Nacogdoches · 75965
Stallings Court Nursing and Rehabilitation
4616 Ne Stallings Dr
Nacogdoches, TX 75965
Westward Trails Nursing and Rehabilitation
⌖ Nacogdoches, TX · Nacogdoches County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds108
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Westward Trails Nursing and Rehabilitation
Westward Trails Nursing and Rehabilitation is a 108-bed for-profit nursing home in Nacogdoches, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (Jun 2025), inspectors found 2 problems, fewer than the Texas average of 9.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 16 min a day with each resident, about the same as the Texas average of 3 hr 23 min. Medicare fined it $25,036 in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (3 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameWestward Trails Nursing And Rehabilitation
LocationNacogdoches County, Texas
Phone(936) 569-2631
Address3001 Westward Drive, Nacogdoches, TX 75964 · Nacogdoches County
CMS provider number455959
Ownership typeFor-profit (corporation)
Operating companyCreative Solutions in Healthcare · 149 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 15, 1991 (34 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Health citations at last inspection2 (Jun 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.Strength
About average
- Nurse staffing per resident3 hr 16 min a dayTexas average: 3 hr 23 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jun 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties3 fines totaling $25,036Federal penalties from the last three years, most recently in Jun 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
- Registered nurse time per resident10 min a dayTexas average: 26 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital29.3%State average: 25.7%About average
- Needed an emergency room visit11.0%State average: 12.3%About average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 1 minute per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.9%State average: 3.3%Worse than average
- Pressure sores (bedsores)6.8%State average: 3.8%Worse than average
- Given antipsychotic drugs6.3%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.0State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 69% Medicaid
- 7% Medicare
- 24% Private pay, insurance and other
Cost of care per resident day$155Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 2 stars in January 2019. It has ranged from 1 to 3 stars and changed 10 times.
Overall rating3★
Health inspections4★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 2 | 4 | 3.0 |
| Jan 2020 | 1 | 2 | 1 | 2 | 3.1 |
| Jan 2021 | 2 | 2 | 2 | 2 | 3.2 |
| Jan 2022 | 2 | 3 | 1 | 2 | 2.9 |
| Jan 2023 | 3 | 3 | 2 | 2 | 3.0 |
| Jan 2024 | 1 | 3 | 1 | 1 | 3.1 |
| Feb 2025 | 2 | 3 | 1 | 2 | 3.0 |
| Feb 2026 | 3 | 3 | 2 | 4 | 3.5 |
| Sep 2026 | 3 | 4 | 1 | 3 | 3.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Nacogdoches
Looking at more than one home? Here are other facilities from the directory in Nacogdoches and the nearby area.
Nacogdoches · 75965
Willowbrook Nursing Center
227 Russell Blvd
Nacogdoches, TX 75965
Garrison · 75946
Garrison Nursing Home & Rehabilitation Center
333 North Fm 95
Garrison, TX 75946
Explore the area
View more homes nearby
Browse nursing homes in Nacogdoches and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.