WESTWARD TRAILS NURSING AND REHABILITATION

3001 WESTWARD DR
NACOGDOCHES, TX, 75964
9365692631
CCN: 455959
3
Overall
3
Health
2
Staffing
4
Quality
ChainCREATIVE SOLUTIONS IN HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CREEKBEND ENTERPRISES
1128b8
Excluded 1992-09-08
Ownership
NameRole%
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BLAKE, GARY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
BLAKE, MALISA5% OR GREATER INDIRECT OWNERSHIP INTEREST50%
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUGGINS, LINDAW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (2)
DateTypeAmount
2025-06-25Fine$23K
2025-03-31Fine$6K
Health Deficiencies (24)
2025-11-20 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2025-06-25 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-05-22 · Health
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2025-03-31 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-24 · Health
D
F926 · Environmental Deficiencies
Have policies on smoking.
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2023-03-15 · Health
E
F926 · Environmental Deficiencies
Have policies on smoking.
D
F761 · Pharmacy Service Deficiencies
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.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
E
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.49
3.68
RN Hrs/Resident/Day
0.18
0.54
LPN Hrs/Resident/Day
1.11
0.81
CNA Hrs/Resident/Day
2.19
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01