WESTWARD TRAILS NURSING AND REHABILITATION
3001 WESTWARD DR, NACOGDOCHES, TX 75964 · CCN 455959
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 108
- Avg residents/day
- 83.4
- Phone
- 9365692631
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-25 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2024-04-24 | 10 | 9.4 | 9.8 | +0.6 worse |
| 3 | 2023-03-15 | 6 | 8.1 | 9.3 | -2.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.49 | 36.0% |
| RN staffing (reported) | 0.18 | 50.0% |
| Total nurse staffing (adjusted) | 3.89 | — |
Fines & penalties
- Total fines
- $33,060
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (24)2 immediate jeopardy
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-20 · Health · corrected 2025-11-21
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-25 · Health · corrected 2025-05-28
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-22 · Health · corrected 2025-05-23
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-31 · Health · corrected 2025-04-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-31 · Health · corrected 2025-04-01
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-31 · Health · corrected 2025-02-25
Immediate jeopardy
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-31 · Health · corrected 2025-04-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-31 · Health · corrected 2025-04-01
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0926Have policies on smoking.2024-04-24 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
- DF0761Ensure 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.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
- EF0926Have policies on smoking.2023-03-15 · Health · corrected 2023-04-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 |
| BLAKE, GARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-05-01 |
| BLAKE, MALISA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-05-01 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-05-01 |
Other facilities in NACOGDOCHES
| Name | Overall | Beds |
|---|---|---|
| STALLINGS COURT NURSING AND REHABILITATION | ★★★★★ | 120 |
| WILLOWBROOK NURSING CENTER | ★★☆☆☆ | 166 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.