Colfax Nursing and Rehab: Call Light Failure - LA
Inspectors visiting Colfax Nursing and Rehab, LLC on 366 Webb Smith Drive found the same resident, identified in inspection records as Resident #32, lying in bed without access to a call light on four separate occasions. Each time, the call light was on the floor. On one visit, it had slid under a piece of furniture.
The resident had been living at the facility since December 2021. Their medical record listed chronic obstructive pulmonary disease, combined systolic and diastolic heart failure, unspecified dementia with severe cognitive impairment, epilepsy, and schizophrenia. On the facility's standardized cognitive assessment, the resident scored a 3 out of 15, placing them in the range of severe impairment. They needed substantial to maximal assistance to use the toilet, bathe, and manage personal hygiene. They could not transfer without help.
The facility's own care plan, initiated in June 2024, acknowledged the problem directly. Staff were instructed to keep the call bell within the resident's reach whenever they were in the room. The care plan noted the resident's history of falls and listed confusion, impaired balance, limited mobility, and shortness of breath as factors affecting their ability to care for themselves. Encouraging the resident to use the call bell was listed as an intervention. That intervention assumed the bell was there to use.
It wasn't.
On August 25, 2025, at 9:43 in the morning, an inspector found Resident #32 lying awake in bed. The call light was on the floor beneath a piece of furniture, out of reach. The next day, at 12:12 p.m., the resident was again in bed, awake. The call light was again on the floor. Two and a half hours later, at 2:46 p.m., an inspector returned to find the resident sleeping. The call light was still on the floor.
The following morning, August 27, at 9:01 a.m., Resident #32 was sitting up in bed, awake and alert. The call light was on the floor again.
Two minutes later, the inspector summoned a licensed practical nurse to the bedside. The nurse looked at the situation and confirmed what the inspector had already documented three times: the call light was on the floor and the resident could not reach it. The nurse said it should have been accessible.
The facility's own written policy on its call system states that every resident is provided a means to call staff directly from their bed, from toileting and bathing areas, and from the floor. The policy had been in place since September 2022.
What the inspection record does not explain is how a resident with this many documented vulnerabilities, seven falls in the month of August alone, came to be found in this condition not once but four times across three days of observation. It does not say whether anyone checked between inspector visits. It does not say whether the resident tried to get out of bed during any of those hours without a way to signal for help.
The inspection, conducted as a complaint survey, was completed August 27, 2025. The deficiency was rated as minimal harm or potential for actual harm, the lowest level on the federal scale.
Resident #32, severely cognitively impaired, dependent on staff for nearly every basic function, and living through a month in which they fell seven times, had no way to summon anyone. Four times in three days, they were awake and waiting, and the cord that was supposed to connect them to help was somewhere on the floor.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Colfax Nursing and Rehab, LLC from 2025-08-27 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Colfax Nursing and Rehab, LLC in COLFAX, LA was cited for violations during a health inspection on August 27, 2025.
Each time, the call light was on the floor.
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.