Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected, date of correction 21 Nov 2025
Westward Trails Nursing and Rehabilitation
Nursing home · 3001 Westward Drive, Nacogdoches, TX 75964 · Nacogdoches County · (936) 569-2631Medicare and Medicaid certified
24
health deficiencies
across 6 surveys
across 6 surveys
2
at actual harm or worse
2 immediate jeopardy
2 immediate jeopardy
$25,036
in federal fines
3 penalties
3 penalties
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Nacogdoches County
4.0 health deficiencies per survey, against a county median of 4.0. Lower is better.
Fewer deficiencies per survey than 33 out of 100 nursing homes in Nacogdoches County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 2 | |
| Actual harm | 0 | |
| Potential for harm | 22 | |
| No harm | 0 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 4 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 24, with dates, severity and corrections, is in the report.
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Read all 24 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. This page last updated 24 Oct 2026. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
Full report $12, one time
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