Ignite Medical Resort Dyer: Lab Testing Failures - IN
The drug was midodrine, prescribed October 6, 2025, for a resident with hypotension. It was scheduled twice daily, at 8:00 a.m. and 5:00 p.m. On October 9, 11, and 13, nurses gave the morning dose with no blood pressure recorded at all. On October 8, then continuously from October 14 through October 31, they gave it with a systolic reading already over 90, the exact threshold the order said to stop.
The 5:00 p.m. dose followed the same pattern. No blood pressure check before the dose on October 8, 9, 11, and 12. Then, from October 14 through the end of the month, nurses administered it with the systolic pressure over 90. The problem carried into November without correction. From November 1 through November 17, both the morning and afternoon doses were given with the blood pressure above the cutoff. The director of nursing and the facility's nurse consultant, interviewed November 19, acknowledged it.
That resident wasn't the only one whose medications went wrong. A second resident returned from a hospital transfer in early October with orders for metoprolol succinate, a heart medication, and empagliflozin, for diabetes. The orders came in October 4. Nobody transcribed them until October 6. The heart medication wasn't given until October 7. The diabetes medication wasn't given until October 8. No one documented that the resident or the physician had been told about the delay.
A third resident missed doses of a separate medication on September 20, 22, and 23. The emergency drug kit held a supply the whole time. The director of nursing said he hadn't been told the doses were skipped and wasn't sure why the kit hadn't been used. The facility had switched pharmacies on November 1, he said, because of prior delivery problems.
None of the missed doses, the skipped blood pressure checks, or the administration of a drug against its own parameters generated a call to the physician at the time. The records show the gaps. They don't show anyone acting on them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ignite Medical Resort Dyer LLC from 2025-11-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
IGNITE MEDICAL RESORT DYER LLC in DYER, IN was cited for violations during a health inspection on November 20, 2025.
The drug was midodrine, prescribed October 6, 2025, for a resident with hypotension.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.