CCN 455959 · Nacogdoches County, Texas
Westward Trails Nursing and Rehabilitation
3001 Westward Drive, Nacogdoches, TX 75964
Westward Trails Nursing and Rehabilitation is a 108-bed for-profit nursing home in Nacogdoches, Texas, first certified for Medicare or Medicaid in 1991. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 82.1 residents a day, about 76% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 108
- Average residents per day
- 82.1 (76.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Westward I Enterprises LLC
- Certified since
- Nov 15, 1991
- Chain or affiliated group
- Creative Solutions in Healthcare (149 facilities, chain average 2.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.27 | 3.27 | 3.68 |
| RN hours per resident per day | 0.17 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.59 | ||
| Nursing staff turnover | not reported | 52.1% | 44.9% |
| Occupancy (residents / beds) | 76.0% | 68.6% | 85.7% |
| Fines reported by CMS | 3 totaling $25,036 | ||
| Health deficiencies, latest standard survey | 2 (Jun 25, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Westward Trails Nursing and Rehabilitation meets that part today: 3 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Creative Solutions in Healthcare IncOrganization | Operational / Managerial Control | n/a | 05/01/2021 |
| Blake, GaryIndividual | Operational / Managerial Control | n/a | 05/01/2021 |
| Blake, MalisaIndividual | Operational / Managerial Control | n/a | 05/01/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 1, 2021 | Westward I Enterprises LLC | Westward Nursing and Rehabilitation LP |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.