Westward Trails Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Westward Trails Nursing and Rehabilitation is a 108-bed for-profit nursing home in Nacogdoches, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.96 nurse aide hours per resident per day, about the same as the Texas average of 2.00.
Westward Trails Nursing and Rehabilitation
3001 Westward DriveNacogdoches, TX 75964
Nacogdoches County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Westward Trails Nursing and Rehabilitation, nurse aides logged 1.96 hours per resident per day, about the same as the Texas average. With about 82 residents a day, that works out to roughly 161 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 21% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.96 | 2.00 | 2.32 |
| Licensed practical nurses | 1.14 | 0.95 | 0.86 |
| Registered nurses | 0.17 | 0.43 | 0.69 |
| All nursing staff | 3.27 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.59 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Westward Trails Nursing and Rehabilitation in this release. 1 administrator left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $25,036 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 25, 2025 | Fine | $14,901 |
| Mar 31, 2025 | Fine | $4,486 |
| Mar 31, 2025 | Fine | $5,649 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Westward Trails Nursing and Rehabilitation holds 3 of 5 overall; the Texas average is 2.6.
About Westward Trails Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Westward I Enterprises LLC
- Medicare and Medicaid certified since: Nov 15, 1991
- Councils: resident council
- Area: rural
Nursing homes near Westward Trails Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Willowbrook Nursing Center Nacogdoches | 2.1 | 166 | 1.92 | 3.21 | 52.0% | 3 | $153,439 |
| Stallings Court Nursing and Rehabilitation Nacogdoches | 2.4 | 120 | 1.88 | 3.30 | 36.0% | 5 | None |
| Garrison Nursing Home & Rehabilitation Center Garrison | 16.5 | 93 | 2.83 | 4.43 | 45.7% | 3 | $52,951 |
| Wells LTC Nursing & Rehabilitation Wells · SFF candidate · abuse citation | 18.5 | 90 | 3.30 | 4.82 | 52.0% | 1 | $93,678 |
| Southland Rehabilitation and Healthcare Center Lufkin | 21.5 | 150 | 1.86 | 3.24 | 51.6% | 1 | $188,884 |
| Larkspur Lufkin | 21.7 | 120 | 1.69 | 3.42 | 54.0% | 3 | $30,928 |
| Parkwood in the Pines Lufkin | 21.8 | 140 | 1.83 | 3.14 | 54.6% | 3 | $21,473 |
| Kennedy Health & Rehab Lufkin · SFF candidate · abuse citation · no staffing data submitted | 22.2 | 145 | — | — | — | 1 | $247,037 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.