Overview
Westward Trails Nursing and Rehabilitation has a Medicare overall rating of 3 out of 5, in line with the Texas average of 2.8. It ranks 3rd of 3 nursing homes in Nacogdoches. Its strongest area is health inspections (4 of 5), and its weakest is staffing (1 of 5).
Residents receive about 3.4 hours of nursing care per day, more than at 59% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.2 hours come from registered nurses.
Its most recent standard inspection, on August 19, 2026, found 4 health deficiencies, fewer than the Texas average of 9.6. 1 of them came from complaint investigations. Medicare records 3 fines totaling $25,036 in the past three years.
Westward Trails Nursing and Rehabilitation is a for-profit facility with 108 certified beds, caring for about 83 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1991.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 44%
Top 47%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- August 19, 2026
- Health deficiencies cited
- 4
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 3 totaling $25,036
- Payment denials
- 0
- Total penalties
- 3
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.38 hrs
- Registered nurses (RN)0.20 hrs
- Licensed practical nurses (LPN)1.12 hrs
- Nurse aides2.05 hrs
- Physical therapists0.01 hrs
Facility details
- Ownership
- For profit - Corporation
- Certified beds
- 108
- Average residents per day
- 83
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- November 15, 1991
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes