Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Colonial Oaks Living Center during CMS and state inspections, most recent first.
Food Not Palatable: Multiple cognitively intact residents reported that meals tasted terrible, horrible, or not good, and one resident said breakfast was cold and inedible. Surveyor taste testing found turnip greens were bitter and not consumable, and Brussels sprouts were overcooked, mushy, unseasoned, and not palatable; the Culinary Supervisor stated the Brussels sprouts should not have been served.
A resident with an order for oxycodone HCl 5 mg PO every 4 hours PRN pain requested pain medication, but the LPN told her the medication was not available. The EMAR showed no dose was given, observation confirmed no oxycodone tablets were on the med cart, and the DON stated the facility did not have the ordered pain medication on hand.
Dietician-Approved Menus Not Followed: A resident interview and meal observations showed the facility served foods that did not match the dietician-approved menu on 3 observed meal days. The Culinary Supervisor stated menu substitutions were not approved by the dietician before being served and confirmed the substitutions had already been served before being presented to the dietician.
Nursing staff failed to document required assistance with bathing, oral care, and eating for a resident with Parkinson's disease and essential tremors who required substantial/maximal help with ADLs per the MDS and care plan. Review of monthly documentation reports over a two-month period showed multiple days and shifts with no recorded evidence that staff provided bathing, oral hygiene, or eating assistance as care-planned. The ADON confirmed that this ADL care should have been documented but was not.
A resident with cognitive and mobility impairments experienced multiple falls due to the facility's failure to implement individualized fall prevention measures. Despite being at high risk for falls, the resident's care plan interventions, such as a visual reminder sign, bed alarm, and fluorescent tape on wheelchair brakes, were not in place. Staff confirmed the absence of these safety measures, leading to repeated unwitnessed falls.
A facility failed to follow a physician's order for daily weight checks for a resident. Despite the order, records showed no evidence of daily weights being taken. Staff interviews confirmed the lack of compliance, and the facility's leadership acknowledged the oversight.
A resident at high risk for skin breakdown did not have a pressure relieving cushion on their wheelchair as ordered by a physician. Despite the care plan and physician's order, observations confirmed the absence of the cushion. Interviews with the resident, an LPN, the DON, and the administrator verified the deficiency, acknowledging the cushion should have been in place.
The facility failed to maintain the required number of CNAs during the day shift on two reviewed days. The facility's assessment indicated a need for 6 to 9 CNAs, but only 2 to 5 were present. Staff interviews confirmed the deficiency, with the CNA Supervisor and DON acknowledging the shortfall in staffing.
The facility failed to properly reconcile controlled drugs on multiple medication carts, with discrepancies in documentation and time sheets. Staff did not consistently initial records to verify reconciliation, leading to a deficiency.
A facility failed to accurately document a resident's electronic Medication Administration Record (eMAR). An LPN recorded that a pressure relieving cushion was in place on a resident's wheelchair, as ordered by a physician. However, the cushion was not present during an observation, and the LPN admitted to not having seen it. The DON and Administrator confirmed the inaccuracy in the eMAR documentation.
A resident's discharge process was mishandled, with the facility failing to ensure the correct discharge location, provide discharge instructions, or offer a choice of home health agencies. The resident was discharged to the wrong address, and necessary documentation was not completed. Interviews revealed that staff did not verify the discharge details or obtain required signatures, leading to a deficient discharge process.
The facility failed to ensure that an enteral feeding bag for a resident was properly labeled with the date and time of initiation and the rate of infusion. This deficiency was observed multiple times over several days and confirmed by the DON and Administrator.
The facility failed to ensure that indwelling urinary catheter drainage bags and tubing did not touch the floor for three residents, increasing the risk of infection. Observations showed that catheter bags and tubing were repeatedly found lying on the floor or touching the floor when hanging from bedrails or wheelchairs. Interviews confirmed that this practice did not meet professional standards.
The facility failed to ensure that a resident's bathroom door could close properly. The resident reported the issue, and subsequent observations and staff interviews confirmed that the door could not be closed completely.
A resident waited over an hour for assistance with a transfer from bed to wheelchair after activating the call light. A CNA turned off the call light but did not provide help, leaving the resident unattended until a physical therapist intervened. Both the CNA Supervisor and DON acknowledged the delay was unacceptable.
