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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasWestward Trails Nursing and Rehabilitation

Westward Trails Nursing and Rehabilitation

3001 Westward Dr, Nacogdoches, TX 759649365692631
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
4/5
Beds
108
certified
3 fine(s) totaling $33,060

Key Findings

• 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.

Beds
108
Avg Residents/Day
83.4
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)
8
Weighted Score
75.0
Infection Citations
1

Deficiency Citations (25)

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
F0677Potential for Harm

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

Survey: May 22, 2025Corrected: NoCycle: 1
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: 1
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: 1
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: 1
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: 1
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: 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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 3, 2023Corrected: NoCycle: 3
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
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
F0926Potential for Harm

Have policies on smoking.

Survey: Mar 15, 2023Corrected: NoCycle: 3
Total Fines
$33,060
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
$22,925

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

Nurse Aide2.19 hrs
National avg: 2.35 hrs
LPN1.11 hrs
National avg: 0.86 hrs
RN0.18 hrs
National avg: 0.68 hrs
Total Nursing3.49 hrs
National avg: 3.89 hrs
Weekend Total2.78 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
36.0%
RN Turnover
50.0%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2021
BLAKE, GARY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%May 1, 2021
BLAKE, MALISA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%May 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
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AMay 1, 2021

Nearby Nursing Homes

All Texas facilities

Willowbrook Nursing Center

Nacogdoches, TX · 166 beds

For profit$153,439 in fines
Health
Staffing
Quality
2.1 mi

Stallings Court Nursing and Rehabilitation

Nacogdoches, TX · 120 beds

For profit
Health
Staffing
Quality
2.4 mi

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 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
Has Westward Trails Nursing and Rehabilitation had any health inspection violations?▾
Westward Trails Nursing and Rehabilitation had 8 deficiency citations in its most recent health inspection (Jun 25, 2025). The facility has been fined a total of $33,060 across 3 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Westward Trails Nursing and Rehabilitation?▾
Westward Trails Nursing and Rehabilitation provides 3.49 total nursing staff hours per resident per day, including 0.18 RN hours, 1.11 LPN hours, and 2.19 nurse aide hours. The total staff turnover rate is 36.0%.
How many beds does Westward Trails Nursing and Rehabilitation have?▾
Westward Trails Nursing and Rehabilitation has 108 certified beds with an average of 83.4 residents per day, resulting in approximately 77% 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, there are 2 other nursing homes in Nacogdoches, Texas with an average rating of 3/5. You can compare all facilities on the Nacogdoches nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →