Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Colonial Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of exit-seeking behaviors left the facility through a bathroom window after 1:1 supervision was discontinued. The resident was later found by police after being involved in a vehicle theft incident. Staff had last observed the resident calm at breakfast, and the nurse practitioner had lifted enhanced supervision following an assessment. The facility did not maintain adequate supervision or implement effective elopement precautions, resulting in the resident's unauthorized exit.
The facility failed to consistently monitor and document fluid intake for a resident with orders for intake and output, resulting in multiple days without required documentation or meeting minimum fluid requirements. Additionally, after a resident experienced significant weight loss and a change in nutritional status, the facility did not notify the RD as required, and there was no evidence of an RD evaluation or referral. These actions did not comply with facility policies for hydration and nutrition monitoring.
The facility did not store or label food items in accordance with professional standards, including leaving opened dry and refrigerated foods unsealed and unlabeled, and storing potentially hazardous snacks such as sandwiches in an unmonitored, non-temperature-regulated cooler overnight. These deficiencies were confirmed by dietary staff and had the potential to affect all residents receiving meals.
Staff failed to follow Enhanced Barrier Precautions during a resident transfer involving a PEG tube, did not maintain a sanitary laundry department with excessive lint and dust, and a treatment nurse contaminated wound care supplies by placing gauze on a computer keyboard before using it on a resident with an open toe wound.
The facility did not maintain an effective pest control program, leading to the presence of flies and gnats in resident rooms, the dining area, and the kitchen. Multiple residents reported frequent encounters with pests, and staff confirmed ongoing issues, with direct observations of flies in food service areas and during meals.
The facility did not report two separate incidents—one involving alleged physical abuse by a CNA and another involving a resident's elopement—within the required two-hour timeframe after becoming aware of the events. In both cases, the administrator acknowledged the delay in reporting to the State Survey Agency, which did not comply with established policy and regulatory requirements.
A resident with moderate cognitive impairment and a language barrier was not provided with a communication board as required by their care plan. Staff confirmed the absence of any communication aid and relied on gestures and guessing to communicate with the resident, despite the documented need for such support.
The facility failed to re-train eight staff members on abuse policies after a verbal altercation between a resident and a ward clerk. The incident involved threats and foul language, and despite the facility's investigation, there was no documented evidence of re-training for the involved staff.
Failure to Provide Adequate Supervision for High Elopement Risk Resident
Penalty
Summary
A cognitively impaired resident with a history of cerebral infarction, substance abuse, and anxiety disorder, who was identified as high risk for elopement, exited the facility through a bathroom window. The resident had previously exhibited exit-seeking behaviors, including verbalizing a desire to leave, attempting to leave the facility, and requesting police assistance to return home. The care plan and physician orders indicated the need for elopement precautions, including hourly census checks and, following an incident of increased agitation, 1:1 staff supervision for safety. On the morning of the incident, the resident was observed to be calm during breakfast and did not display abnormal or exit-seeking behaviors according to staff interviews. The nurse practitioner, after assessing the resident and finding him cooperative, lifted the 1:1 supervision order. Shortly after, staff were unable to locate the resident, and a search of the facility revealed that he had left through a bathroom window. Surveillance footage confirmed the resident's last known location in the bathroom, and staff initiated a facility-wide search upon realizing his absence. The resident was later found by local police approximately half a mile away, having been involved in the theft of a motor vehicle. The police report indicated that the resident was attempting to travel to his home and was subsequently taken into custody. The facility's failure to maintain adequate supervision and implement effective elopement precautions for a resident at high risk for elopement resulted in the resident leaving the premises without authorization and created an immediate jeopardy situation.
Failure to Monitor and Intervene for Resident Hydration and Nutrition
Penalty
Summary
The facility failed to implement and monitor interventions to maintain proper hydration and nutrition for two residents. For one resident with diagnoses including anorexia, diabetes, major depressive disorder, and acute kidney failure, there was a physician's order to monitor intake and output every shift with a minimum daily fluid intake of 1500cc/ml. However, review of documentation over a 30-day period revealed multiple days where nursing staff and CNAs did not document fluid intake every shift as ordered, and several days where the recorded intake did not meet the minimum requirement. The Director of Nursing confirmed these findings, acknowledging that the required monitoring and documentation were not consistently performed. For another resident with acute and chronic respiratory failure, severe protein-calorie malnutrition, and a history of significant weight loss, the facility failed to notify the Registered Dietician (RD) of a substantial change in nutritional status. The resident experienced a 19-pound weight loss in one month following hospitalization and new PEG tube placement. Although the care plan indicated a referral to the RD for evaluation due to the significant weight loss, there was no evidence in the medical record that such a referral or evaluation occurred. The RD confirmed she did not receive any request for evaluation regarding the resident's weight loss, and the DON could not provide documentation of a referral or evaluation being sent. Facility policies required monitoring and documentation of intake and output for residents with physician orders, as well as prompt RD consultation for significant weight changes. In both cases, the facility did not follow its own policies or physician orders, resulting in a failure to ensure adequate hydration and nutrition monitoring and intervention for the affected residents.
Failure to Store and Label Food Items According to Professional Standards
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety, as observed during a kitchen tour and confirmed through staff interviews. Specifically, an opened 20-pound box of spaghetti noodles was found in the pantry without a sealed container or an open date label. In the freezer and coolers, a two-gallon zip lock bag of waffles and a bag of liquid eggs were not labeled with open dates, and a 15-pound box of bacon was left open to air. These practices were not in compliance with the facility's own policies, which require all food items to be tightly wrapped, labeled, and stored in sealed containers to prevent contamination. Additionally, the facility did not appropriately store potentially hazardous snacks. Sandwiches containing turkey and pimento cheese were prepared and stored in a portable ice cooler on a hydration cart from the evening until the following morning, without temperature regulation or monitoring. The dietary manager confirmed that the cooler was not temperature regulated and that temperatures were not being monitored during this period, despite the presence of potentially hazardous foods. These deficiencies had the potential to affect all residents receiving meals from the kitchen.
