1 / 5CMS Care Compare
Reviews of Westward Trails paint a mixed picture: many families and hospice partners praise the rehab therapy team and several individual nurses and aides by name, while other reviewers raise serious concerns about staff competence, staffing shortages, and cleanliness. Care quality appears to vary noticeably by shift and by which staff members are on duty.
AI-generated from reviews and community data.
Westward Trails Nursing & Rehabilitation is a senior living community in Nacogdoches, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.0 out of 5 across 32 reviews.
Westward Trails Nursing and Rehabilitation is a skilled nursing facility located in Nacogdoches, Texas, offering comprehensive skilled care with an emphasis on personalized, patient-centered treatment in a home-like environment.
The facility provides specialized rehabilitation services including orthopedic rehabilitation for patients recovering from hip and knee replacements, fractures, and joint repairs; neurological rehabilitation for stroke and Parkinson's patients focused on mobility and cognitive support; and wound care services designed to promote healing and comfort. The interdisciplinary clinical team develops individualized care plans tailored to each resident's unique needs.
The facility maintains high standards of cleanliness and safety through its White Glove Program, which includes rigorous staff training and twice-yearly evaluations by external surveyors. Dining is an integral part of the community experience, with menus featuring regional favorites prepared with quality ingredients designed to be both nutritious and enjoyable.
The care team emphasizes creating a compassionate environment where clinical expertise is delivered within a community setting rather than a purely institutional context. Staff receive specialized training in pain management, mobility restoration, strength and balance training, and safe transitions for residents returning to home or prior living situations.
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Help Me Choose4overall · 32 ratings combined
4★ on Google (32)
Leann West
Oct 2025
For short term care and rehabilitation Westward Trails has been a good place. Therapists are knowledgable and goal oriented, staff is accomplished in making the patient comfortable, safe, and secure, and aids are caring and especially helpful to those whose stay. Is necessary. If your family member needs rehabilitation, Westward Trails comes recommended
Titus Hepworth
Mar 2025
The staff here is incompetent to a biblical degree. There where two instances of two separate nurses not knowing how to function basic medical equipment and there where many instances of the evening staff disappearing into the Eather for hours at a time. If you want peace of mind and a clear conscience do not trust this establishment with anyone you care about. For shame.
Brittany Wallace
Nov 2024
I work with a local hospice, and I frequently visit with residents in this nursing facility. The staff is always very nice and approachable when I visit. Sindy and Amy are very good nurses!
Sharla Spies
Jul 2024
Wonderful place to be. They took such great care of my father in law. It’s a very beautiful and clean home. I can’t say enough about this place.
Logan Coleman
Jun 2024
Very poor facility, very unclean and staff is worthless. I WOULDN'T LET MY ANIMALS STAY THERE. Facility should be shut done.
6 inspection visits in the last three years, 28 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 28, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 25, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 1, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 1, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 1, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Have properly installed electrical wiring and gas equipment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 30, 2024
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Assess the resident when there is a significant change in condition
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Provide enough food/fluids to maintain a resident's health.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Have policies on smoking.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 30, 2024
Have policies on smoking.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 8, 2023
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 8, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Westward Trails Nursing & Rehabilitation offers Skilled Nursing / Long Term Care.
Westward Trails Nursing & Rehabilitation is located at 3001 Westward Dr in Nacogdoches, Texas.
Reviews of Westward Trails paint a mixed picture: many families and hospice partners praise the rehab therapy team and several individual nurses and aides by name, while other reviewers raise serious concerns about staff competence, staffing shortages, and cleanliness. Care quality appears to vary noticeably by shift and by which staff members are on duty.
Westward Trails Nursing & Rehabilitation had 6 government inspection visits in the last three years, with 28 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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