Westward Trails Nursing & Rehabilitation

    3001 Westward Dr, Nacogdoches, TX, 75964
    3.9 · 34 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff, but many problems

    I had a mixed, mostly negative experience. There are clearly some excellent, compassionate caregivers (Sindy, Amy, Lily, Courtney and a strong second shift) and the facility can feel clean, updated and homey with good activities and decent food. However I also experienced theft/lost clothes, lazy nurses on their phones, disappearing evening staff, poor supervision and aides who couldn't or wouldn't operate basic equipment. The front office and administration were inefficient and at times rude (Rose was a major problem for us), charges felt excessive for the care provided, and I've seen state complaints and suspect some glowing reviews are manufactured. Visit in person, meet shifts, check records - I can't recommend this place without heavy caution.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.91 · 34 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.3
    • Meals

      4.0
    • Amenities

      3.9
    • Value

      2.0

    Pros

    • Many reviewers report compassionate, loving and hardworking direct care staff
    • Supportive and responsive administrative staff mentioned by name (Jimmy and Tina)
    • Second shift repeatedly praised as particularly hardworking and effective
    • Individual staff members singled out positively (Lily, Courtney, Sindy, Amy)
    • Staff who engage with residents and foster a homelike, welcoming atmosphere
    • Active, engaging activities and programming for residents
    • Several reports of very clean, updated and tasteful facility areas
    • Generally positive comments about food quality (overall “very good” food)
    • Good rehab and nursing care reported by some families
    • Friendly and approachable staff interactions noted in multiple reviews
    • Staff making best efforts despite limited resources and hiring difficulties
    • Positive overall experiences described as “home away from home” by some families

    Cons

    • Persistent reports of short-staffing and unfilled shifts
    • Rude or unprofessional behavior attributed to some administrators and morning CNAs
    • Housekeeping failures: floors not cleaned, halls have bad odors
    • Allegations of theft or loss of residents' belongings and missing clothes
    • Inconsistent care quality: reports of lazy or inattentive nurses (on phones, disappearing)
    • Claims of staff incompetence, including inability to operate basic medical equipment
    • Front office/administrative inefficiency, delays (e.g., notary) and difficulty contacting facility
    • High monthly cost and complaints about being charged for poor care
    • Contradictory reviews and allegations of fake/manufactured positive reviews
    • Specific staff or management named as problematic (Rose cited by some)
    • Breakfast service problems cited (eggs served cold)
    • Serious safety/supervision concerns and reports of state complaints

    Summary review

    Overall sentiment is highly polarized: the reviews contain a mix of strong praise and serious criticism, which creates a split picture of Westward Trails Nursing & Rehabilitation. Many reviewers express gratitude for compassionate direct-care staff, positive individual caregivers, engaging activities, and a welcoming environment. At the same time, other reviewers recount troubling experiences involving neglect, administrative dysfunction, theft, and cleanliness problems. These contrasting accounts suggest substantial variability in resident experience that may depend on staff, shift, unit, or timing.

    Care quality and staffing emerge as the most frequently mentioned themes. Positive reviews emphasize hardworking, loving, and professional caregivers who treat residents with dignity; multiple reviewers name individual employees (Lily, Courtney, Sindy, Amy) and praise second shift workers for being especially diligent. Conversely, negative feedback centers on short-staffing, rude or unprofessional behavior (particularly cited among morning CNAs and at least one administrator), nurses who are inattentive or distracted (on phones), and even reports of staff disappearing for long periods. Some reviewers go further to allege incompetence with basic medical equipment and insufficient supervision, and some say these problems have prompted state reporting. Multiple comments indicate staff are trying their best with limited resources and active hiring efforts, suggesting staffing shortages may be an underlying driver of inconsistent care.

    Facility condition and housekeeping are another area of direct conflict across reviews. Several families describe the environment as very clean, updated, tasteful, and homelike, and others call it beautiful. These positive assessments are counterbalanced by strong, specific complaints that housekeeping is “horrible,” floors are not cleaned, and halls have persistent bad odors. The presence of both glowing and damning remarks about cleanliness points to variability in day-to-day maintenance or differences between units/areas.

    Safety and property security are recurring and serious concerns in the negative reviews. Allegations of theft or loss of residents’ personal belongings and missing clothes appear multiple times, and are paired with claims of poor supervision. These issues contribute to distrust among some family members and heighten the perception of risk. Additionally, a subset of reviewers alleges administrative malfeasance such as charging for poor care, submission of misleading or fabricated positive reviews, and even state-level complaints. These are presented as reviewer assertions rather than confirmed facts, but they are significant because they reflect strong dissatisfaction and suspicion among residents’ relatives.

