Colfax Nursing And Rehab, Llc
Colfax Nursing and Rehab, LLC in COLFAX, LA — inspection on August 27, 2025.
Found 13 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
195430 08/27/2025
Colfax Nursing and Rehab, LLC 366 Webb Smith Drive Colfax, LA 71417
resident for 1 (Resident #32) of 43 sampled residents.
Review of the facility policy titled, Call System,
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
- 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.
195430 08/27/2025
Colfax Nursing and Rehab, LLC 366 Webb Smith Drive Colfax, LA 71417
provider but should have been.
195430 08/27/2025
Colfax Nursing and Rehab, LLC 366 Webb Smith Drive Colfax, LA 71417
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.
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.
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.
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.
residing in the facility.
Findings:Observation on 08/25/2025 at 2:06 p.m. of the facility entrance
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.
195430 08/27/2025
Colfax Nursing and Rehab, LLC 366 Webb Smith Drive Colfax, LA 71417
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.
The facility failed to ensure staff, in the dining room, provided
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.
195430 08/27/2025
Colfax Nursing and Rehab, LLC 366 Webb Smith Drive Colfax, LA 71417
serve food in accordance with professional standards.
kitchen in accordance with professional standards for food service safety.
This deficient practice had
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.
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.
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.