Infection Control Failures in EBP, Laundry Sanitation, and Wound Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several observed deficiencies. In one instance, staff did not follow Enhanced Barrier Precautions (EBP) for a resident with a percutaneous endoscopic gastrostomy (PEG) tube. Although the resident had physician orders and a care plan indicating the need for EBP, including gown and glove use during direct care activities such as transfers, a certified nursing assistant (CNA) was observed transferring the resident without wearing a gown, despite EBP signage and available personal protective equipment (PPE) at the room. Additionally, the facility's laundry department was found to be unsanitary, with excessive lint and dust present in and around the dryers, on the walls, and hanging from the ceilings. The administrator confirmed that the laundry area was not maintained in a clean and sanitary condition, as required for infection control. A further deficiency was observed during wound care for a resident with multiple comorbidities, including diabetes, chronic kidney disease, and an open wound on the left great toe. The treatment nurse contaminated a 4x4 gauze by placing it on a computer keyboard and then used the contaminated gauze during wound care, rather than discarding it. The nurse acknowledged the error, confirming that the wound care supplies were not kept sterile during the procedure.
Failure to Maintain Effective Pest Control Program Resulting in Presence of Flies and Gnats
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of flies and gnats throughout the building, including resident rooms, the dining area, and the kitchen. Multiple residents reported seeing flies and gnats in their rooms and common areas, with one resident stating he had to purchase a fly swatter due to the frequency of pests. Observations confirmed flies flying in the dining room during meal times, with one resident swatting at a fly crawling on his soup bowl and another fly crawling on a dining table near a resident's plate. The facility's pest control policy required the use of various methods to control seasonal pests, but staff interviews and direct observations indicated these measures were not effective in preventing the presence of flies and gnats. Further observations in the kitchen revealed live flies present in the food preparation and kitchen areas on multiple occasions. The Maintenance Director acknowledged awareness of the ongoing issue with flying insects, particularly during the summer months, and described the use of sticky traps as a deterrent. The Dietary Manager also confirmed recent problems with live flies in the kitchen and acknowledged that the kitchen should always be free of pests, but this standard was not met.
Failure to Timely Report Allegations of Abuse and Neglect
Penalty
Summary
The facility failed to ensure timely reporting of allegations of abuse and neglect to the State Survey Agency as required by its own policy and federal regulations. In the first instance, a resident with intact cognition alleged that a CNA had slapped him on the face. The facility became aware of this allegation at 8:30 a.m., but did not enter the incident into the SIMS reporting system until 1:29 p.m., exceeding the required two-hour reporting window for abuse allegations. The administrator confirmed that the report was not submitted within the mandated timeframe. In a separate incident, another resident with severe cognitive impairment and a history of elopement risk exited the facility through a bathroom window. The facility became aware of the elopement at 8:30 a.m., but did not report the incident in the SIMS system until 6:18 p.m., again failing to meet the two-hour reporting requirement. The administrator acknowledged that the elopement was not reported within the required timeframe. Both incidents demonstrate a failure to immediately report allegations of abuse and neglect as outlined in facility policy and regulatory requirements.
Failure to Provide Communication Aid for Non-English Speaking Resident
Penalty
Summary
A deficiency was identified when a resident with a language barrier and moderate cognitive impairment was not provided with a necessary communication aid as outlined in their care plan. The resident, who did not speak or understand English, was admitted with diagnoses including Type 2 Diabetes Mellitus, Major Depressive Disorder, Unspecified Dementia, and Generalized Anxiety Disorder. The care plan specifically indicated the need for a communication board to assist with communication due to the resident's difficulty understanding others. Despite this documented need, multiple observations and staff interviews confirmed that no communication board or aid was present in the resident's room. Staff members, including a CNA and an LPN, reported relying on gestures, pointing, and guessing to determine the resident's needs, as no communication aid was available. Both staff members acknowledged the resident's difficulty with English and confirmed that a communication board was not in use, despite its inclusion in the care plan.
Failure to Re-train Staff on Abuse Policies After Verbal Abuse Incident
Penalty
Summary
The facility failed to ensure that eight nursing/direct care staff members were re-trained on their policy and procedure for abuse after an incident of staff-to-resident verbal abuse occurred. The incident involved a resident with a history of Schizoaffective Disorder, Essential Hypertension, Transient Cerebral Ischemic Attack, Cerebral Vascular Accident, and Depression, who was cognitively intact. The resident and a ward clerk engaged in a verbal altercation over the smoking schedule, during which both parties used foul language and made threats. The ward clerk threatened to hit the resident, and the situation was only de-escalated after another staff member intervened. Despite the incident, there was no documented evidence that the involved staff received re-training on abuse and neglect policies. The facility's investigation confirmed that the incident was isolated and resulted from the ward clerk's impulsive behavior. However, a review of the facility's in-service training records revealed that the staff members involved did not receive the required re-training on abuse and neglect policies following the incident. Interviews with staff members corroborated the lack of re-training, highlighting a significant lapse in the facility's adherence to its own policies and procedures designed to prevent abuse, neglect, and exploitation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Marksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley View Health Care Facility | 1.2 mi | — | 7 | 0 |
| Riviere De Soleil Community Care Center | 2 mi | — | 5 | 0 |
| Hessmer Nursing And Rehabilitation Center | 5.8 mi | — | 0 | 0 |
| Oak Haven Rehabilitation And Healthcare Center | 11.5 mi | — | 4 | 0 |
| Bayou Vista Nursing And Rehab Center | 13.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.