The facility failed to ensure expired food items were not available for resident consumption. Observations in the kitchen's dry storage area revealed expired dried cranberries, salad dressing packets, and a container of Cajun Worchester Sauce. Interviews with the Dietary Manager and the Administrator confirmed these items should not have been available.
A CNA failed to perform proper hand hygiene after removing gloves during incontinence care for a resident. The CNA wore three pairs of gloves at once and did not perform hand hygiene after each glove removal, which was confirmed as improper infection control protocol by the DON.
The facility failed to complete and electronically submit resident assessments to CMS in a timely manner for eight residents. The assessments, including Death in Facility, Quarterly, and Discharge Assessments, were either completed or submitted more than 14 days after the ARD or after they were completed. Both the MDS Coordinator and the DON acknowledged the delays.
Food Not Palatable
Penalty
Summary
The facility failed to ensure food from the kitchen was palatable in flavor. Several cognitively intact residents with BIMS scores of 13 or 14 reported that the food tasted terrible, horrible, or not good, and one resident stated she did not eat breakfast because it did not taste good and was cold. Another resident reported the Brussels sprouts served for dinner were mushy and not good, and a different resident said the Brussels sprouts were nasty and could not be eaten. Surveyor taste testing also identified food that was not palatable. A test tray sampled at lunch showed turnip greens that were bitter, not palatable, and not able to be consumed. A later test tray showed Brussels sprouts that were overcooked, mushy, not seasoned, bitter, and not palatable. The Culinary Supervisor stated the Brussels sprouts served were overcooked and should not have been served to residents.
Ordered Pain Medication Not Available for Resident
Penalty
Summary
The facility failed to ensure an ordered pain medication was available for Resident #7, who had a physician order for oxycodone HCl 5 mg by mouth every 4 hours as needed for pain. Resident #7 stated she requested pain medication for pain that morning and was told by the LPN that the facility did not have oxycodone 5 mg available as ordered. Review of the EMAR showed the resident had not been administered oxycodone HCl 5 mg by mouth on 05/04/2026, and observation at 2:01 PM showed no oxycodone HCl 5 mg tablets available on the medication cart for the resident. The LPN confirmed the medication was not available, and the DON later stated the facility did not have oxycodone HCl 5 mg tablets on hand for Resident #7 and should have.
Dietician-Approved Menus Not Followed
Penalty
Summary
The facility failed to ensure that advance-prepared menus approved by the dietician were followed for 3 of 3 observed meal days. The dietician-approved Week 1 2026 Spring/Summer Menu listed broccoli rice casserole for lunch on 05/03/2026, turkey tetrazzini for dinner on 05/04/2026, and fried chicken with a chocolate cherry bar for lunch on 05/05/2026. During interviews, one resident stated the facility always served the same food, and another resident stated the food was repetitive and that the facility always served rice. Meal observations showed the residents were served items different from the approved menu on each of the three days. On 05/03/2026, lunch included white rice instead of broccoli rice casserole. On 05/04/2026, dinner included mashed potatoes and roast beef instead of turkey tetrazzini. On 05/05/2026, lunch included baked chicken and a yellow cake-like dessert instead of fried chicken and a chocolate cherry bar. The Culinary Supervisor stated he did not get menu substitutions approved by the dietician before serving them and confirmed substitutions had been served before being presented to the dietician.
