For profit - Corporation ·
108 certified beds ·
Medicare and Medicaid
· Part of Creative Solutions In Healthcare (149 facilities)
3
Overall CMS Rating
★★★☆☆
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 $33,060 in CMS records.
3 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★☆☆ 3/5
Health Inspections
★★★☆☆ 3/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
★★★☆☆ 3/5
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
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.
3.49
Total Nurse Hrs/Resident/Day
0.18
RN Hrs/Resident/Day
1.11
LPN Hrs/Resident/Day
2.19
Aide Hrs/Resident/Day
2.78
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
36.0%
Registered Nurses
50.0%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Jun 25, 2025
Most Recent Inspection Date
8
Total Deficiencies Found
80
Health Inspection Score
3
Number of Fines
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
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
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
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
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
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
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
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
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Apr 24, 2024
Potential for harm
Have policies on smoking.Environmental Deficiencies · Apr 24, 2024
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
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Apr 24, 2024
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
149
Facilities Nationwide
Creative Solutions In Healthcare operates 149 nursing facilities across the United States.
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.
Westward Trails Nursing And Rehabilitation reports 3.49 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 8 deficiencies.
Westward Trails Nursing And Rehabilitation is certified for 108 beds.
Admissions at Westward Trails Nursing And Rehabilitation
For admissions, availability and rehab questions, call (936) 569-2631. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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