Colonial Nursing And Rehabilitation Center
Colonial Nursing and Rehabilitation Center in Marksville, LA — inspection on May 29, 2025.
Found 6 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
Review of Resident #156's Admission MDS with an ARD of 05/02/2025, revealed a BIMS score of 04, which indicated severe cognitive impairment.
The MDS revealed Resident #156 was independent for transfers and used a walker for mobility.
Review of Resident #156's Care plan with a target completion date of 08/11/2025, read in part .Elopement risk related to reported history of Altered Mental Status, Cocaine use with wandering attempts to leave hospital noted. 05/15/2025-Elopement attempt noted: willfully attempted to leave facility without notifying staff, wanted to be discharged back home.
Interventions included in part; Elopement precautions: Census checks every 1 hour, each shift related to history of Delirium and wandering (initiated on 05/02/2025).
Supervision increased to 1:1 for safety.
Vistaril injection IM (intramuscular)1 time as ordered per S14 NP for anxiety. (initiated on 05/15/2025).
Review of Resident #156's facility progress notes dated 05/16/2025 at 1:00 p.m., written by S2 DON read in part: Resident #156 left facility (exited X-hall bathroom window) after eating breakfast this morning. He was located & transported back to the facility in stable condition.
Upon questioning, resident was noted alert & oriented x 4 with appropriate verbal responses. Resident #156 stated that he left facility to try to find a ride back to his home in New [NAME].
Review of a SIMS report completed by the facility revealed on 05/16/2025 at approximately 8:15 a.m. Resident #156 eloped from the facility.
The facility was made aware of the elopement on 05/16/2025 at 8:30 a.m.
The facility entered the allegation into SIMS reporting system on 05/16/2025 at 6:18 p.m.
Interview with S1 Administrator on 05/29/2025 at 8:56 a.m., revealed on 05/16/2025 at approximately 8:15 a. m. Resident #156 eloped from the facility. S1 Administrator revealed she was made aware of the elopement on 05/16/2025 at approximately 8:30 a.m. S1 Administrator confirmed she did not report Resident #156's elopement out of the facility within the 2 hour required timeframe, but should have.
195445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195445 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing and Rehabilitation Center 426 North Washington Street Marksville, LA 71351
Review of Resident #35's Quarterly MDS with an ARD date of 05/21/2025 revealed Resident #35 had BIMS of 8 (Moderate Cognitive Impairment). Resident #35's ability to understand others was documented as- sometimes.
Review of Resident #35's Comprehensive Person Centered Care Plan revealed resident had difficulty communicating related to language barrier.
Interventions included: Provide a communication board.
Interview and observation on 05/27/2025 at 12:14 p.m. with Resident #35 revealed he had difficulty understanding English, and did not speak English. Resident #35 shook his head no, when asked if he could understand English.
Observation of Resident #35's room at that time revealed there was no communication aid/board to assist in communication with resident.
Interview on 05/28/2025 at 8:40 a.m. with S7 CNA revealed she was assigned care of Resident #35. S7 CNA stated Resident #35 did not speak English and understood very little English. S7 CNA stated she determined Resident #35's needs by pointing and guessing at things until resident would shake his head yes or no. S7 CNA stated she never used a communication aid or picture board with Resident #35 because he did not have one.
Observation on 05/28/2025 at 8:50 a.m. of Resident #35's room revealed there was no communication aid to assist in communication with resident.
Interview on 05/28/2025 at 8:54 a.m. with S4 LPN revealed Resident #35 had difficulty with communication as he could not speak English. S4 LPN stated she communicated with Resident #35 by using gestures. S4 LPN confirmed Resident #35 did not have a communication board, or any type of communication aid in his room to assist with communication. S4 LPN revealed Resident #35 would benefit from a communication board to assist in communication.
195445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195445 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing and Rehabilitation Center 426 North Washington Street Marksville, LA 71351
Review of Resident #8's weight change evaluation form completed by S2 DON revealed in part .Resident #8 had a weight loss of 19 pounds in 1 month.
Notes: total 19 pound weight loss in past month noted on return from hospital on 04/30/2025 status post recent history of aspiration pneumonia with NPO status and new peg tube placement noted.
