Nursing HomeInspections

Westward Trails Nursing and Rehabilitation

Nursing home in Nacogdoches, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (936) 569-2631Send a messageMap ↗

Public-record details

Address
3001 Westward Drive, Nacogdoches, TX 75964
Phone
(936) 569-2631
Listed under
For-profit
Medicare CCN
455959
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
108
Average residents per day
82
Ownership
For-profit, corporation
Legal business name
Westward I Enterprises LLC
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 15, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455959. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 25, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 15, 2023 to Nov 20, 2025): 8 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
May 22, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2025Provide 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 31, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 24, 2024Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 24, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 24, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $25,036 in the last three years.

Jun 25, 2025Fine: $14,901
Mar 31, 2025Fine: $4,486
Mar 31, 2025Fine: $5,649

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.27 hours
Registered nurse (RN) time per resident per day
0.17 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
2.59 hours
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Nacogdoches

Stallings Court Nursing and Rehabilitation4616 Ne Stallings Dr · Nacogdoches, TX 75965 · (936) 569-5600 · For-profit25 health citations in 3 inspection cycles · last standard inspection Feb 5, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Willowbrook Nursing Center227 Russell Blvd · Nacogdoches, TX 75965 · (936) 564-4596 · For-profit23 health citations in 3 inspection cycles · last standard inspection Jul 9, 2025 · $153,439 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

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