Nursing homes › Texas › Westward Trails Nursing and Rehabilitation
3001 Westward Dr, Nacogdoches, TX 75964 · 9365692631 · 108 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates above its group average (2.2/5).
Total nurse staffing: 3.27 (Texas median: 3.27). RN hours: 0.17. Weekend total: 2.59.
All-time on record: 24 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-11-21 |
| 2025-06-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-05-28 |
| 2025-05-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-05-23 |
| 2025-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-02-25 |
| 2025-03-31 | 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 | complaint | corrected 2025-04-01 |
| 2025-03-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-01 |
| 2025-03-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-01 |
| 2025-03-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-01 |
| 2024-04-24 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-04-30 |
| 2024-04-24 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-04-30 |
| 2024-04-24 | Have policies on smoking. | D | Health | corrected 2024-04-30 |
| 2023-03-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2023-04-08 |
| 2023-03-15 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2023-04-08 |
| 2023-03-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2023-04-08 |
| 2023-03-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-04-08 |
| 2023-03-15 | Have policies on smoking. | E | Health | corrected 2023-04-08 |
| 2023-03-15 | 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 | Health | corrected 2023-04-08 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | $14,901 |
| 2025-03-31 | Fine | $4,486 |
| 2025-03-31 | Fine | $5,649 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2021 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455959. Corrections: data@carerecords.org.