Colonial Nursing And Rehabilitation Center

and that he cried throughout the night. Resident #1 further reported that he continues to feel fearful that a similar incident may occur again. An interview on 11/20/2025 at 1:35 p.m., with S2 CNA revealed that on 10/11/2025 at approximately 1:30 p.m., she was eating lunch in the dining room when S3 CNA verbally informed her that she had poured water on Resident #1 in an attempt to stop him from masturbating. S2 CNA reported that upon hearing this information, she immediately went to Resident #1's room to check on him. S2 CNA stated that Resident #1 was crying when she entered the room. S2 CNA observed that Resident #1's bed sheets and brief were wet. S2 CNA reported Resident #1 said How could anyone be so mean, water, and requested to speak with the administrator. S2 CNA reported Resident #1 masturbates in his room frequently. S2 CNA stated staff are aware of his sexual behaviors and have been instructed to close the door or pull the privacy curtain if Resident #1 engages in self pleasure. A telephone interview on 11/20/2025 at 2:58 p.m., with S3 CNA revealed on 10/11/2025 at approximately 1:00-1:15 p.m. S3 CNA was walking down the hallway when she observed Resident #1 engaging in self pleasuring behavior. S3 CNA stated she attempted to stop Resident #1 from masturbating, at which time the resident attempted to grab her arm. S3 CNA further stated she then picked up a cup of water and poured it onto Resident #1's genital area. S3 CNA confirmed she entered Resident #1's room without invitation or clinical need. Resident #1 had not requested assistance with ADLs and did not have his call light activated prior to her entering the room. S3 CNA acknowledged she has been educated to close the door or pull the privacy curtain when Resident #1 is engaging in self pleasuring behaviors. S3 CNA confirmed she did not do so during this incident. An interview on 11/24/2025 at 8:12 a.m. with S1 Administrator confirmed that physical abuse involving S3 CNA and Resident #1 was substantiated during the facility's investigation. S1 Administrator reported that all staff had received training on appropriate responses when Resident #1 engages in self-pleasuring behaviors. S1 Administrator confirmed Resident #1 was found crying in his room after the incident occurred. S1 Administrator also confirmed S3 CNA was suspended on 10/13/2025 and subsequently terminated on 10/16/2025.

The facility has implemented the following corrective actions to correct the deficient practice: 1.

Staff Education: All staff were in-serviced on 10/13/2025 on the Abuse & Neglect Policy, resident rights to privacy, requirements for reporting abuse or suspected abuse immediately, and physical restraint free facility. 2.

Resident Interviews: All residents who received care from S3 CNA were interviewed by the administrator. No complaints or concerns were identified.

Residents who were non-interviewable received a full body audit. 3.

Medication Management: Resident #1 was re-started on the antipsychotic medication Saphris 5mg BID on 10/15/2025 for management of increased sexual behaviors.

• Psychiatric Evaluation: Resident #1 was evaluated by the Psychiatric Nurse Practitioner on 10/17/2025.

No new orders or recommendations were made. 5.

Psychosocial Monitoring: Monitoring by the LPN/floor nurse every shift was implemented to assess for signs and symptoms of psychosocial trauma, including sadness, crying, mood swings, depressed mood, decreased socialization, withdrawal, and refusal of care.

• Ongoing Abuse Reporting Oversight: A resident abuse and reporting monitoring tool was established.

The Administrator will interview eight residents per week for eight weeks, then monthly thereafter, to ensure compliance with abuse reporting expectations.

Facility correction date is 10/17/2025.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Colonial Nursing and Rehabilitation Center

426 North Washington Street Marksville, LA 71351

SUMMARY STATEMENT OF DEFICIENCIES