Westward Trails Nursing and Rehabilitation
3001 Westward Drive, Nacogdoches, TX 75964
Phone: 9365692631
CMS ratings and facility information
Westward Trails Nursing and Rehabilitation is a Medicare-certified nursing facility in Nacogdoches, Nacogdoches County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 3 of 5 |
| Certified beds | 108 |
| Ownership | For profit - Corporation |
| CMS certification number | 455959 |
Staffing
| Total nurse hours per resident day | 3.38 |
|---|---|
| RN hours per resident day | 0.2 |
| Nurse aide hours per resident day | 2.05 |
| Total nursing staff turnover percent | 40.5 |
| RN turnover percent | 40 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.39 | events_per_1000_resident_days | 20250401-20260331 |
| Emergency-department visits | 3.73 | events_per_1000_resident_days | 20250401-20260331 |
| Falls with major injury | 5.57 | percent | 2025Q3-2026Q2 |
| Pressure ulcers | 7.14 | percent | 2025Q3-2026Q2 |
| Urinary tract infections | 2.67 | percent | 2025Q3-2026Q2 |
| Antipsychotic medication use | 5.24 | percent | 2025Q3-2026Q2 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-08-19 | 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E |
| 2026-08-19 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-08-19 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-06-25 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-24 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-04-24 | 0583 | Keep residents' personal and medical records private and confidential. | D |
| 2024-04-24 | 0637 | Assess the resident when there is a significant change in condition | D |
| 2024-04-24 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2024-04-24 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-04-24 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-04-24 | 0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2024-04-24 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-04-24 | 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-04-24 | 0926 | Have policies on smoking. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | ,901 |
| 2025-03-31 | Fine | ,486 |
| 2025-03-31 | Fine | ,649 |
Ownership records
| Name | Type | Role |
|---|---|---|
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL |
Compare nursing homes in Nacogdoches County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.