Westward Trails Nursing And Rehabilitation
Nacogdoches, TX · Medicare and Medicaid-certified nursing home (CCN 455959) · 108 certified beds
Health inspection: 4 · Quality measures: 3 · Staffing: 1
Federal fines: 3 totaling $25,036
Phone: (936) 569-2631 · Verify on Medicare Care Compare ↗
Westward Trails Nursing And Rehabilitation has a CMS overall star rating of 3, which is above the Texas state average of 2.65. Its health inspection rating is 4 stars, but its staffing rating is only 1 star.
CMS reports Westward Trails Nursing And Rehabilitation provides 3.27 total nurse hours per resident per day, including just 0.17 RN hours per resident per day, which corresponds to a 1-star staffing rating. Nursing staff turnover was not reported by CMS.
CMS records show Westward Trails Nursing And Rehabilitation has 3 federal fines totaling $25,036.00 and 0 payment denials. There is no abuse icon flagged and no Special Focus status noted for this facility.
About this facility
Westward Trails Nursing And Rehabilitation is a for-profit corporation-owned nursing home in Nacogdoches, Texas, certified for 108 beds with an average of 82.1 residents. The facility has been Medicare and Medicaid certified since November 1991 and accepts both Medicare and Medicaid.
According to CMS Care Compare, Westward Trails holds an overall star rating of 3, which is above the Texas state average of 2.65. Its component ratings are: health inspection rating of 4, quality measure rating of 3, and staffing rating of 1 out of 5, indicating staffing levels are a comparative weak point relative to other CMS metrics.
Total nurse staffing is reported at 3.266 hours per resident per day, with registered nurse (RN) time at 0.169 hours per resident per day. CMS did not report nursing staff turnover for this facility.
On penalties, CMS records show 3 federal fines totaling $25,036.00, and 0 payment denials. There is no abuse icon flagged and no Special Focus Facility status noted for this facility in the data provided.
Westward Trails is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average CMS rating of 2.1 across the chain. Ownership has not changed in the last 12 months according to CMS records.
This profile is based on CMS Care Compare data; families should verify current details directly with the facility and on Medicare Care Compare, as ratings and records are updated periodically.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Westward Trails has a CMS overall rating of 3 stars, above the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, it accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.266 hours per resident per day, with 0.169 RN hours per resident per day, earning a 1-star staffing rating; CMS did not report turnover data.
Does this facility have federal fines or penalties on record?
Yes, CMS records 3 fines totaling $25,036.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon or Special Focus status is noted for this facility in the CMS data provided.
How large is this facility and how many residents live there?
It is certified for 108 beds, with an average daily census of 82.1 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the Creative Solutions In Healthcare chain, which includes 149 facilities with an average rating of 2.1.
How long has this facility been Medicare/Medicaid certified?
It has been certified since November 15, 1991.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; Westward Trails scores 3, 4, 1, and 3 stars respectively in those categories.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 9365692631 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not include tour guidance; contact the facility at 9365692631 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest details at https://www.medicare.gov/care-compare/details/nursing-home/455959?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.