Westward Trails Nursing And Rehabilitation
Westward Trails Nursing And Rehabilitation is a 3-star rated nursing home in Nacogdoches, TX with 108 beds. CMS sub-ratings: health inspections 4/5, staffing 1/5, quality measures 3/5.
The facility has 46 health violations on record. Federal fines total $28,883 across 2 enforcement actions. Most recent inspection: May 22, 2025.
Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2025 1 penalties totaling $15,330
Fine
2019 1 penalties totaling $13,553
Fine
Health Violations by Year
2025 6 violations
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024 10 violations
Keep residents' personal and medical records private and confidential.
Assess the resident when there is a significant change in condition
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Have policies on smoking.
2023 7 violations
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Assure that each resident’s assessment is updated at least once every 3 months.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Have policies on smoking.
Provide and implement an infection prevention and control program.
2022 3 violations
Assess the resident when there is a significant change in condition
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2020 5 violations
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2019 6 violations
Plan the resident's discharge to meet the resident's goals and needs.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
2018 3 violations
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
2017 6 violations
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Hire sufficient dietary support personnel.
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Store, cook, and serve food in a safe and clean way.
Keep all essential equipment working safely.
Frequently Asked Questions About Westward Trails Nursing And Rehabilitation
- What violations has Westward Trails Nursing And Rehabilitation received?
- Westward Trails Nursing And Rehabilitation has 46 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Westward Trails Nursing And Rehabilitation?
- Westward Trails Nursing And Rehabilitation has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
- When was Westward Trails Nursing And Rehabilitation last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Westward Trails Nursing And Rehabilitation safe?
- Safety at Westward Trails Nursing And Rehabilitation should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Westward Trails Nursing And Rehabilitation?
- Phone: (936) 569-2631. Address: 3001 Westward Dr, Nacogdoches, TX. For visiting hours and admission information, call the facility directly.
- What services does Westward Trails Nursing And Rehabilitation offer?
- Westward Trails Nursing And Rehabilitation is a skilled nursing facility with 108 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Nacogdoches, TX?
- Compare Westward Trails Nursing And Rehabilitation with other nursing homes in Nacogdoches, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Nacogdoches, TX
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Westward Trails Nursing And Rehabilitation (this facility) | ★★★☆☆ | 46 | 108 |
| Stallings Court Nursing And Rehabilitation | ★★★★★ | 61 | 120 |
| Willowbrook Nursing Center | ★★★☆☆ | 47 | 166 |
| Lexington Place Nursing & Rehabilitation | ★★☆☆☆ | 0 | 96 |
| Oak Manor Nursing Home | ★☆☆☆☆ | 0 | 60 |
| Rock Haven Nursing Home | ★☆☆☆☆ | 28 | 60 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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