NACOGDOCHES, TX 75964
CMS Certification Number (CCN): 455959 · 108 beds
WESTWARD TRAILS NURSING AND REHABILITATION is a Medicare-certified nursing home in NACOGDOCHES, TX (CMS Certification Number 455959). CMS rates it 3 out of 5 stars overall (health inspection 4/5, staffing 1/5, quality measures 3/5). Federal inspection records list 24 health deficiencies, including 2 immediate jeopardy citations. The most recent survey date on record is November 20, 2025. Federal civil monetary penalties on record total $25K across 3 fines. Ownership / chain affiliation in CMS records: CREATIVE SOLUTIONS IN HEALTHCARE. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.
| Overall CMS rating | ★★★☆☆ 3/5 |
| Health inspection | ★★★★☆ 4/5 |
| Staffing | ★☆☆☆☆ 1/5 |
| Quality measures | ★★★☆☆ 3/5 |
| Total health deficiencies | 24 |
| Most recent inspection / survey date | November 20, 2025 |
| Serious deficiency flags | 2 |
| Harm citations | 0 |
| Immediate jeopardy citations | 2 |
| Total federal fines | $25K |
| Fine count | 3 |
| Staffing star rating | ★☆☆☆☆ 1/5 |
| RN hours per resident day | 0.17 |
| Total nurse staffing hours per resident day | 3.27 |
| Days with zero RN hours | 0.0% |
Chain / affiliated entity: CREATIVE SOLUTIONS IN HEALTHCARE
Ownership type: Organization
This owner operates 136 facilities in the current extract.