• CMS rates this facility 3/5 stars (average)
• Has 108 certified beds with an average of 83.4 residents per day (77% occupancy)
• Last health inspection found 8 deficiencies (inspected Jun 25, 2025)
• Has been fined a total of $33,060 across 3 fine(s)
• Total nursing staff: 3.49 hours per resident per day
• Staff turnover rate: 36.0%
• Part of the Creative Solutions in Healthcare chain (149 facilities)
Westward Trails Nursing and Rehabilitation is a 3-star Medicare and Medicaid certified nursing home in Nacogdoches, Texas with 108 certified beds. It has been operating since 1991. The facility scored at average compared to Texas facilities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Keep residents' personal and medical records private and confidential.
Assess the resident when there is a significant change in condition
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Have policies on smoking.
Provide and implement an infection prevention and control program.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Assure that each resident’s assessment is updated at least once every 3 months.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Have policies on smoking.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 1, 2021 |
| BLAKE, GARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | May 1, 2021 |
| BLAKE, MALISA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | May 1, 2021 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2021 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2021 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2021 |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | Individual | N/A | May 1, 2021 |
This chain operates 149 facilities. View all →