NURSING HOME PUBLIC RECORD
CMS lists this provider in Nacogdoches, TX, with 108 certified beds, an overall rating of 3/5, and 28 citation rows in the current August 2026 release.
3001 Westward Drive · Nacogdoches, TX 75964 · Nacogdoches County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Westward Trails Nursing And Rehabilitation in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-25 | 2 | 2025-06-25 | 1 |
| Cycle 2 | 2024-04-24 | 16 | 2024-04-24 | 3 |
| Cycle 3 | 2023-03-15 | 6 | 2023-03-15 | 0 |
CMS reports 28 citation rows, including 2 with G–L codes and 2 with J–L codes.
2 rows carry G–L scope/severity codes; 2 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-11-21 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-05-28 · complaintInspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-06-26Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-23 · complaintProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-04-01 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-04-01 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-02-25 · complaintProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-01 · complaintProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-04-01 · complaintKeep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2024-04-30Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2024-04-30Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-04-30Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-04-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-04-30Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-04-30Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-04-30Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-04-30Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2024-04-30Have policies on smoking.
Correction field: Deficient, Provider has date of correction · 2024-04-30Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-05-31Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-05-31Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2024-05-31Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2023-04-08Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2023-04-08The August 2026 file contains 3 penalty rows and $25,036 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-25 | Fine | $14,901 | 0 |
| 2025-03-31 | Fine | $4,486 | 0 |
| 2025-03-31 | Fine | $5,649 | 0 |
CMS matched 4 ownership disclosure rows to Westward Trails Nursing And Rehabilitation; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.27 total nurse hours and 0.17 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 2 other published facility records near Nacogdoches, TX, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
