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Complaint Investigation

Westward Trails Nursing And Rehabilitation

Inspection Date: November 20, 2025
Total Violations 1
Facility ID 455959
Location NACOGDOCHES, TX
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Inspection Findings

F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

would be responsible for ensuring temperatures were checked appropriately.During an interview on 11/4/25 at 2:23 p.m., DM said if food was not cooked to appropriate temperatures, they could make residents sick, or they may have to go to the hospital. He said he would be in-servicing the staff and would have them show the temperature logs before leaving for the day. He said he expected his cooks to check the foods to ensure they were cooked to the appropriate temperatures before serving. He said they had been short staffed recently, but that was no excuse for not checking the temperatures of the foods. He said all residents

in the facility, except for two residents who were tube fed, ate from the facility kitchen.Record review of a facility policy titled Daily Food Temperature Control, dated 2012, read, .We will assure that food is served at

a safe temperature. Temperatures of all hot and cold food shall be taken prior to every meal service and recorded on the Temperature Log. This is done to help ensure that food is safe and is served within acceptable ranges. and .Temperatures are recorded on the Temperature Log or Production sheet form.

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📋 Inspection Summary

WESTWARD TRAILS NURSING AND REHABILITATION in NACOGDOCHES, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NACOGDOCHES, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WESTWARD TRAILS NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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