Colfax Nursing And Rehab, Llc
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Based on observations and interviews, the facility failed to treat each resident with respect, dignity and care
in a manner that promotes maintenance of his or her quality of life by failing to ensure residents sitting at dining room table were served together at the same time during mealtime. This deficient practice had the potential to affect all Residents that used the facility's dining room during mealtime. Findings: Review of the facility's policy on 08/26/2025 at 11:26 a.m., titled Dignity, revealed the following in part.Each Resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem. 5. When assisting with care, Residents are supported in exercising their rights. For example, Residents are: e. provided with a dignified dining experience.
Observation on 08/26/2025 at 11:53 a.m. revealed 4 residents sitting at a dining room table together. At this time 1 of the Residents seated at this table were served their meal tray. Further observation revealed staff members delivering meal trays to other Residents seated at different tables. Each table in the dining room seated 2 to 4 people, all Residents seated together at the same table were not served their meals at the same time. At 12:08 p.m., the 3 remaining Residents seated were served their meal. Interview on 08/26/2025 at 2:00 p.m., S3 Dietary Manager stated that all Residents seated in the dining room during meal service should be served their meals together when seated at the same table. S3 Dietary Manager acknowledged that Residents seated at the same table were not served their meals at the same time but should have been.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colfax Nursing and Rehab, LLC
366 Webb Smith Drive Colfax, LA 71417
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure a resident received a reasonable accommodation of their needs by failing to ensure the call light was accessible to a resident for 1 (Resident #32) of 43 sampled residents.Review of the facility policy titled, Call System, Residents, dated September 2022, revealed in part. Residents are provided with a means to call staff for assistance through
a communication system that directly calls a staff member or a centralized work station. Each resident is provided a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities, and from the floor.Review of Resident #32's demographic record revealed an admission date of 12/02/2021 with diagnoses that included in part. Chronic Obstructive Pulmonary Disease, Unspecified Combined Systolic (Congestive) and Diastolic Heart Failure, Unspecified Dementia, Unspecified Severity without Behavioral Disturbance and Psychotic Disturbance, Epilepsy, and Schizophrenia.Review of Resident #32's MDS, with
an ARD of 08/13/2025, revealed Resident #32 had a BIMS score of 3, which indicated severe cognitive impairment. Resident #32 required substantial/maximal assistance for toileting, bathing, and personal hygiene. Resident #32 required partial/moderate assistance for all transfers.Review of Resident #32's Care Plan initiated 06/17/2024, revealed the resident had history of falls, with 7 documented falls in August 2025.
Interventions included in part. Encourage the resident to call for assistance. Keep the call bed in reach when in the room. The resident had an ADL self-care performance deficit related to Confusion, Dementia, Impaired Balance, Limited Mobility, and Shortness of Breath. Interventions included in part. Encourage the resident to use the call bell to call for assistance. On 08/25/2025 at 9:43 a.m., observation revealed Resident #32 was lying in bed awake and alert. Call light was observed on the floor under a piece of furniture. The call light was not accessible to Resident #32.On 08/26/2025 at 12:12 p.m., observation revealed Resident #32 was lying in bed awake. Resident #32's call light was observed on the floor. The call light was not accessible to Resident #32. On 08/26/2025 at 2:46 p.m., observation revealed Resident #32 was sleeping in bed. Resident #32's call light was observed on the floor. The call light was not accessible to Resident #32.On 08/27/2025 at 9:01 a.m., observation revealed Resident #32 was sitting up in bed awake and alert. Resident #32's call light was observed on the floor. The call light was not accessible to Resident #32.On 08/27/2025 at 9:03 a.m., surveyor summoned S16 LPN to Resident #32's bedside. S11 LPN confirmed Resident #32's call light was on the floor. S16 LPN confirmed the call light was not accessible to Resident #32 and should have been.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colfax Nursing and Rehab, LLC
366 Webb Smith Drive Colfax, LA 71417
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0605
F 0605
provider but should have been.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colfax Nursing and Rehab, LLC
366 Webb Smith Drive Colfax, LA 71417
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0656
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-27.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0658
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-27.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0689
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0695
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0732
F 0732
Post nurse staffing information every day.
