Coldwater Manor
1111 Beaver Rd, Stratford, TX 79084
Coldwater Manor, a 26-bed government - hospital district nursing facility in Stratford, TX, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8063965568
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- 2.38
- Well below average · nurse hrs/day · nat'l 3.89
- 9
- Inspection findings
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 45E947
- Ownership
- Government - Hospital district
- Provider Type
- Medicaid
- Beds
- 26
- Residents
- 22
- In Hospital
- No
- County
- Sherman
- Last Inspection
- Jun 18, 2025
Staffing Data
How the 2.38 total nursing hours per resident-day are staffed:
- RN Hours
- 1.41 (nat'l avg: 0.68)
- LPN Hours
- 0.69
- CNA Hours
- 0.29
- Total Nursing Hours
- 2.38 (nat'l avg: 3.89)
- PT Hours
- 0.00
- Nursing Turnover
- 77.8%
What the CMS Record Reveals About Coldwater Manor
Coldwater Manor operates 26 certified beds in Stratford, TX with approximately 22 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 2★ · quality 5★).
The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 2.38 total hours per resident day (national average 3.89); RN hours specifically are 1.41 per resident day.
Classified as "Government - Hospital district" ownership and operating as a "Medicaid" provider, Coldwater Manor falls into a category where comparative context matters. Reported nursing turnover at this facility is 77.8%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 18, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Jul 18, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 18, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 18, 2025
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Jul 18, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jul 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 7, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jun 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 31, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 13.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | N/A | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Coldwater Manor?
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Does Coldwater Manor have any deficiencies on record?
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What quality measures are tracked for Coldwater Manor?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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