Westward Trails Nursing and Rehabilitation
Westward Trails Nursing and Rehabilitation is a 108-bed nursing home in NACOGDOCHES, Texas. CMS has certified it for Medicare and Medicaid since 1991-11-15. It averages 82.1 residents a day.
What harm was found in the violations cited at Westward Trails Nursing and Rehabilitation?
CMS lists 24 health-inspection deficiencies for Westward Trails Nursing and Rehabilitation since 2023-03-15, 18 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-11-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-06-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-05-22 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-03-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-31 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E |
| 2025-03-31 | F0600, F0609, F0755 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-04-24 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-04-24 | F0583, F0637, F0644, F0657, F0689, F0692, F0695, F0919, F0926 | Keep residents' personal and medical records private and confidential. / Assess the resident when there is a significant change in condition / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Have policies on smoking. | D |
| 2023-03-15 | F0582, F0638, F0657, F0677, F0926 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Have policies on smoking. | E |
| 2023-03-15 | F0761 | Ensure 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. | D |
Why was Westward Trails Nursing and Rehabilitation fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | $14,901 |
| 2025-03-31 | Fine | $5,649 |
| 2025-03-31 | Fine | $4,486 |
How is Westward Trails Nursing and Rehabilitation staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.26599 | 3.38539 |
| Average number of residents per day | 82.1 | 75.8 |
Who owns Westward Trails Nursing and Rehabilitation, and what chain is it in?
Westward Trails Nursing and Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name WESTWARD I ENTERPRISES LLC and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | HUGGINS, LINDA | since 05/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | CREATIVE SOLUTIONS IN HEALTHCARE INC, BLAKE, GARY, BLAKE, MALISA | since 05/01/2021 |
Were you or a family member harmed at Westward Trails Nursing and Rehabilitation?