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Westward Trails Nursing and Rehabilitation

All states › Texas › Nacogdoches › Westward Trails Nursing and Rehabilitation

3001 Westward Drive Nacogdoches, TX 75964 · Nacogdoches County

(936) 569-2631

All 3 nursing homes in Nacogdoches, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 108 certified beds For profit

CMS certification number 455959 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Westward Trails Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Westward Trails Nursing and Rehabilitation as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 21 citations in the last three years. CMS imposed 3 penalties, including $25,036 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.38 hours per resident per day at Westward Trails Nursing and Rehabilitation, about the same as the Texas median of 3.30 (US median: 3.72). About 0.20 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 19% below its all-week average. Ask how weekends are staffed. 40.5% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.

Nursing care per resident per day 3.38 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.20 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.74 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 40.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 40% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds108
Residents per day 83 About 77% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1991
Part of a chainCreative Solutions In Healthcare
Legal business nameWESTWARD I ENTERPRISES LLC

Paying for care at Westward Trails Nursing and Rehabilitation: Medicare and Medicaid

Westward Trails Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 19, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 21 citations at Westward Trails Nursing and Rehabilitation across 6 inspection dates, 8 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 25, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 25, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 19, 2026 · 3 citations

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 27, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 20, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 20, 2026)

November 20, 2025 · 1 citation · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2025)

June 25, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (May 28, 2025)

May 22, 2025 · 1 citation · includes complaint inspection

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (May 23, 2025)

March 31, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Feb 25, 2025)

EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Apr 1, 2025)

April 24, 2024 · 10 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 30, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Apr 30, 2024)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Apr 30, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Apr 30, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 30, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 30, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 30, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 30, 2024)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Apr 30, 2024)

DHave policies on smoking.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0926 · Deficient, Provider has date of correction (Apr 30, 2024)

Questions to ask on a tour of Westward Trails Nursing and Rehabilitation

  1. Inspectors cited the home at the immediate-jeopardy level on June 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 31, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $25,036 in fines.

DateTypeAmount or length
Jun 25, 2025 Fine $14,901
Mar 31, 2025 Fine $4,486
Mar 31, 2025 Fine $5,649

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 1/5 3/5
August 2026 3/5 4/5 1/5 3/5
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Location

Hospitals near Westward Trails Nursing and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.0 mi
    Nacogdoches Medical Center Nacogdoches
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 36m for patients treated and sent home
  • 3.6 mi
    Nacogdoches Memorial Hospital Nacogdoches
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 54m for patients treated and sent home
  • 22.0 mi
    CHI St Lukes Health Memorial Lufkin Lufkin
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 44m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Willowbrook Nursing Center Nacogdoches · 2.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 166 beds · Medicaid
Stallings Court Nursing and Rehabilitation Nacogdoches · 2.4 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Garrison Nursing Home & Rehabilitation Center Garrison · 16.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 93 beds · Medicaid
Wells LTC Nursing & Rehabilitation Wells · 18.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 90 beds · Medicaid
Southland Rehabilitation and Healthcare Center Lufkin · 21.5 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 150 beds · Medicaid

More nursing homes near Westward Trails Nursing and Rehabilitation ›   All nursing homes in Nacogdoches ›

Compare Westward Trails Nursing and Rehabilitation with the 3 closest homes side by side ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/nacogdoches/westward-trails-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.