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Colonial Nursing: No Care Plan Corrections - LA

Healthcare Facility
Colonial Nursing And Rehabilitation Center
Marksville, LA  ·  1/5 stars

The October 11 incident involved a resident with schizoaffective disorder, bipolar disorder, and vascular dementia who required staff assistance with all activities of daily living. Federal inspectors found the facility violated reporting requirements when staff failed to immediately notify supervisors of the suspected abuse.

According to inspection records, the resident had been admitted to the 426 North Washington Street facility with multiple diagnoses including diabetes, epilepsy, and left-side paralysis following a stroke. His most recent cognitive assessment showed intact mental function despite his psychiatric and neurological conditions.

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The incident occurred around 1:30 p.m. on October 11 when one nursing assistant was eating lunch in the dining room. A colleague approached her and verbally reported that she had "poured water on Resident #1 in an attempt to stop him from masturbating" during care.

The nursing assistant who received this information did nothing for two days.

She finally reported the incident to her supervisor on October 13 — 48 hours after learning about it. During interviews with federal inspectors on November 20, she acknowledged she should have reported the incident immediately but failed to do so.

Federal regulations require nursing homes to report suspected abuse immediately to facility administrators. The administrator confirmed during interviews that all staff members are responsible for immediately reporting abuse or suspected abuse, and that the nursing assistant had violated this requirement.

The facility's failure to ensure prompt reporting represents a breakdown in resident protection systems designed to prevent and address abuse. When staff witness or learn of potential abuse, immediate reporting allows administrators to investigate quickly, protect residents, and take corrective action.

In this case, the two-day delay meant administrators remained unaware of the incident while the resident continued receiving care from staff, potentially including the nursing assistant who had poured water on him. The delay also complicated any investigation into whether the action constituted abuse and whether additional protective measures were needed.

The resident's medical complexity made the reporting failure particularly concerning. His combination of psychiatric disorders, dementia, and physical dependencies placed him in a vulnerable position requiring heightened staff vigilance and protection.

Masturbation is recognized as normal human behavior that can occur among nursing home residents with various cognitive conditions. Professional care standards emphasize dignity, privacy, and appropriate responses that don't involve punitive or degrading actions like pouring cold water on residents' bodies.

The nursing assistant who poured the water appeared to view the resident's behavior as something requiring immediate stopping rather than appropriate professional management. Her colleague's failure to report it immediately compounded the problem by delaying administrative oversight and investigation.

Federal inspectors classified the violation as causing minimal harm or potential for actual harm to few residents. However, the classification reflects the reporting failure rather than the underlying incident itself, which involved direct physical contact intended to stop natural behavior.

The facility's policies presumably outlined proper procedures for reporting suspected abuse, but staff failed to follow them. The administrator's confirmation that immediate reporting was required suggests staff received training on these obligations but chose not to act on them.

This type of reporting delay creates risk for other residents who might experience similar treatment without administrative knowledge or intervention. When staff fail to report suspected abuse immediately, facilities cannot fulfill their responsibility to protect residents and investigate incidents promptly.

The October incident came to administrative attention only because the nursing assistant eventually decided to report it, not through any systematic monitoring or oversight. This suggests potential gaps in the facility's ability to detect unreported incidents or encourage prompt reporting among staff.

Colonial Nursing and Rehabilitation Center must now address both the specific incident and the broader reporting failure that allowed it to go unaddressed for days. The facility serves residents with complex medical and psychiatric needs who depend entirely on staff for care and protection.

The resident involved in the incident continued living at the facility throughout the reporting delay and subsequent investigation. His intact cognitive function meant he was likely aware of what happened to him and the staff response that followed.

Federal regulators found the facility failed to ensure allegations of abuse were reported immediately to administrators, violating requirements designed to protect vulnerable residents from harm and ensure swift response to potential abuse situations.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Colonial Nursing and Rehabilitation Center from 2025-11-24 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: June 20, 2026  ·  Our methodology

Quick Answer

Colonial Nursing and Rehabilitation Center in Marksville, LA was cited for violations during a health inspection on November 24, 2025.

Federal inspectors found the facility violated reporting requirements when staff failed to immediately notify supervisors of the suspected abuse.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Colonial Nursing and Rehabilitation Center?
Federal inspectors found the facility violated reporting requirements when staff failed to immediately notify supervisors of the suspected abuse.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Marksville, LA, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Colonial Nursing and Rehabilitation Center or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 195445.
Has this facility had violations before?
To check Colonial Nursing and Rehabilitation Center's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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