Nursing home
Westward Trails Nursing and Rehabilitation
3001 Westward Dr, Nacogdoches, TX 75964 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 108 certified beds
Westward Trails Nursing and Rehabilitation is a Medicare-certified nursing home in Nacogdoches, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.49 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jun 25, 2025 cited 8 deficiencies.
- 3 fines totaling $33,060In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Westward Trails Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.49 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.18 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.19 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 36.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 20, 2025 inspection was corrected by November 21, 2025
Penalties in CMS records: 3 fines totaling $33,060, 3 total penalties.
What inspectors found at Westward Trails Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 25, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
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 · Mar 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 24, 2024 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Apr 24, 2024 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Apr 24, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3001 Westward Dr
Nacogdoches, TX 75964 - CMS certification #
- 455959
- Ownership
- For profit - Corporation
- Certified beds
- 108
- Avg residents/day
- 83.4
- Provider type
- Medicare and Medicaid
- First certified
- 1991-11-15
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Westward Trails Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Nacogdoches Medical Center, Nacogdoches. 2.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Willowbrook Nursing Center, Nacogdoches. 2.1 miles away, straight line.
- Nearest home health agency office
- Advantage Plus Homecare, Nacogdoches. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 2.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75964 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Dci Dialysis Care Services,Inc, Nacogdoches, 2.3 miles away, straight line (CMS rating 3 of 5 stars)
Nacogdoches Dialysis Center, Nacogdoches, 3.1 miles away, straight line (CMS rating 1 of 5 stars)
I Dialysis, LLC, Nacogdoches, 12.1 miles away, straight line - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 75964.
Heart To Heart Hospice Of Lufkin LLC, office in Lufkin, 20.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice In The Pines, office in Lufkin, 22.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Harbor Hospice 26 Lp, office in Lufkin, 22.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- South Limestone Hospital District, Groesbeck. 108.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively low, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Westward Trails Nursing and Rehabilitation a good nursing home?
CMS gives Westward Trails Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Westward Trails Nursing and Rehabilitation staffed?
Westward Trails Nursing and Rehabilitation reports 3.49 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Westward Trails Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Westward Trails Nursing and Rehabilitation have?
Westward Trails Nursing and Rehabilitation is certified for 108 beds.