Plan: continue tube feeding, refer to RD for evaluation.
Other: referral to RD for review, care plan updated.
On 05/29/2025 after further review of Resident #8's medical record there was no evidence of documentation of the RD's evaluation or referral sent for Resident #8's significant weight loss.
Telephone interview on 05/29/2025 at 12:46 p.m., with S10 Registered Dietician (RD) revealed she came to the facility on ce or twice a month to assess residents. S10 RD revealed that the facility would email her names of residents needing to be seen by her during her visit. S10 RD stated she reviewed residents' weights on a monthly basis. S10 RD stated Resident #8's significant weight loss was due to his multiple hospitalization s. S10 RD confirmed that she did not receive any evaluation request or referrals regarding Resident #8's significant weight loss from the facility upon his return from the hospital.
Interview on 05/29/2025 at 2:03 p.m. with S2 DON revealed she was responsible for notifying S2 RD of changes in resident's weights via a referral or request for an evaluation. S2 DON stated she sent out a referral and requested an evaluation from S10 RD concerning Resident #8's significant weight loss. S2 DON could not provide documentation of an evaluation or referral sent to S10 RD concerning Resident #8's significant weight loss.
195445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195445 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing and Rehabilitation Center 426 North Washington Street Marksville, LA 71351
F 0812 (1) bag of liquid eggs located in cooler #1 was not labeled with an open date or stored in a sealed container and should have been.
potential for actual harm 3.
Interview with S8 Dietary Manager on 05/29/2025 at 09:07 a.m. revealed the facility did not have separate snack refrigerators. S8 Dietary Manager revealed snacks are stored and served from hydration carts at
S8 Dietary Manager revealed the hydration cart prepared at 07:00 p.m. daily included all snacks that were readily available to the residents till 5:00 a.m. the next day. S8 Dietary Manager revealed content of the 07:00 p.m. hydration cart consisted of juice, water, graham crackers, peanut butter crackers, and premade sandwiches that were stored in an ice cooler. S8 Dietary Manager revealed types of sandwiches stored in ice cooler on 07:00 p.m. hydration cart included peanut butter and jelly, turkey, bologna, and pimento cheese sandwiches. S8 Dietary Manager stated (2) two gallon zip lock bags were filled with ice and placed in ice cooler to keep sandwiches cool until sandwiches were discarded at 05:00 a.m. the next day.
On 05/29/2025 at 09:18 a.m. observation of snack ice cooler revealed a 25 quart portable ice cooler that was not temperature regulated.
On 05/29/2025 at 10:52 a.m. interview with S8 Dietary Manager revealed temperatures were not being monitored for ice cooler that stored sandwiches between 07:00 p.m. and 5:00 a.m. daily. S8 Dietary Manager confirmed turkey and pimiento cheese sandwiches were considered potentially hazardous food and should be stored in a monitored temperature regulated refrigerator and they were not.
195445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195445 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing and Rehabilitation Center 426 North Washington Street Marksville, LA 71351
F 0880 On 05/28/2025 at 09:55 a.m. observation of Resident #11's wound care performed by S9 Treatment Nurse revealed Resident #11's left great toe wound was cleansed with the contaminated 4x4 normal saline soaked
potential for actual harm On 05/28/2025 at 10:07 a.m. interview with S9 Treatment Nurse confirmed she contaminated Resident #11's
Treatment Nurse confirmed she then used the contaminated wound care supplies to complete Resident #11's wound care to his left great toe. S9 Treatment Nurse confirmed she should have placed the 4x4 gauze on a clean barrier during wound care preparation to prevent contamination, but did not. S9 Treatment Nurse confirmed she should have discarded the contaminated 4x4 gauze before providing wound care to Resident #11, but did not.
195445
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 195445 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing and Rehabilitation Center 426 North Washington Street Marksville, LA 71351
F 0925 On 05/29/2025 at 09:08 a.m. observation of the facility kitchen revealed one live fly flying throughout the kitchen area.
potential for actual harm On 05/29/2025 at 10:52 a.m. interview with S8 Dietary Manager revealed the facility recently began having issues with live flies. S8 Dietary Manager confirmed she has observed live flies in kitchen area and the
195445