Westward Trails Nursing and Rehabilitation
3001 Westward Drive, NACOGDOCHES, TX 75964
Provider #455959 · (936) 569-2631 · For profit - Corporation · Chain: CREATIVE SOLUTIONS IN HEALTHCARE · 108 beds
Overall
3 of 5
Health inspection
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Deficiencies
0
Total fines
$0
Updated
2026-08-01
Staffing
Reported nurse hours per resident per day (HPPD) from CMS Care Compare.
RN hours
0.17
Total nurse hours
3.27
Weekend RN hours
0.11
Possible neglect indicators
Neutral CMS-derived signals — not a legal conclusion or case determination. See our Terms of Use.
- No elevated CMS flags stood out automatically — still review the full inspection history
Severity mix
Scope/severity codes across loaded citations.
- D14
- E7
- J2
- F1
Complaint vs standard surveys
How citations were opened in the CMS deficiency file.
- Complaint
- 0
- Standard
- 24
- Other
- 0
Inspection timeline
2025-11-20 · 1 citation
- 0812 · F · HealthNutrition and Dietary Deficiencies
2025-06-25 · 1 citation
- 0689 · J · HealthQuality of Life and Care Deficiencies
2025-05-22 · 1 citation
- 0677 · D · HealthQuality of Life and Care Deficiencies
2025-03-31 · 5 citations
- 0609 · D · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
- 0755 · D · HealthPharmacy Service Deficiencies
- 0689 · J · HealthQuality of Life and Care Deficiencies
- 0690 · E · HealthQuality of Life and Care Deficiencies
- 0600 · D · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
2024-04-24 · 10 citations
- 0689 · D · HealthQuality of Life and Care Deficiencies
- 0692 · D · HealthQuality of Life and Care Deficiencies
- 0695 · D · HealthQuality of Life and Care Deficiencies
- 0919 · D · HealthEnvironmental Deficiencies
- 0926 · D · HealthEnvironmental Deficiencies
- 0637 · D · HealthResident Assessment and Care Planning Deficiencies
- 0644 · D · HealthResident Assessment and Care Planning Deficiencies
- 0657 · D · HealthResident Assessment and Care Planning Deficiencies
- 0880 · E · HealthInfection Control Deficiencies
- 0583 · D · HealthResident Rights Deficiencies
2023-03-15 · 6 citations
- 0926 · E · HealthEnvironmental Deficiencies
- 0761 · D · HealthPharmacy Service Deficiencies
- 0657 · E · HealthResident Assessment and Care Planning Deficiencies
- 0677 · E · HealthQuality of Life and Care Deficiencies
- 0638 · E · HealthResident Assessment and Care Planning Deficiencies
- 0582 · E · HealthResident Rights Deficiencies
Penalties
- Fine · 2025-06-25$14,901
- Fine · 2025-03-31$4,486
- Fine · 2025-03-31$5,649
Other facilities in this chain
CREATIVE SOLUTIONS IN HEALTHCARE · Texas peers
- Cottonwood Nursing & Rehabilitation · DENTON1★ · 0 defs
- Franklin Heights Nursing & Rehabilitation · El Paso1★ · 0 defs
- Granbury Care Center · Granbury1★ · 0 defs
- Pine Tree Lodge Nursing Center · Longview1★ · 0 defs
- Pleasant Springs Healthcare Center · Mount Pleasant1★ · 0 defs
- Fair Park Health & Rehabilitation Center · Dallas1★ · 0 defs
- Vista Hills Health Care Center · El Paso1★ · 0 defs
- Buena Vida Nursing and Rehab-San Antonio · SAN ANTONIO1★ · 0 defs
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