Ignite Medical Resort Dyer: Care Order Failures - IN
The drug was midodrine, prescribed on October 6, 2025, to treat hypotension. The order was specific: hold the dose if the systolic reading exceeded 90. Nurses at Ignite Medical Resort Dyer gave it at 8:00 a.m. and 5:00 p.m. on scheduled days throughout October and into November. On multiple dates in October, they administered it with no blood pressure check at all. On the dates they did check, the readings were over 90, and they gave it anyway. The pattern continued through November 17.
The director of nursing and a nurse consultant, interviewed on November 19, acknowledged the medication had been administered with systolic pressure over 90.
That wasn't the only resident affected. A second patient returned from a hospital stay on October 4 with orders for metoprolol succinate ER, a heart medication, and empagliflozin, a diabetic medication. Neither order was transcribed 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 prescribing physician had been told about the delay. The DON said the missed orders were caught during an internal audit on October 6.
A third resident missed multiple doses of a medication in September 2025. The drug was available in the emergency dispensing kit on the unit. There was no documentation explaining why it wasn't given on September 22, and no record that the physician had been notified about the missed doses on September 20, 22, or 23. The DON said he hadn't been notified the medications weren't available and wasn't sure why the emergency kit hadn't been used. The facility had switched pharmacies as of November 1, citing prior delivery problems.
The inspection was completed November 20, 2025. The director of nursing acknowledged the failures. The resident who received midodrine with elevated blood pressure, on day after day after day, is not named in the report.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 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 on October 6, 2025, to treat 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.