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Data / Nursing homes / Texas / Westward Trails Nursing and Rehabilitation

Westward Trails Nursing and Rehabilitation, Nacogdoches, TX: 3 star rating, fined $25,036 across 3 fines

Westward Trails Nursing and Rehabilitation in Nacogdoches, TX is run by Westward I Enterprises LLC, with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and was fined $25,036 across 3 fines in the three years to October 1, 2026. CMS lists 21 health citations from inspections in that time, the latest survey on August 19, 2026, and 2 of them found actual harm or immediate jeopardy.

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Address
3001 Westward Drive, Nacogdoches, TX 75964
Overall rating
3 of 5 stars
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
108
Residents per day
83 on average
Ownership type
For profit, corporation
Legal business name
Westward I Enterprises LLC
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$25,036 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
21, of which 2 with actual harm or immediate jeopardy
Latest survey
August 19, 2026
CMS Certification Number
455959
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 25, 2025Fine$14,901Not listeddata.cms.gov
March 31, 2025Fine$5,649Not listeddata.cms.gov
March 31, 2025Fine$4,486Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 19, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
August 19, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
August 19, 2026F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2026data.cms.gov
November 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
June 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceMay 28, 2025data.cms.gov
May 22, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
March 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceFebruary 25, 2025data.cms.gov
March 31, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2025data.cms.gov
March 31, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 1, 2025data.cms.gov
March 31, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2025data.cms.gov
March 31, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2025data.cms.gov
April 24, 2024F926Have policies on smoking.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 24, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (3 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Creative Solutions in Healthcare IncOperational or managerial controlNot listedMay 1, 2021data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.