Westward Trails Nursing and Rehabilitation
Nursing Home · Nacogdoches, TX
CMS certification number455959
Contact & location
3001 Westward DriveNacogdoches, TX 75964
Nacogdoches County
- Phone
- (936) 569-2631
- ZIP code
- 75964 – all care providers
Facility details
- Certified beds
- 108
- Residents per day
- 82.1 (76% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Westward I Enterprises LLC
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- November 15, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.27 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.17 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.14 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.96 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.59 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- June 25, 2025
- Health deficiencies (last cycle)
- 2.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 24 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-21 |
| 2025-06-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-05-28 |
| 2025-05-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-23 |
| 2025-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-02-25 |
| 2025-03-31 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-03-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-03-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-03-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2024-04-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2024-04-24 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-30 |
| 2023-03-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
| 2023-03-15 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
| 2023-03-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
| 2023-03-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
| 2023-03-15 | Have policies on smoking. F0926 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
| 2023-03-15 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $25,036 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | $14,901 |
| 2025-03-31 | Fine | $5,649 |
| 2025-03-31 | Fine | $4,486 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Creative Solutions in Healthcare INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Huggins, Linda (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Westward Trails Nursing and Rehabilitation?
Westward Trails Nursing and Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Westward Trails Nursing and Rehabilitation have?
It has 108 certified beds and cares for about 82 residents per day.
Has Westward Trails Nursing and Rehabilitation been fined?
Yes. CMS lists 3 penalties totaling $25,036 in the last three years.
Who owns Westward Trails Nursing and Rehabilitation?
It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Westward Trails Nursing and Rehabilitation?
(936) 569-2631. The facility is located at 3001 Westward Drive, Nacogdoches, TX 75964.
Other nursing homes in Nacogdoches
-
Stallings Court Nursing and Rehabilitation
Nursing Home · Nacogdoches, TX · 120 beds
★★★★★ -
Willowbrook Nursing Center
Nursing Home · Nacogdoches, TX · 166 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.