Failure to Document Assistance With ADLs for Dependent Resident
Penalty
Summary
Facility nursing staff failed to document assistance provided with bathing, oral care, and eating for one resident reviewed for activities of daily living (ADL) care. The resident had Parkinson's disease and essential tremors, required substantial/maximal assistance with bathing, oral hygiene, and eating per the Quarterly MDS dated 12/09/2025, and had a care plan directing staff to assist with these ADLs and to monitor and document the resident's ability to perform them. Review of the resident's December 2025 Documentation Survey Report v2 showed no documented evidence that staff provided bathing assistance on 12/15/2025, 12/22/2025, and 12/29/2025. The same review showed no documented evidence of oral care assistance on multiple day and evening shifts in December, and no documented evidence of eating assistance on multiple day, evening, and night shifts in December. Review of the resident's January 2026 Documentation Survey Report v2 showed continued lack of documentation of ADL assistance. There was no documented evidence that staff provided bathing assistance on 01/12/2026. Additionally, there was no documented evidence of oral care assistance on specified day and evening shifts in January, and no documented evidence of eating assistance on specified day, evening, and night shifts in January. In an interview on 02/25/2026 at 3:16 PM, the Assistant Director of Nursing verified that the ADL documentation for this resident was not completed by staff as having been performed and confirmed that it should have been documented.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to implement individualized fall prevention interventions for a resident, leading to multiple unwitnessed falls. The resident, who was admitted with cognitive communication deficit, abnormalities of gait and mobility, and generalized muscle weakness, was identified as high risk for falls. Despite this, the facility did not adhere to the care plan interventions, which included placing a visual reminder sign, a bed alarm, and fluorescent tape on the wheelchair brake handles. Observations revealed the absence of these interventions in the resident's environment. Interviews with facility staff, including the LPN and DON, confirmed the lack of implementation of these safety measures. The resident experienced numerous falls over several months, indicating a failure to follow the established fall prevention protocol, as confirmed by the facility's administrator.
Failure to Follow Physician's Orders for Daily Weights
Penalty
Summary
The facility failed to adhere to professional standards of care by not following a physician's order for daily weight checks for a resident. The order, dated November 7, 2024, required daily weights to be obtained, but the facility's records, including the Restorative Aide Log Book and the resident's weight summary report, showed no evidence that these weights were taken as ordered. The weight summary only included entries for three dates, none of which were daily, indicating a lack of compliance with the physician's directive. Interviews with staff, including CNAs and the Assistant Director of Nursing, confirmed that no residents were receiving daily weight checks, and the facility could not provide documentation to show that the order was being followed. The Director of Nursing and the Administrator both acknowledged that the daily weights should have been performed as ordered, but the facility failed to do so, resulting in a deficiency in the quality of care provided to the resident.
Failure to Provide Pressure Relieving Cushion for Resident
Penalty
Summary
The facility failed to adhere to a physician's order for a pressure relieving cushion to be used on a resident's wheelchair, which was crucial for preventing skin breakdown. The resident, identified as being at high risk for skin breakdown, had a physician's order dated July 1, 2024, for a pressure relieving cushion. The care plan, which was reviewed on April 17, 2025, also included an intervention for a pressure reducing device to be placed on the resident's wheelchair. Despite these directives, observations on February 3 and 4, 2025, revealed the resident was sitting in the wheelchair without the required cushion. Interviews conducted with the resident and staff confirmed the absence of the pressure relieving cushion. The resident himself indicated he did not have the cushion while using his wheelchair. An LPN acknowledged the resident's risk for skin breakdown and admitted to not knowing the location of the cushion. The Director of Nursing confirmed the absence of the cushion and acknowledged it should have been in place as ordered. The facility administrator also confirmed that all pressure ulcer prevention measures should have been implemented as per the physician's orders.
Insufficient CNA Staffing During Day Shifts
Penalty
Summary
The facility failed to ensure the required number of Certified Nursing Assistants (CNAs) were present and working during the day shift on two of the three days reviewed. According to the facility's assessment, 6 to 9 CNAs were needed during the day shift to provide competent support and care to the residents. However, on the first day reviewed, only two CNAs were clocked in initially, with the number gradually increasing to five, which was still below the required minimum. On the second day, the number of CNAs present fluctuated between four and five, again failing to meet the minimum staffing requirement. Interviews with staff members, including a CNA/Restorative Aid, the CNA Supervisor, and the Director of Nursing, confirmed that the facility did not have the required number of CNAs working during the day shift. The CNA Supervisor and Director of Nursing both indicated that at least seven CNAs and/or CNA/Restorative Aides should be working during the day shift to meet the residents' needs. The facility's administrator acknowledged the deficiency, agreeing that the required number of CNAs should have been present as per the Facility Assessment.
