled and could no long work due to my own disabilities and long term spousal abuse..they refused to allow me to move her out of Smithville away from my ex and to a facility that was accessible to me. When I filed formal complaints after 5 yrs, they finally painted her room but refused to move her even to Bastrop so I could visit her by bus. She finally passed away. I buried her in San Marcos..oh thanks Dennis...she was My mother!

  • ★★★★★ 2 years ago

    The culture at Towers is that "Residents are here to die". There are a variety of reasons for residents to be there, very few if any are there to die. They are there to LIVE out the remainder of their lives or in many cases rehab. little commitment to rehabiliation or therapies, but plenty of red tape and reasons why they don't provide adequate care much less rehabilitation. Many of the direct care staff care a great deal, and do what they can with not enough staff.

  • ★★★★★ 2 years ago

    Tower Nursing Home neglects their patients. They disregard the patience needs and wants. We have tried to work with them and made several attempt to correct the problems. The worse is the Kitchen Staff!!!! They are feeding the patience old, cold and sloppy food. The kitchen does not care if the patient continues to remind them that they want coffee with their breakfast or condiments with their meals. The kitchen staff is not managed and we believe they are stealing the good food and serving sloppy to the patience. Unfortunately, my mother is in this place (we are working on having her moved to another home) and she fell and broke a bone. Seton needs to get a handle on this place and make some very serious changes. Next we will report this to the local new investigative team.

  • ★★★★★ 6 years ago

    My best friend's mother was in Towers for years until she passed. We visited her a lot. All of the staff was very helpful and attentive to the residents.

  • ★★★★★ 3 years ago

    My great grandmother was in this place. She was neglected abused and we moved her immediately!! This place should be closed down !! Would not recommend for anyone's loved one to be here!

About Towers Nursing Home

General Information

Legal Business NameSmithville Hospital Authority
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareDecember 17, 2002 (15 years)
Capacity78
Residents78
Percent Occupied100%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Towers Nursing Home

Towers Nursing Home
was reviewed by to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 25, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

June 10, 2016 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
FManyPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
GFewActual HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

May 15, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
FManyPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
FManyPotential for HarmHealth InspectionQuickly tell the resident's doctor the results of laboratory tests.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmHealth InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Towers Nursing Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 10min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
25min
60min
ReportedExpected
RN
3hr 10min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.8%
100.0%
100.0%
100.0%
91.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
98.7%
100.0%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
32.6%
44.4%
50.0%
56.8%
48.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of low risk long-stay residents who lose control of their bowels or bladder
17.9%
19.4%
22.0%
23.0%
27.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who received an antianxiety or hypnotic medication
8.8%
36.0%
21.4%
42.6%
20.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents whose ability to move independently worsened
24.6%
24.3%
25.4%
29.2%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who received an antipsychotic medication
17.9%
21.0%
13.6%
48.3%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents whose need for help with daily activities has increased
4.9%
2.4%
2.4%
5.7%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who self-report moderate to severe pain
4.2%
4.1%
6.8%
3.9%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who lose too much weight
0.0%
5.4%
8.3%
4.7%
6.3%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of high risk long-stay residents with pressure ulcers
3.0%
0.0%
5.4%
0.0%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who have depressive symptoms
2.8%
2.7%
5.4%
9.2%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a urinary tract infection
4.2%
5.4%
5.3%
2.6%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents experiencing one or more falls with major injury
3.0%
1.2%
2.2%
1.1%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

75.6%
75.0%
80.6%
81.2%
74.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.8%
50.0%
50.0%
50.0%
71.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
55.7%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
30.8%
29.6%
-
-
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
3.8%
4.3%
-
9.1%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
3.7%
2.7%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016TX
Percentage of short-stay residents with pressure ulcers that are new or worsened



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