Westward Trails Nursing and Rehabilitation
3001 Westward Drive, Nacogdoches, TX 75964 · (936) 569-2631
For profit - Corporation · 108 certified beds
Westward Trails Nursing and Rehabilitation has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 1 citation, 1 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 3 times in the last three years, $25,036 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 25, 2025 found 1 citation. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 25, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 20, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 25, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 22, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 31, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 31, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 31, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 31, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 31, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $14,901June 25, 2025
- Fine of $4,486March 31, 2025
- Fine of $5,649March 31, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.27 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.17 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.14 | 0.95 | 0.86 |
| Nurse aides | 1.96 | 2.01 | 2.32 |
| Total nursing staff turnover | Not available | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 108 |
| Average residents per day | 82.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Stallings Court Nursing and Rehabilitation Nacogdoches · ★★★★★ 5 out of 5 stars
- Willowbrook Nursing Center Nacogdoches · ★★★★★ 3 out of 5 stars
- Garrison Nursing Home & Rehabilitation Center Garrison · ★★★★★ 3 out of 5 stars
Compare every nursing home in Nacogdoches, TX · Nursing homes in Texas · Home health agencies in Nacogdoches, TX
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Data from Medicare (CMS), updated October 2026, from Westward Trails Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.