Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Coldwater Manor during CMS and state inspections, most recent first.
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, with multiple instances of improperly labeled and dated food items observed in the kitchen, refrigerator, and freezers. Interviews confirmed the lack of written policies and issues with staff compliance.
The facility failed to ensure a resident's DNR form was properly completed, missing essential physician information. This oversight was discovered during a record review and confirmed by staff interviews, revealing gaps in the verification process.
Failure to Properly Label and Store Food
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Observations revealed multiple instances of improperly labeled and dated food items in the kitchen, walk-in refrigerator, and freezers. Specific findings included unlabeled and undated containers of cereal, frosting, bread-like objects, electrolyte drink, pineapple juice, lettuce, tomatoes, pie filling, whipped topping, cheese slices, pork sausage, tilapia, pies, ice cream cups, and various other food items. Additionally, some food items were found in a state that suggested spoilage, such as a ballooning container of frosting and a tomato with a brownish caved-in area. Interviews with the Administrator (ADM) and Dietary Manager (DM) confirmed the lack of written policies regarding food labeling, storage, and leftovers, and highlighted issues with staff compliance in labeling and dating food appropriately. The DM admitted to following the Texas Food Establishment Rules verbally but lacked written training records or sign-in sheets for staff training. The DM and Dietary Staff (DS) acknowledged that improper food labeling and storage could lead to residents getting sick. The facility's policies on food brought by family/visitors and on refrigerators and freezers were reviewed, revealing requirements for proper labeling, dating, and rotation of food items to ensure safety. However, these policies were not being effectively implemented, as evidenced by the numerous instances of non-compliance observed during the survey.
Failure to Ensure Proper Completion of DNR Form
Penalty
Summary
The facility failed to ensure that all residents had the right to formulate an advance directive, specifically for one resident who had a Do Not Resuscitate (DNR) order in her record without the necessary physician information. The resident, an elderly female with multiple diagnoses including cerebral infarction, dementia, aortic valve deficiency, cardiac arrhythmias, and atherosclerosis, was listed as a DNR. However, the DNR form lacked the physician's signature, date, printed name, and license number, rendering it invalid. This oversight was discovered during a review of the resident's records and confirmed by interviews with nursing staff who acknowledged the missing physician information and the potential implications for the resident's care status in the event of a medical emergency. Interviews with the Director of Nursing (DON) and other staff revealed that the responsibility for verifying the accuracy of DNR forms was shared among various roles, including the social worker, who had recently resigned. The DON admitted that the physician section of the DNR form was missed due to an oversight, and the new social worker had not yet learned the verification process. The facility's policy on advance directives stated that all elements impacting a resident's healthcare must comply with state law, but this policy was not followed in this instance, leading to the deficiency. The failure to have a properly completed DNR form could result in the resident being resuscitated against her or her legal representative's wishes.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Stratford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coon Memorial Home | 32.4 mi | — | 0 | 0 |
| Memorial Nursing And Rehabilitation Center | 33.2 mi | ★★★★★ | 0 | 0 |
| Great Plains Nursing And Rehabilitation | 34.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.