The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
COLDWATER MANOR
STRATFORD, TX · Medicare-certified · 26 beds
In good standing
Government-run
5 of 5 overall
COLDWATER MANOR in Stratford, TX has an overall rating of 5 out of 5 stars, with strong quality measures and staffing ratings. It reported 5.36 nursing hours per resident per day, above the federal benchmark of 4.1, and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.3625 hrs/resident/day
Quality measures
Last inspection: June 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3625.
Staffing detail
- Registered nurses
- 1.31
- Licensed practical nurses
- 0.76
- Nurse aides
- 3.29
- Weekend nursing
- 4.73
Hours per resident per day.
Total staff turnover: 83%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.3%Steady
Residents with a fall causing major injury
8.1%Worsening
Residents with pressure ulcers (bedsores)
5.2%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
12.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13%Worsening
Residents whose ability to walk got worse
14.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6.8%Steady
Residents with a long-term catheter
2.5%Improving
Residents with new or worsening incontinence
20.1%Worsening
Residents with depressive symptoms
1.4%Steady
Long-stay residents given the pneumonia vaccine
97.3%Steady
Short-stay residents given the pneumonia vaccine
90%Steady
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 583 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 21.2 residents on an average day (82% of 26 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.