Coldwater Manor is a facility located in Stratford, Texas, which has a population of 2,366 people. Featuring an overall rating of A, this facility is one of the most elite facilities we looked at. We were so impressed with this nursing home that we ranked it in the top 20 percent of all nursing homes in the United States. Headlining this nursing home's stellar profile is its nursing grade, which you can find in the next paragraph.

Additional Details:

Accepts Medicare 1 : FalseUsed to indicate false.

Accepts Medicaid 1 : 33 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - Hospital district

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

A+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: AAug 19: ASep 19: AJan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

One of the many reasons this turned out to be a great nursing home is that it received an A+ nursing grade. This is simply as good as it gets in this category. In calculating a facility's nursing rating, we weigh the number of hours nurses spend with patients and the level of skill of the nurses. This facility boasts a really impressive 4.6 hours of nursing care per resident on a daily basis, of which a significant percentage of those hours were provided by registered nurses. This is one of the more highly skilled levels of nurses. This is one of the better totals of nursing hours we found. In addition to offering impressive levels of care, this facility also performed well in many of the quality-based metrics we looked at. For example, in terms of the percentage of its residents suffering falls which lead to major injury, this place outpaced the national average. This is often a good indicator that a nursing home has reliable quality controls in place. Major falls can generally be avoided if more nurses aids and better safety protocols are in place.

Facility Inspections

A
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: AMar 20: AApr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

This facility has earned near flawless inspections recently. We gave them an impressive grade of A in this category. Inspection ratings account for several factors found on a nursing home's inspection reports. One key criteria we consider is the quantity and severity of deficiencies. Places with better scores in this category tend to have few severe deficiencies. This nursing home received 2 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered severe. This indicates that the government inspectors didn't deem any of the deficiencies to cause an immediate threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Long-term Care Quality

A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

This facility also fared very well in the category of long-term care, where it received a grade of A. Few facilities fared better in this area. When nursing homes receive this kind of grade in long-term care it is usually a good sign for resident care and indicates that the nursing home is well-staffed with nurses and aids. One of the statistics we considered in addition to this nursing home's above average nursing hours is vaccinations. This facility administered the pneumonia vaccine to 100 percent of its patients. Vaccines are a great way to avoid unnecessary deaths for the elderly. Lastly, this nursing home was able to limit hospitalizations. With just 1.7 hospitalizations per one thousand long-term resident days, this facility had fewer hospitalizations than most nursing homes.

Short-term Care Quality

B+
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: A-Feb 19: AMay 19: A-Jun 19: A-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

In the final category, we awarded this nursing home a grade of A for our short-term care grade. This completed a very impressive report card. With our short-term care grade, we endeavor to forge a fair measure for rehabilitation. In this process, we look at a facility's offerings of highly-skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. When we assessed this facility's nursing hours, we found it offered more care from registered nurses than most nursing homes. The last measure we assessed in this category is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that 0 percent of this facility's patients were able to return home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A
State:
C
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Coldwater Manor Quality Metrics

Minimizes Pressure Ulcers

This indicates the percentage of patients who suffered from a pressure ulcer. Pressure ulcers, which are also called bed sores, are often caused by residents not being moved frequently enough. Better nursing care can reduce the percentage of residents in a nursing home who sustain pressure ulcers.

Provider
C
10%
State
B
7.46%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint tells you the percentage of long-term care residents which sustained falls leading to major injury. This is one of the statistics we use in calculating our nursing scores.

Provider
B+
2.63%
State
B
3.37%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of residents who suffered from a urinary tract infection. These infections may be linked to poorer hygiene.

Provider
A+
0%
State
B+
2.22%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This tells you the percentage of patients who were given antipsychotic drugs. While antipsychotic medications may be vital to many patients, it is important to confirm these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest that a facility is using these drugs to subdue residents.

Provider
A-
9.21%
State
B+
12.37%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of residents who were prescribed antianxiety medications. Antianxiety medications are given to patients experiencing anxiety and depression.

Provider
D
36.36%
State
B-
23.38%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is a measure of the percentage of long-term stay patients who are demonstrating signs of depression.

Provider
D
9.59%
State
B+
2.92%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of patients who received the pneumonia and flu vaccines. High vaccination rates should be demanded by residents.

Provider
A
100%
State
B
92.34%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This metric is a measure of the percentage of long-term stay residents who required more assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Some experts argue this is a reliable measure of a patient's well-being.

Provider
A
9.8%
State
B-
17.2%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This metric is a measure of the percent of long-term residents who retained mobility levels.

Provider
A-
22.07%
State
B
18.24%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric measures the number of hospitalizations per 1,000 days of patient care.

Provider
B+
1.39
State
B-
1.92
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of times residents are rehospitalized per thousand days of short-term patient care. There is typically a correlation between having fewer hospitalizations and a nursing home's quality of short-term rehabilitation.

Provider
C
22.07
State
B
18.24
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better