D69

WESTWARD TRAILS NURSING AND REHABILITATION

Grade D 69/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

108

Ownership

For profit - Corporation

Total Fines

$32,889

Last Survey

N/A

3001 WESTWARD DR, NACOGDOCHES, TX 75964
9365692631

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.21h
LPN
1.24h
CNA
2.44h
Total
3.89h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HONOR X ENTERPRISES, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2021

100%

BLAKE, GARY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2021

50%

BLAKE, MALISA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2021

50%

CREATIVE SOLUTIONS IN HEALTHCARE INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2021

BLAKE, GARY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

BLAKE, MALISA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

HUGGINS, LINDA

IndividualW-2 MANAGING EMPLOYEESince May 2021

Penalties & Fines (3)

$32,889total fines
DateTypeDescriptionAmount
Jun 25, 2025Fine$22,925
Mar 31, 2025Fine$4,410
Mar 31, 2025Fine$5,554

Health Inspection Deficiencies (25)

November 20, 2025Health1 deficiency
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

June 25, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 28, 2025
May 22, 2025Health1 deficiency
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected May 23, 2025
March 31, 2025Health5 deficiencies1 severe
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 1, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 1, 2025
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 25, 2025
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 1, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Apr 1, 2025
April 24, 2024Health10 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Apr 30, 2024
0637DMinimal harm, Isolated

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 30, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 30, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 30, 2024
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Apr 30, 2024
0926DMinimal harm, Isolated

Have policies on smoking.

Environmental Deficiencies

Corrected Apr 30, 2024
March 15, 2023Health6 deficiencies
0582EMinimal harm, Pattern

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Apr 8, 2023
0638EMinimal harm, Pattern

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 8, 2023
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 8, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Apr 8, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 8, 2023
0926EMinimal harm, Pattern

Have policies on smoking.

Environmental Deficiencies

Corrected Apr 8, 2023
February 3, 2023Health1 deficiency
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 6, 2023

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Frequently Asked Questions

What is the CareGrader rating for WESTWARD TRAILS NURSING AND REHABILITATION?

WESTWARD TRAILS NURSING AND REHABILITATION in NACOGDOCHES, Texas has a CareGrader grade of D (Below Average), with a composite score of 69 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WESTWARD TRAILS NURSING AND REHABILITATION?

WESTWARD TRAILS NURSING AND REHABILITATION has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WESTWARD TRAILS NURSING AND REHABILITATION have?

WESTWARD TRAILS NURSING AND REHABILITATION has 25 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has WESTWARD TRAILS NURSING AND REHABILITATION been fined?

Yes. WESTWARD TRAILS NURSING AND REHABILITATION has $32,889 in total fines from CMS enforcement actions across 3 penalties.

How many beds does WESTWARD TRAILS NURSING AND REHABILITATION have?

WESTWARD TRAILS NURSING AND REHABILITATION has 108 certified beds with approximately 83 current residents (77% occupancy). The facility is located at 3001 WESTWARD DR, NACOGDOCHES, Texas 75964. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.