    Dining and activities receive more consistent praise than some other areas. Many reviewers note the facility provides lots of activities and engaging programming, and overall food quality is described as very good by several families. There are isolated complaints about breakfast specifics (for example, eggs served cold), but dining seems less contentious than staffing, cleanliness, or administration. Rehab services and nursing care are described positively by several reviewers as well; some call the facility “great” for rehab and nursing, indicating that clinical services meet expectations for certain residents.

    Administration and communication present mixed feedback. A number of reviewers specifically commend administrative staff members Jimmy and Tina as supportive; other comments label the front office as horrible, point to inefficiencies (delays obtaining notary services), difficulty finding the phone number, and general administrative disorganization. One name, Rose, is cited by multiple unhappy reviewers as a significant problem. The coexistence of praise for named administrators alongside accusations of incompetence and inefficiency suggests uneven administrative performance and possible variability by shift or individual.

    Patterns that emerge across reviews: (1) inconsistency — the facility appears capable of excellent care at times but also produces serious lapses; (2) staffing shortages and turnover likely contribute to uneven experiences and may explain why second shift gets better reviews; (3) praise is often tied to individual staff members, indicating that positive outcomes may rely on particular employees; and (4) safety and administrative trust issues (theft claims, alleged fake reviews, billing complaints) amplify family concerns beyond day-to-day care quality.

    Given these mixed and sometimes severe criticisms, prospective residents and families should view reviews as indicators of variability rather than uniform performance. Key steps to better assess the facility would include touring multiple units and visiting at different times/shifts, asking for details about staffing levels and turnover, inquiring about policies and documentation related to residents’ belongings and incident reporting, checking state inspection reports, and asking for references from current families. The reviews show that while many families have positive, even outstanding experiences driven by dedicated staff, others have encountered significant problems related to staffing, cleanliness, administration, and resident safety — making direct verification and careful questioning important before making placement decisions.

    Location

    Map showing location of Westward Trails Nursing & Rehabilitation

    About Westward Trails Nursing & Rehabilitation

    Westward Trails Nursing & Rehabilitation sits in Nacogdoches, Texas, where it serves as a skilled nursing and rehabilitation facility offering both short-term and long-term care options. The place runs as a for-profit partnership through a limited liability company and is part of Creative Solutions in Healthcare's network, which manages several area homes like Meadowview Place, Magnolia Court, and The Arbor Assisted Living and Memory Care. The facility has 108 certified beds and about 61 residents currently living there, which works out to roughly a 56% occupancy rate, though some figures show around 78% occupancy over time. Westward Trails accepts Medicare and Medicaid, so families using those programs can find placement here.

    Staffing includes registered nurses, licensed practical nurses, certified nursing assistants, and several therapists and medical professionals. Nurse staffing hours average 3.25 hours per resident a day, which falls slightly below the state average, but nurse turnover is lower than most facilities around, at 42.4%. The home's inspection grade is an A, with 25 total deficiencies on record, including two related to infections, and the home's had a few serious citations, such as failing to prevent accident hazards and inadequate supervision, and a few related to not protecting against abuse, neglect, and infections. The facility has good fire safety records and is fully sprinklered.

    Westward Trails offers a wide range of health services including post-acute care, hospice, respite care, wound care, surgical recovery, and care for things like cardiac illness, diabetes, stroke, and neurological conditions. Residents get access to physical, occupational, and speech therapy, as well as help with medication management. Other health services include dentistry, podiatry, optometry, and nutritional counseling. Residents can join in recreational therapy and spiritual services, and the facility sets up a variety of activities to keep everyone engaged.

    Daily life at Westward Trails includes meals cooked by chefs with the help of meal planners, with the dining services getting high marks from residents and families. Housekeeping, laundry, and transportation help are offered, and there are beauty or barber services onsite. Families and residents can give feedback and participate through both a family council and a resident council, and the home uses online portals for health updates, billing, and keeping in touch. There's a care portal for families and a customer care line for concerns. Specialized care plans are set up for every resident, shaped to their own needs and health conditions, with staff focusing on creating a home-like and compassionate setting.

    Westward Trails isn't a CCRC, isn't hospitalized-based, and doesn't have a special focus or state-designated quality indicator status. The facility offers a mix of private and shared rooms. It isn't perfect and has had its share of citations, but many residents and families say good things in their reviews, with a lot of five-star comments about the staff and the food. Westward Trails tries to provide a safe and supportive place for seniors needing many types of skilled nursing or rehab care, whether for a short stay or for a longer time.

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