Failure to Reconcile Controlled Drugs Properly
Penalty
Summary
The facility failed to maintain a proper system for reconciling controlled drugs across multiple medication carts, leading to discrepancies in documentation. Specifically, the report highlights issues with Medication Carts a, b, and d, where the reconciliation of controlled substances was not accurately documented. For Medication Cart a, the time sheets of the involved LPNs showed discrepancies in their clock-in and clock-out times, yet both nurses documented that they reconciled the controlled substances together. Similar issues were found with Medication Cart b, where the time sheets did not align with the documented reconciliation times, indicating that the controlled substances were not properly reconciled between shifts. For Medication Cart d, the report notes that the reconciliation was often conducted by an LPN and the Clinical Care Coordinator when the oncoming nurse was not present, but the Clinical Care Coordinator did not sign the Controlled Drugs-Count Record. Interviews with staff, including the Director of Nursing and the facility Administrator, confirmed that the reconciliation process was not properly followed, as the involved staff members did not consistently initial the records to verify the reconciliation of controlled substances. This lack of proper documentation and adherence to protocol led to the identified deficiency.
Inaccurate eMAR Documentation for Resident's Wheelchair Cushion
Penalty
Summary
The facility failed to ensure accurate documentation in the electronic Medication Administration Record (eMAR) for a resident. Specifically, a Licensed Practical Nurse (LPN) documented that a pressure relieving cushion was in place on a resident's wheelchair, as per the physician's order dated July 1, 2024. However, upon observation on February 5, 2025, the resident was found lying in bed, and no pressure relieving cushion was present on the wheelchair or in the resident's room. The LPN admitted to not having visualized the cushion during her shift and was unaware of its whereabouts. The Director of Nursing (DON) and the facility's Administrator both confirmed that the documentation in the resident's eMAR was inaccurate. The LPN had recorded that the cushion was verified as being in place, despite not having seen it. This discrepancy highlights a failure in maintaining accurate medical records, as required by federal and state regulations, and the facility's own job description for LPNs.
Deficient Discharge Process for Resident
Penalty
Summary
The facility failed to ensure a proper discharge process for a resident, leading to several deficiencies. The resident was admitted to the facility with the goal of returning to the community after completing therapy. However, the discharge location was inaccurately recorded as the address of the resident's responsible party (RP) instead of the resident's actual home address. This error was not identified or corrected before the discharge took place. Additionally, the facility did not provide the resident or the RP with the necessary discharge summary and instructions prior to the discharge. The discharge summary form lacked a signature from the resident or the RP, indicating that they had not received or acknowledged the discharge instructions. Furthermore, there was no documented evidence that the resident or the RP was given a list of home health agencies to choose from, which is a critical part of the discharge planning process. Interviews with facility staff revealed that the Licensed Practical Nurse (LPN) responsible for the discharge did not review the discharge arrangements with the resident or the RP, nor did they obtain the necessary signatures. The Director of Nursing (DON) and the Social Services Director (SSD) acknowledged the errors, with the SSD admitting to assuming the address on the resident's face sheet was correct without verification. These oversights contributed to the deficient discharge process, failing to meet the resident's needs and goals.
Failure to Properly Label Enteral Feeding Bag
Penalty
Summary
The facility failed to ensure that an enteral feeding bag for a resident was properly labeled with the date and time of initiation and the rate of infusion. This deficiency was observed multiple times over several days. Specifically, on four separate occasions, the enteral feeding bag was found to be missing either the date, time of initiation, or the infusion rate. Interviews with the Director of Nursing and the Administrator confirmed that it is a professional standard of practice to label the enteral feeding bag with this information.
Failure to Maintain Proper Catheter Care
Penalty
Summary
The facility failed to ensure that indwelling urinary catheter drainage bags and catheter tubing did not touch the floor, which is a critical measure to prevent infections. Observations revealed that Resident #7's catheter drainage bag was repeatedly found hanging from the bedrail and lying on the floor on multiple occasions. Similarly, Resident #71's catheter drainage bag was observed hanging from the bottom of the wheelchair with the tubing touching the floor. Resident #341's catheter drainage bag and tubing were also found lying flat on the floor next to the bed and touching the floor when hanging from the wheelchair. Interviews with the Director of Nursing and the Administrator confirmed that the facility's professional standards of practice require that catheter drainage bags and tubing be kept off the floor to reduce the risk of infection. Despite these standards, the facility did not adhere to these practices for the three residents observed, leading to a deficiency in infection control measures for catheter use.
