Westward Trails Nursing & Rehabilitation

    3001 Westward Dr, Nacogdoches, TX 75964
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean, caring short-term rehab recommended

    I placed my mom here for short-term rehab and had a very positive experience - the facility is clean, updated, and feels like a home away from home with plenty of activities. Staff are friendly, professional, and caring (Jimmy and Tina in admin were very supportive; nurses Sindy and Amy stood out), therapists and aides are knowledgeable, and the food is good - I recommend this facility.

    Loved one of resident
    Jul 2026

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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

    Reviews

    3.94·(35)

    Overall rating

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

      3.8
    • Staff

      3.4
    • Meals

      4.0
    • Amenities

      3.9
    • Value

      2.0

    Pros

    • Compassionate, attentive nursing and aide staff
    • Skilled physical and occupational therapists
    • Engaging activity program
    • Clean, updated interior and common areas
    • Supportive administrative personnel
    • Dignified, respectful resident interactions
    • Effective short-term rehabilitation outcomes
    • Friendly, approachable caregiving staff
    • Comfort-focused care practices
    • Tasteful, modern facility presentation
    • Generally well-regarded meal quality
    • Positive family satisfaction examples

    Cons

    • Inconsistent staff professionalism and communication
    • Chronic staffing shortages and shift-to-shift variability
    • Housekeeping and sanitation lapses in some areas
    • Security and loss of personal belongings
    • Gaps in clinical training and equipment competency
    • Administrative inefficiency and billing/process delays
    • Allegations of falsified or manufactured online reviews
    • Inconsistent meal temperature and breakfast quality

    Summary of reviews

    Reviews of Westward Trails Nursing & Rehabilitation present a notably mixed picture: several families describe compassionate, skilled care and a clean, attractive environment, while other families raise operational concerns that appear to affect resident experience and consistency of care. Strengths cited include respectful, comfort-oriented nursing and aide interactions, knowledgeable therapists who produce positive short-term rehab outcomes, and an active life-enrichment program. The facility's interior and décor are frequently described as updated and tasteful, and some reviewers singled out specific staff and administrators for supportive interactions.

    Care and staffing: Many reviewers praised individual caregivers and therapists for being caring, attentive, and effective—particularly for short-term rehabilitation stays. At the same time, multiple accounts point to uneven staff performance across shifts. Common themes are staffing shortages, noticeable variability between shifts, and periods of limited supervision on some evenings. Reviewers also described instances suggesting gaps in staff training or competency with certain clinical equipment. Taken together, these comments indicate that resident experience can be highly dependent on shift staffing and the specific personnel on duty.

    Dining, activities, and facilities: The activity program and social engagement are a consistent positive, with families noting frequent activities and staff engagement. Dining quality is generally viewed as good, though there are mentions of inconsistent meal temperature and occasional breakfast-quality issues. The physical plant is often described as clean and updated, but housekeeping lapses and localized sanitation or odor concerns in certain areas were also reported, indicating inconsistency in environmental services.

    Management and operational issues: Administrative strengths and weaknesses are both described. Some families reported helpful, responsive administrative staff and named individuals positively. Others described front-office inefficiencies, billing or notary delays, difficulty contacting the facility, and concerns about the cost relative to perceived value. More serious reviewer claims include loss of personal belongings and allegations of falsified online reviews; these are significant when present and would merit direct inquiry during a tour. Overall, the pattern in reviews points to operational variability—where strong individual staff can produce excellent experiences, but systemic issues (staffing, training, housekeeping, and administrative processes) can undermine consistency.

    Notable patterns and guidance: The overall pattern is polarized: many families had positive, even outstanding experiences, while others encountered service gaps severe enough to prompt formal complaints. Prospective residents and families should plan an in-person visit during multiple shifts (day and evening), ask about staffing levels and recent regulatory history, request examples of training and equipment competency, review housekeeping schedules, and inquire about the facility's procedures for safeguarding personal property. Talking with current families on site and observing morning routines, medication administration, meal service, and activity engagement can help determine whether the facility’s strengths align with an individual resident’s needs.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Westward Trails Nursing & Rehabilitation

    Westward Trails Nursing & Rehabilitation is located at 3001 Westward Dr, Nacogdoches, TX, 75964.

    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.

    People often ask...

    Westward Trails Nursing & Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 11 photos of Westward Trails Nursing & Rehabilitation on Mirador.

    The full address for this community is 3001 Westward Dr, Nacogdoches, TX 75964.

    No, Westward Trails Nursing & Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Westward Trails Nursing & Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Westward Trails Nursing & Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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