Nursing home report
NACOGDOCHES, TX · Medicare-certified · 108 beds
WESTWARD TRAILS NURSING AND REHABILITATION has an overall rating of 3 out of 5 stars, with a strong health inspection rating (4/5) but a very low staffing rating (1/5); reported nurse staffing is 3.27 hours per resident per day, below the federal benchmark of 4.1, and it had $25,036 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.266 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.266.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2025 — limited pattern, potential for harm.
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2024 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2023 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $14,901 was recorded.
A federal fine of $22,925 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $5,649 was recorded.
A federal fine of $4,486 was recorded.
On record with Medicare: 3 fines · $25,036 in total fines.
Federal fine
Jun 25, 2025
Federal fine
Mar 31, 2025
Federal fine
Mar 31, 2025
Now operated by Westward Trails Nursing and Rehabilation, previously Westward Trails Nursing and Rehabilitation.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
