Below average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Skilled Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment experienced a fall that was not reported according to facility policy. The LPN responsible did not document or report the incident, leading to a deficiency in the facility's incident reporting procedures.
A resident with severe cognitive impairment experienced a fall that was neither documented nor assessed by an LPN, contrary to facility policy. The incident was not recorded in the medical record or incident report, highlighting a lapse in maintaining professional standards of quality care.
A resident's credit card was misappropriated, with unauthorized charges made since 2021, while the facility account remained unpaid. The resident's daughter reported the issue to the facility's administrator, but it was not reported to the state agency as required, due to the implicated bookkeeper no longer being employed. This highlights a failure in the facility's reporting procedures.
The facility failed to submit accurate direct care staffing information to CMS for FY Quarter 1 2024. The weekend staffing pattern forms indicated higher hours of direct care than what was reported to CMS. The Corporate Nurse confirmed the discrepancies in the reported data.
The facility failed to ensure that Quarterly assessments were completed no later than 14 days after the ARD for five residents. The MDS Nurse confirmed that these assessments were not completed within the required timeframe.
The facility failed to develop an individualized care plan for a resident, inaccurately documenting that the resident had no teeth and neglecting oral care. Observations revealed the resident had discolored teeth with food buildup, lacked oral care supplies, and had not received oral care from staff. The ADON and MDS Nurse confirmed the inaccuracies in the care plan.
Failure to Report Resident Fall
Penalty
Summary
The facility failed to report a resident fall according to its policy and procedure. The policy requires that all accidents or incidents involving residents be investigated and reported to the Administrator, with an Incident Report form completed and submitted to the Director of Nursing Services within 24 hours. However, a review of Resident #1's medical record and facility incident reports revealed no documentation of a fall or post-fall assessment on 11/18/2024. This oversight was confirmed during interviews with the Administrator and Director of Nursing, who acknowledged that the fall was not reported as required. Resident #1, who was admitted with diagnoses including muscle wasting, atrophy, and unspecified dementia, had a BIMS score indicating severely impaired cognitive skills. Despite these conditions, the fall on 11/18/2024 was not documented or reported by the responsible LPN, who subsequently faced termination for not adhering to the facility's reporting policy. The failure to report the incident was identified during a facility investigation, confirming the deficiency in following established procedures for incident reporting.
Failure to Document and Assess Resident's Fall
Penalty
Summary
The facility failed to ensure services were provided to meet professional standards of quality by not documenting a resident's fall and failing to assess the resident afterward. A resident, who was admitted with diagnoses including muscle wasting, bone density disorders, gait abnormalities, and unspecified dementia, experienced a fall on 11/18/2024. The resident's medical record, including progress notes for November 2024, did not contain documentation of the fall or a post-fall assessment. Additionally, the facility's incident report did not list the fall. Interviews revealed that an LPN did not report or document the fall, which was against the facility's policy and procedure.
Failure to Report Misappropriation of Resident Property
Penalty
Summary
The facility failed to implement its policies and procedures for reporting a reasonable suspicion of a crime, specifically the misappropriation of a resident's property, to the state agency within 24 hours as required by section 1150B of the Act. This deficiency involved a resident who was admitted with medical diagnoses including sequelae of cerebral infarction, dysphagia-oropharyngeal phase, schizophrenia, and metabolic encephalopathy. The resident's daughter, who held power of attorney, discovered that the resident's credit card, left at the facility for payment purposes, was missing and had unauthorized charges dating back to 2021. These charges included ATM withdrawals, fast food purchases, and utility bills, while the facility account remained unpaid. The resident's daughter reported the issue to the facility's administrator at the end of May 2024, who acknowledged the grievance but did not report the incident to the state agency, as the implicated bookkeeper was no longer employed there. The facility's incident investigation reports did not document this allegation of misappropriation. Interviews with facility staff, including the administrator and corporate nurse, confirmed that the incident should have been reported to the state agency, highlighting a failure in the facility's reporting procedures.
Inaccurate Direct Care Staffing Data Submission
Penalty
Summary
The facility failed to electronically submit accurate direct care staffing information to CMS for FY Quarter 1 2024. A review of the PBJ Report revealed triggers for a One Star Staffing Rating and Excessively Low Weekend Staffing. Specifically, the facility's weekend staffing pattern forms indicated 185.8 hours of direct care on 12/03/2023 and 189.6 hours on 12/10/2023. However, the data submitted to CMS showed only 175.85 hours and 181.6 hours of direct care for those dates, respectively. During an interview, the Corporate Nurse confirmed the discrepancies in the reported data, acknowledging that inaccurate direct care data was submitted to CMS for the specified dates.
Failure to Complete Quarterly Assessments Timely
Penalty
Summary
The facility failed to ensure that Quarterly assessments were completed no later than 14 days after the Assessment Reference Date (ARD) for five residents. Specifically, Resident #54 had an ARD of 03/03/2024 with a completion date of 04/16/2024, Resident #14 had an ARD of 03/17/2024 with a completion date of 04/16/2024, Resident #18 had an ARD of 03/14/2024 with a completion date of 04/16/2024, Resident #7 had an ARD of 02/29/2024 with a completion date of 04/16/2024, and Resident #46 had an ARD of 02/23/2024 with a completion date of 04/16/2024. During an interview, the MDS Nurse confirmed that these assessments were not completed within the required timeframe.
Inaccurate Care Plan and Neglect of Oral Care
Penalty
Summary
The facility failed to develop an individualized, person-centered plan of care for a resident, leading to inaccurate documentation and neglect of oral care. The resident, who was admitted with diagnoses including hemiplegia, hemiparesis, dysphagia, and type 2 diabetes, was inaccurately documented as having no teeth and not requiring dentures. However, observations revealed that the resident did have bottom teeth, which were discolored and had a buildup of old food particles, indicating a lack of proper oral hygiene. The resident reported not having a toothbrush or toothpaste and could not recall the last time his teeth were brushed. A CNA confirmed that she had not provided oral care for the resident, and the bedside table lacked any oral care supplies. Further observations and interviews with the Assistant Director of Nursing and the MDS Nurse confirmed the inaccuracies in the resident's Comprehensive Plan of Care. The Assistant Director of Nursing acknowledged that the resident did have teeth, and the MDS Nurse admitted that the care plan had been completed inaccurately. This failure to accurately assess and document the resident's needs resulted in inadequate oral care, highlighting a significant deficiency in the facility's care planning process.
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What surveyors actually found near you
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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 Bossier City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverview Care Center | 0.1 mi | ★★★★★ | 8 | 0 |
| Cornerstone Post Acute Care Of Bossier | 0.2 mi | ★★★★★ | 1 | 0 |
| Northwest Louisiana Veterans Home | 2.4 mi | ★★★★★ | 0 | 0 |
| Heritage Manor Of Stratmore Nursing & Rehab Ctr | 3.7 mi | ★★★★★ | 0 | 0 |
| Pierremont Healthcare Center | 4.5 mi | ★★★★★ | 6 | 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 July 2026) and official state health department websites.