Nursing Home in Nacogdoches, TX · CMS Data August 2026

Westward Trails Nursing and Rehabilitation

How Does Westward Trails Nursing and Rehabilitation Rate?

Westward Trails Nursing and Rehabilitation is a 108-bed for-profit nursing home in Nacogdoches, TX. CMS rates it 3 out of 5 stars overall (August 2026), with 4 for health inspections, 1 for staffing and 3 for quality measures. Residents got an average of 3.3 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on June 25, 2025, cited 2 health deficiencies.

CMS overall rating: 3 of 5
Nursing per resident per day: 3.3 hours
Deficiencies at last inspection: 2
Certified beds: 108

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

3001 Westward Drive
Nacogdoches, TX 75964

3 of 5 CMS overall · Average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Westward Trails Nursing and Rehabilitation
Rating	Stars	CMS label
Overall rating	3 of 5	Average
Health inspections	4 of 5	Above average
Staffing	1 of 5	Much below average
Quality measures	3 of 5	Average
Quality for long-stay residents	3 of 5	Average
Quality for short-stay residents	2 of 5	Below average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Westward Trails Nursing and Rehabilitation and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.3 hours	3.7 hours
Registered nurse hours per resident per day	0.2 hours	0.6 hours
Nurse aide hours per resident per day	2.0 hours	2.2 hours
Total nursing hours per resident on weekends	2.6 hours	3.3 hours

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Westward Trails Nursing and Rehabilitation
Last standard health inspection	June 25, 2025
Health deficiencies cited at that inspection	2
Deficiencies from complaint inspections (same rating cycle)	2
Fines in the past 3 years	3 totaling $25,036
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Westward Trails Nursing and Rehabilitation who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Westward Trails Nursing and Rehabilitation
Residents who	This home	National median	Compared
Received an antipsychotic medication	6.3%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	11%	18%	Lower than the national median
Had a fall with major injury	4.9%	2.8%	Higher than the national median
Have pressure ulcers	6.8%	4.2%	Higher than the national median
Lost too much weight	3.2%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	0.0%	3.6%	Lower than the national median
Needed more help with daily activities over time	17%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Westward Trails Nursing and Rehabilitation
Certified beds	108
Average residents per day	82
Ownership	For profit - Corporation
Legal business name	WESTWARD I ENTERPRISES LLC
Chain or affiliated group	CREATIVE SOLUTIONS IN HEALTHCARE (149 homes)
Certified for	Medicare and Medicaid
First certified	November 1991
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.