Level of Harm - Minimal harm or potential for actual harm
Based on observation and interview the facility failed to ensure nurse staffing data requirements were completed and posted appropriately. This deficient practice had the potential to affect all 74 residents residing in the facility. Findings:Observation on 08/25/2025 at 2:06 p.m. of the facility entrance revealed no display of the daily nurse staffing data. Observation on 08/26/2025 at 10:50 a.m. revealed no display of the daily nurse staffing data throughout the entire facility. In an interview on 08/26/2025 at 10:52 a.m., S7 Corporate revealed that the previous ADON was responsible for completion of the daily nurse staffing data form. S7 Corporate stated that since the ADON was no longer employed at the facility he was unaware of who was responsible for completion of the task currently. In an interview on 08/26/2025 at 10:55 a.m., S7 Corporate confirmed the daily nurse staffing data form was not completed and displayed appropriately. S7 Corporate stated, It's not posted, so it is not done. S7 Corporate revealed the previous ADON's last day of employment was 06/06/2025 and was unable to verify or provide evidence that the daily nurse staffing data had been completed since this date. S7 Corporate confirmed that the Administrator and/or DON were responsible for overseeing that the daily nurse staffing data was completed and posted, but did not.
Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colfax Nursing and Rehab, LLC
366 Webb Smith Drive Colfax, LA 71417
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-27.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0807
F 0807 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Based on observations and interviews, the facility failed to provide drinks, including water, consistent with resident needs and preferences. The facility failed to ensure staff, in the dining room, provided water to 32 residents with their meal during lunchtime. Findings:Interview on 08/26/20025 at 11:36 a.m. with Resident #1 revealed that he eats most meals in the dining room. Resident#1 stated that water is never served with
the trays unless it is asked for. Observation on 08/26/2025 at 12:10 p.m. revealed staff serving resident lunch trays in the dining room with only tea observed on the lunch tray. A resident in the dining area was heard hollering out for water, instead of the tea that was served. Interview on 08/25/2025 at 12:22 a.m. with S2 DON stated that residents are only served water with meals if they ask for it. S2 DON stated that residents are usually only given tea or the choice of beverage. Interview on 08/26/2025 at 1:00 p.m. S1 Administrator stated that the facility does not serve water on meal trays unless the resident specifically asks for it.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colfax Nursing and Rehab, LLC
366 Webb Smith Drive Colfax, LA 71417
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Based on observation, interview, and record review, the facility failed to maintain a clean and sanitary kitchen in accordance with professional standards for food service safety. This deficient practice had the potential to affect all 74 residents who resided in the facility. The facility failed to ensure:1. Kitchen staff did not handle food with dirty gloves during food preparation; and 2. Kitchen staff wore beard restraints to prevent hair from contacting food.Findings::On 08/26/2025, a review of the facility's undated policy titled Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices revealed in part.Employees must wash their hands:.after handling soiled equipment or utensils, during food preparation, as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks, and/or after engaging in other activities that contaminate the hands. Further review of the policy revealed.Hair nets or caps and/or beard restraints are worn when cooking, preparing or assembling food to keep hair from contacting exposed food, clean equipment, utensils and linens.On 08/25/2025 at 11:10 a.m.,
an observation was made in the kitchen of S5 Dishwasher rolling silverware in napkins. S5Dishwasher was noted to have a beard, which was not covered with a beard restraint. On 08/25/2025 at 11:18 a.m., S4 [NAME] was observed preparing the puree meals. S4 [NAME] was noted to have a beard which was not covered with a beard restraint. S4 [NAME] was then observed as he donned gloves, grabbed the garbage can by the handle and pulled it to the puree table area. S4 [NAME] then picked up the cooked chicken thighs and began to debone them to put in the blender wearing the same gloves. In an interview at that time, S4 [NAME] confirmed he had just moved the garbage can and then handled the chicken with the same gloves. On 08/25/2025 at 11:23 a.m., S3 Dietary Manager confirmed the above two kitchen employees were not wearing beard restraints because the facility did not have any on hand, but should have been. S3 Dietary Manager acknowledged S4 [NAME] had just touched the garbage can and then handled the chicken with the same, contaminated gloves, but should not have.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0880
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-27.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
F-Tag F0925
Federal health inspectors cited Colfax Nursing and Rehab, LLC in COLFAX, LA for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-27.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Colfax Nursing and Rehab, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-18.
Colfax Nursing and Rehab, LLC in COLFAX, LA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLFAX, LA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Colfax Nursing and Rehab, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.