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Nursing homeFAID #12255

Westward Trails Nursing and Rehabilitation

3001 Westward Drive, NACOGDOCHES, TX, 75964
(936) 569-2631
108 licensed beds
★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
108
CMS facility ID
455959
Care type
Nursing home
County
Nacogdoches
Facility name
Westward Trails Nursing and Rehabilitation
Street address
3001 Westward Drive
City / state / ZIP
Nacogdoches, TX 75964
Phone
(936) 569-2631

About this facility — Westward Trails Nursing and Rehabilitation

Westward Trails Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Nacogdoches, Texas. It is licensed for 108 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 5 senior care facilities in Nacogdoches and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Westward Trails Nursing and Rehabilitation 28 times across 10 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $25,036 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Blake, Gary
Operational control — since 2021
Blake, Malisa
Operational control — since 2021
Creative Solutions In Healthcare Inc
Operational control — since 2021
Huggins, Linda
Managing employee — since 2021

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-11-15
CMS overall rating
3 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$25,036 total
Last standard inspection
2025-06-25
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$226 per day (≈ $6,870/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 10% Medicare · 22% private/other
Occupancy
81% (fiscal year 2023)
Vs. state median
18% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
108
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-11-20Health inspectionComplaint-triggered1 citation
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-21
2025-06-25Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-28
6 earlier / fire-safety inspections (26 citations)
2025-05-22Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-23
2025-03-31Health inspectionComplaint-triggered5 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-01
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-01
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-25
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-01
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-01
2024-04-24Health inspection10 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-30
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-04-30
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-04-30
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-30
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-30
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-30
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-30
F-0926
D · No harm found
Have policies on smoking.
Corrected 2024-04-30
2023-03-15Health inspection6 citations
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-08
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-04-08
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-08
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-08
F-0761
D · No harm found
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.
Corrected 2023-04-08
F-0926
E · No harm found
Have policies on smoking.
Corrected 2023-04-08
2025-06-25Fire-safety inspection1 citation
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-26
2024-04-24Fire-safety inspection3 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-31
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-31
K-0929
D · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-05-31

Federal penalties

2025-06-25Fine$14,901
2025-03-31Fine$4,486
2025-03-31Fine$5,649
Total fines$25,036
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455959.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 28 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered