WESTWARD TRAILS NURSING AND REHABILITATION

3001 WESTWARD DR, NACOGDOCHES, TX 75964 · CCN 455959 · 108 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections4 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-06-25 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-31 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.61

state median 2.67

Weekend staffing gap

−17%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.10

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

13

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $25,036 in fines.

DateTypeAmount
2025-06-25Fine$14,901
2025-03-31Fine$4,486
2025-03-31Fine$5,649

Ownership

Ownership type: For profit - Corporation. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 22 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-11-20F0812Nutrition and Dietary DeficienciesFnot recorded
2025-06-25F0689Quality of Life and Care DeficienciesJnot recorded
2025-05-22F0677Quality of Life and Care DeficienciesDnot recorded
2025-03-31F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-31F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-31F0689Quality of Life and Care DeficienciesJnot recorded
2025-03-31F0690Quality of Life and Care DeficienciesEnot recorded
2025-03-31F0755Pharmacy Service DeficienciesDnot recorded
2024-04-24F0583Resident Rights DeficienciesDnot recorded
2024-04-24F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-24F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-24F0689Quality of Life and Care DeficienciesDnot recorded
2024-04-24F0692Quality of Life and Care DeficienciesDnot recorded
2024-04-24F0695Quality of Life and Care DeficienciesDnot recorded
2024-04-24F0880Infection Control DeficienciesEnot recorded
2024-04-24F0919Environmental DeficienciesDnot recorded
2024-04-24F0926Environmental DeficienciesDnot recorded
2023-03-15F0582Resident Rights DeficienciesEnot recorded
2023-03-15F0638Resident Assessment and Care Planning DeficienciesEnot recorded
2023-03-15F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-03-15F0677Quality of Life and Care DeficienciesEnot recorded
2023-03-15F0761Pharmacy Service DeficienciesDnot recorded
2023-03-15F0926Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “WESTWARD TRAILS NURSING AND REHABILITATION, NACOGDOCHES” at medicare.gov/care-compare.