Westward Trails Nursing And Rehabilitation
3001 Westward Dr, Nacogdoches, TX 75964 · Nacogdoches County
For-profit · 108 certified beds · 76% occupancy · (936) 569-2631
The U.S. government (CMS) rates Westward Trails Nursing And Rehabilitation 3 out of 5 stars overall — average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.27 nurse hours per resident per day. About the Texas median.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Jun 25, 2025ComplaintCorrected May 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Nov 20, 2025ComplaintCorrected Nov 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Immediate jeopardyTag F0689 · Mar 31, 2025ComplaintCorrected Feb 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Mar 31, 2025ComplaintCorrected Apr 1, 2025
Provide 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 Deficiencies
- Potential for harmTag F0880 · Apr 24, 2024Corrected Apr 30, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0677 · May 22, 2025ComplaintCorrected May 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0600 · Mar 31, 2025ComplaintCorrected Apr 1, 2025
Protect 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 Deficiencies
- Potential for harmTag F0609 · Mar 31, 2025ComplaintCorrected Apr 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0755 · Mar 31, 2025ComplaintCorrected Apr 1, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0583 · Apr 24, 2024Corrected Apr 30, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 24 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.