Westward Trails Nursing and Rehabilitation
Nursing home in Nacogdoches, Texas, CMS certification number 455959
3001 Westward Drive, Nacogdoches, TX 75964 · Nacogdoches County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 108
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 19, 2026
- Deficiencies at that inspection
- 4
- Fines in 3 years
- $25,036 (3)
Does Westward Trails Nursing and Rehabilitation take Medicare and Medicaid?
Yes to both. Westward Trails Nursing and Rehabilitation is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Westward Trails Nursing and Rehabilitation reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.38
- Registered nurse hours
- 0.20
- Licensed practical nurse hours
- 1.12
- Nurse aide hours
- 2.05
- Weekend total hours
- 2.74
- Nursing staff turnover
- 40.5%
- Registered nurse turnover
- 40%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on August 19, 2026 and cited 4 deficiencies, plus 1 from complaint visits.
The visit before, on June 25, 2025, found 1.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Westward Trails Nursing and Rehabilitation 3 times in the past 3 years, for $25,036 in total.
Beds and residents
On an average day 82.8 residents live here, about 77% of its 108 certified beds.
- Certified beds
- 108
- Average residents per day
- 82.8
- Certified since
- November 15, 1991
- Resident or family council
- Resident
Who owns Westward Trails Nursing and Rehabilitation
- Legal business name
- Westward I Enterprises LLC
- Ownership type
- For profit - Corporation
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Westward Trails Nursing and Rehabilitation
- Willowbrook Nursing Center227 Russell Blvd, Nacogdoches 75965
- Stallings Court Nursing and Rehabilitation4616 Ne Stallings Dr, Nacogdoches 75965
- Garrison Nursing Home & Rehabilitation Center333 North FM 95, Garrison 75946
- Wells LTC Nursing & Rehabilitation46 May Street, Wells 75976
- Southland Rehabilitation and Healthcare Center501 N Medford Dr, Lufkin 75901
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Westward Trails Nursing and Rehabilitation, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Westward Trails Nursing and Rehabilitation
What is the CMS star rating of Westward Trails Nursing and Rehabilitation?
3 out of 5 stars overall.
Does Westward Trails Nursing and Rehabilitation accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Westward Trails Nursing and Rehabilitation?
4 cited at the last standard visit.
Who owns Westward Trails Nursing and Rehabilitation?
Westward I Enterprises LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.