Bathroom Door Closure Issue
Penalty
Summary
The facility failed to ensure that a resident's bathroom door could close properly, which was identified for one of the sampled residents. During an interview, the resident indicated that his bathroom door could not close all the way. Subsequent observations confirmed that the bathroom door was unable to be closed completely. A CNA attempted to close the door and was also unsuccessful. Interviews with the CNA, Housekeeping Supervisor, and Director of Nursing all confirmed that the bathroom door could not close and that it should be able to close properly.
Failure to Provide Timely Transfer Assistance
Penalty
Summary
The facility failed to ensure timely assistance for a resident requiring transfer from bed to wheelchair. On 04/09/2024 at 9:14 a.m., Resident #341 activated the call light for assistance. At 9:15 a.m., the resident indicated needing help with the transfer. By 9:19 a.m., a CNA entered the room, turned off the call light, and informed the resident that another CNA would assist her, but then left without providing help. The resident remained unattended until 10:22 a.m. when a physical therapist assisted her with the transfer. Interviews conducted on 04/11/2024 revealed that both the CNA Supervisor and the Director of Nursing acknowledged that a resident waiting over an hour for assistance was unacceptable. The DON also stated that call lights should not be turned off until the resident's request has been addressed. This incident highlights a significant delay in providing necessary care and a failure to follow proper procedures for responding to call lights.
Expired Food Items Found in Kitchen Storage
Penalty
Summary
The facility failed to ensure expired food items were not available for resident consumption. Observations in the dry storage area of the facility's kitchen revealed a half box of dried cranberries, six packets of Chefs Finest Ranch Salad Dressing, and a 128-ounce container of Cajun Worchester Sauce with 4 ounces remaining, all of which had expired. Interviews with the Dietary Manager and the Administrator confirmed that these expired food items should not have been available for resident consumption.
Failure to Perform Proper Hand Hygiene During Incontinence Care
Penalty
Summary
The facility failed to perform proper hand hygiene after removing gloves during incontinence care for Resident #7. During an observation, a Certified Nursing Assistant (CNA) was seen providing incontinence care to Resident #7. The CNA used cleansing wipes to clean the resident's genitalia, disposed of the wipes, and then removed her gloves without performing hand hygiene. The CNA was observed wearing three pairs of gloves on each hand and did not perform hand hygiene after removing each pair. She continued to clean the resident's catheter tubing and buttocks, and then put an adult brief on the resident without performing hand hygiene after each glove removal. In an interview, the CNA admitted to not performing hand hygiene after each glove change and explained that she wore three pairs of gloves at once to avoid acquiring new gloves each time they became soiled. The Director of Nursing (DON) confirmed that wearing three pairs of gloves at once was not proper infection control protocol and emphasized that proper hand hygiene should be performed after every glove removal.
Failure to Timely Complete and Submit Resident Assessments
Penalty
Summary
The facility failed to complete and electronically submit resident assessments to CMS in a timely manner for eight residents. The assessments in question included Death in Facility Assessments, Quarterly Assessments, and Discharge Assessments. These assessments were either completed or submitted more than 14 days after the Assessment Reference Date (ARD) or after they were completed. Specific instances included Resident #12's Death in Facility Assessment, Resident #21's Quarterly Assessment, Resident #41's Discharge Assessment, Resident #42's Death in Facility Assessment, Resident #44's Discharge Assessment, Resident #54's Quarterly Assessment, Resident #66's Discharge Assessment, and Resident #70's Quarterly Assessment. Each of these assessments was delayed beyond the required timeframe for completion and/or submission to CMS. In interviews, the MDS Coordinator acknowledged that the assessments were not completed and/or transmitted in a timely manner and confirmed that they should have been. The Director of Nursing also indicated awareness of the late assessments. The report highlights a systemic issue in the timely processing and submission of critical resident assessments, which is essential for maintaining compliance with CMS regulations and ensuring proper resident care documentation.
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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 Metairie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| East Jefferson General Hospital - Snf | 0.2 mi | ★★★★★ | 3 | 0 |
| Metairie Health Care Center | 2 mi | ★★★★★ | 12 | 0 |
| St Anthony Community Care Center | 2.6 mi | ★★★★★ | 9 | 0 |
| Waldon Health Care Center | 3.6 mi | ★★★★★ | 6 | 0 |
| Ochsner Medical Center Skilled Nursing Facility | 3.6 mi | ★★★★★ | 0 | 0 |
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