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HomeTexasWestward Trails Nursing and Rehabilitation

Westward Trails Nursing and Rehabilitation

3001 Westward Dr, Nacogdoches, TX 759649365692631WebsiteGoogle Maps
4.0on Google(31 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
1/5
Quality
3/5
Beds
108
certified
3 fine(s) totaling $25,036

How Westward Trails Nursing and Rehabilitation Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
4/5
TX average
2.8/5
Above state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.27 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.17 hrs/day
TX average
0.43 hrs/day
Below state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 health inspection rating is above the Texas average of 2.8/5.
Reported RN time is 0.17 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected Apr 24, 2024
Most recent cycle
2
deficiency citations
Inspected Jun 25, 2025
The most recent cycle recorded 14 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Nacogdoches County 65+
9,883
15.3% of county
County Population
64,768
Nacogdoches County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 3 out of 5.

Beds
108
Avg Residents/Day
82.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 15, 1991
Sprinklers
Yes
Council
Resident
County
Nacogdoches
Last Inspection
Jun 25, 2025
Deficiencies (Cycle 1)
2
Weighted Score
49.0
Infection Citations
0

Deficiency Citations (24)

F0812Potential for Harm

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

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: May 22, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0690Potential 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.

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0600Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0644Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0919Potential for Harm

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

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0926Potential for Harm

Have policies on smoking.

Survey: Apr 24, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0657Potential for Harm

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

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0926Potential for Harm

Have policies on smoking.

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Mar 15, 2023Corrected: NoCycle: 3
Total Fines
$25,036
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMar 31, 2025
$4,486
FineMar 31, 2025
$5,649
FineJun 25, 2025
$14,901

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.32 hrs
LPN1.14 hrs
National avg: 0.86 hrs
RN0.17 hrs
National avg: 0.69 hrs
Total Nursing3.27 hrs
National avg: 3.86 hrs
Weekend Total2.59 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AMay 1, 2021
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2021
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2021
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2021

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Westward Trails Nursing and Rehabilitation and nearby alternatives.

All Texas facilities
Westward Trails Nursing and Rehabilitation
Nacogdoches, TXCurrent facility
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $25,036
Willowbrook Nursing Center
Nacogdoches, TX2.1 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $153,439
Stallings Court Nursing and Rehabilitation
Nacogdoches, TX2.4 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Garrison Nursing Home & Rehabilitation Center
Garrison, TX16.5 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $52,951
Wells LTC Nursing & Rehabilitation
Wells, TX18.5 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $34,428
Southland Rehabilitation and Healthcare Center
Lufkin, TX21.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $188,884
Larkspur
Lufkin, TX21.7 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $30,928
FacilityDistanceCMSHealthStaffingRecorded fines
Westward Trails Nursing and Rehabilitation
Nacogdoches, TX · Current facility
—3/54/51/5$25,036
Willowbrook Nursing Center
Nacogdoches, TX
2.1 mi3/53/51/5$153,439
Stallings Court Nursing and Rehabilitation
Nacogdoches, TX
2.4 mi5/54/53/5None recorded
Garrison Nursing Home & Rehabilitation Center
Garrison, TX
16.5 mi3/53/52/5$52,951
Wells LTC Nursing & Rehabilitation
Wells, TX
18.5 mi1/51/53/5$34,428
Southland Rehabilitation and Healthcare Center
Lufkin, TX
21.5 mi1/52/51/5$188,884
Larkspur
Lufkin, TX
21.7 mi3/54/51/5$30,928

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Westward Trails Nursing and Rehabilitation?▾
Westward Trails Nursing and Rehabilitation has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated average.
How much does Westward Trails Nursing and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Westward Trails Nursing and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Westward Trails Nursing and Rehabilitation had any health inspection violations?▾
Westward Trails Nursing and Rehabilitation had 2 deficiency citations in its most recent health inspection (Jun 25, 2025). The current CMS dataset records 3 fine(s) totaling $25,036.
What are the staffing levels at Westward Trails Nursing and Rehabilitation?▾
Westward Trails Nursing and Rehabilitation provides 3.27 total nursing staff hours per resident per day, including 0.17 RN hours, 1.14 LPN hours, and 1.96 nurse aide hours.
How many beds does Westward Trails Nursing and Rehabilitation have?▾
Westward Trails Nursing and Rehabilitation has 108 certified beds with an average of 82.1 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Westward Trails Nursing and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 2 in Nacogdoches. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Westward Trails Nursing and Rehabilitation?▾
On Google Maps, Westward Trails Nursing and Rehabilitation has a rating of 4.0 out of 5 based on 31 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →