Nursing Homes · Nacogdoches, TX
Nursing Homes · Medicare certified
Westward Trails Nursing and Rehabilitation
3001 Westward Drive · Nacogdoches, TX 75964 · 108 certified beds
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About Westward Trails Nursing and Rehabilitation
Westward Trails Nursing and Rehabilitation is a nursing home in Nacogdoches, Texas. Its capacity is 108 beds, below the Texas median of 120 for nursing homes. It is run by a for-profit operator and is part of Creative Solutions in Healthcare. It is Medicare certified. Its public inspection record shows 24 citations, the most recent on November 20, 2025. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.38 hours per resident per day. It is one of 3 nursing homes listed in Nacogdoches. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (24)
Records from March 2023 to November 2025.
November 20, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
June 25, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected May 28, 2025.
May 22, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 23, 2025.
March 31, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2025.
March 31, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2025.
March 31, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2025.
March 31, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected February 25, 2025.
March 31, 2025
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 1, 2025.
April 24, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0926Have policies on smoking.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
April 24, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2024.
March 15, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2023.
March 15, 2023
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2023.
Penalties (3)
Total fines: $25,036
June 25, 2025 · Fine
CMS recorded a civil money penalty of $14,901 against this nursing home on June 25, 2025.
March 31, 2025 · Fine
CMS recorded a civil money penalty of $5,649 against this nursing home on March 31, 2025.
March 31, 2025 · Fine
CMS recorded a civil money penalty of $4,486 against this nursing home on March 31, 2025.
Staffing
3.38 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Creative Solutions in Healthcare, a chain of 150 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.7 for health inspections, 1.4 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Nacogdoches.
Nursing Homes · Nacogdoches, TX
Willowbrook Nursing Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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