Westward Trails Nursing and Rehabilitation
3001 Westward Drive, Nacogdoches, TX 75964
Westward Trails Nursing and Rehabilitation is a nursing home in Nacogdoches, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionAugust 19, 2026 (2 months ago)
- Health citations since April 24, 202421 (Texas average 28)
- Fines in the past three years3, $25,036 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on August 19, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 27, 2026.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 20, 2026.
CMS has cited this home for F0880 2 times since 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on August 20, 2026.
CMS has cited this home for F0755 2 times since 2025.
Fire safety inspection on August 19, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 1, 2026.
CMS update of July 29, 2026
Fine
CMS changed the fine from June 25, 2025 from $22,925 to $14,901.
CMS update of April 29, 2026
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from March 31, 2025 from $4,410 to $4,486.
Fine
CMS changed the fine from March 31, 2025 from $5,554 to $5,649.
CMS update of January 14, 2026
Fine
CMS changed the fine from March 31, 2025 from $6,785 to $4,410.
Fine
CMS changed the fine from March 31, 2025 from $8,545 to $5,554.
Health inspection on November 20, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 21, 2025.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from March 31, 2025 from $15,330 to $6,785.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on June 25, 2025
1 citationCMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $14,901 on June 25, 2025.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 28, 2025.
CMS has cited this home for F0689 3 times since 2024.
Fire safety inspection on June 25, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 26, 2025.
Health inspection on May 22, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 23, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 31, 2025
5 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $4,486 on March 31, 2025.
CMS fine of $5,649 on March 31, 2025.
Show the 5 citations
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 25, 2025.
Citation F0690. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on April 1, 2025.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on April 1, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 1, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on April 1, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on April 24, 2024
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 30, 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on April 30, 2024.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on April 30, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on April 30, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 30, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 30, 2024.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on April 30, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 30, 2024.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on April 30, 2024.
Citation F0926. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have policies on smoking.
CMS lists it as corrected on April 30, 2024.
Fire safety inspection on April 24, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on May 31, 2024.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on May 31, 2024.
Citation K0929. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on May 31, 2024.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (936) 569-2631
- Last standard health inspection
- August 19, 2026 (2 months ago)
- Certified beds
- 108
- Residents per day, on average
- 82.8
- Ownership type
- For profit - Corporation
- Legal business name
- Westward I Enterprises LLC
- Chain
- Creative Solutions in Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (21 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CREATIVE SOLUTIONS IN HEALTHCARE INCOperational/managerial control · not applicable · since 05/01/2021
- BLAKE, GARYOperational/managerial control · not applicable · since 05/01/2021
- BLAKE, MALISAOperational/managerial control · not applicable · since 05/01/2021
Questions
When was Westward Trails Nursing and Rehabilitation last inspected?
CMS lists August 19, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Westward Trails Nursing and Rehabilitation have?
CMS lists 21 health citations since April 24, 2024. CMS also calls these deficiencies.
Has Westward Trails Nursing and Rehabilitation been fined?
CMS lists 3 fines in the past three years, $25,036 in total.
What is the CMS star rating of Westward Trails Nursing and Rehabilitation?
Its CMS overall star rating is 3 of 5.
Is Westward Trails Nursing and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.