Rayville, LA

Colonial Manor Nursing & Rehabilitation Home

1-star overall rating with 2-star inspections with $24,749 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

307 Foster Street, Rayville, LA

(318) 728-3252

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.22

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

2.54

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.04

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.40

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

4.74

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,661

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.95

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.29

Baseline 21.17% · Performance 20.83% · Measure score 1.29 · Achievement 1.29 · Improvement 0.31

Healthcare-associated infections

0

Baseline 8.30% · Performance 9.87% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.61

Baseline 51.52% · Performance 53.03% · Measure score 2.61 · Achievement 2.61 · Improvement 0

Adjusted total nurse staffing

5.28

Baseline 3.87 hours · Performance 4.58 hours · Measure score 5.28 · Achievement 5.28 · Improvement 3.21

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.98%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 59 · Observed rate 5.08% · Lower 95% interval 7.08%
Discharge to community 37.64%
50.57%
12.9 pts worse
No Different than the National Rate · Eligible stays 36 · Observed rate 30.56% · Lower 95% interval 27.36%
Medicare spending per beneficiary 1.65
1.02
0.6 pts worse
Drug regimen review with follow-up 98.11%
95.27%
2.8 pts better
Numerator 52 · Denominator 53
Falls with major injury 3.77%
0.77%
3 pts worse
Numerator 2 · Denominator 53
Discharge self-care score 86.49%
53.69%
32.8 pts better
Numerator 32 · Denominator 37
Discharge mobility score 43.24%
50.94%
7.7 pts worse
Numerator 16 · Denominator 37
Pressure ulcers or injuries, new or worsened 3.77%
2.29%
1.5 pts worse
Numerator 2 · Denominator 53 · Adjusted rate 3.53%
Healthcare-associated infections requiring hospitalization 9.87%
7.12%
2.7 pts worse
No Different than the National Rate · Eligible stays 42 · Observed rate 16.67% · Lower 95% interval 4.47%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 128
Staff flu vaccination coverage 15.38%
42%
26.6 pts worse
Numerator 28 · Denominator 182
Discharge function score 48.65%
56.45%
7.8 pts worse
Numerator 18 · Denominator 37
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 29.17%
25.2%
4 pts better
Numerator 7 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.7
2.6
1.1 pts worse
1.9
1.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 3.4 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 5.7
2.8
2.9 pts worse
1.8
3.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
92.0%
7.2 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 100.0% · Q4 98.3% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.9%
5.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.9%
3.4%
3.5 pts worse
3.3%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 9.7% · Q3 6.6% · Q4 6.8% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
1.8%
0.8 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.4% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight 7.4%
5.2%
2.2 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.0% · Q3 5.8% · Q4 7.8% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.7%
23.1%
10.4 pts better
19.6%
6.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 13.6% · Q3 12.1% · Q4 13.0% · 4Q avg 12.7%
Percentage of long-stay residents who received an antipsychotic medication 20.9%
24.4%
3.5 pts better
16.7%
4.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 20.5% · Q3 26.3% · Q4 18.4% · 4Q avg 20.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 25.7%
22.2%
3.5 pts worse
16.3%
9.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.7% · Q2 31.1% · Q3 21.0% · Q4 11.8% · 4Q avg 25.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 28.6%
20.1%
8.5 pts worse
14.9%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 35.7% · Q3 38.2% · Q4 11.3% · 4Q avg 28.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.3%
1.6%
1.7 pts worse
1.0%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.5% · Q3 3.0% · Q4 1.3% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.2%
2.6%
0.6 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 1.9% · Q3 0.0% · Q4 5.4% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 9.2%
16.9%
7.7 pts better
19.8%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 11.3% · Q3 8.3% · Q4 11.5% · 4Q avg 9.2%
Percentage of long-stay residents with pressure ulcers 3.8%
6.2%
2.4 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 6.8% · Q4 6.1% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
83.6%
16.4 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit 7.8%
14.7%
6.9 pts better
12.0%
4.2 pts better
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.7% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 16.1%
3.3%
12.8 pts worse
1.6%
14.5 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 16.1% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.4%
27.8%
5.4 pts better
23.9%
1.5 pts better
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 17.9% · Expected 19.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-18 · Fire 2024-12-18

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-12-14 · Fire 2022-12-14

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-19

E · Potential for more than minimal harm 2024-12-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-19

C · Minimal harm 2024-12-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-01-17

C · Minimal harm 2023-12-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-12-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2026-02-06

E · Potential for more than minimal harm 2026-01-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-06

E · Potential for more than minimal harm 2026-01-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-07

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-02-06

D · Potential for more than minimal harm 2025-03-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-03-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-24

E · Potential for more than minimal harm 2024-12-18

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-12-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-16

E · Potential for more than minimal harm 2024-12-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-16

D · Potential for more than minimal harm 2024-12-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-16

D · Potential for more than minimal harm 2024-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

G · Actual harm 2024-09-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-09-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-01

G · Actual harm 2024-02-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-02-28

E · Potential for more than minimal harm 2023-12-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-15

D · Potential for more than minimal harm 2023-12-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-15

D · Potential for more than minimal harm 2023-12-06

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2024-01-15

D · Potential for more than minimal harm 2023-05-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-08

E · Potential for more than minimal harm 2022-12-14

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2022-12-31

E · Potential for more than minimal harm 2022-12-14

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-12-16

D · Potential for more than minimal harm 2022-12-14

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-01-05

Penalties and ownership

What sits behind the stars

$11,333 2024-09-25

Fine

Fine · fine $11,333

Fine

$3,686 2024-02-27

Fine

Fine · fine $3,686

Fine

$9,730 2023-05-24

Fine

Fine · fine $9,730

Fine

Ownership

Busby, Ryman

5% Or Greater Direct Ownership Interest · Individual

100% 2 facilities 2018-01-01
Busby, Erin

Corporate Officer · Individual

0% 2 facilities 2018-01-01
Busby, Ryman

Corporate Director · Individual

0% 2 facilities 2018-01-01
Busby, Ryman

Corporate Officer · Individual

0% 2 facilities 2018-01-01
Knox, Kelsey

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01

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