Ignite Medical Resort Edmond, Llc
Ignite Medical Resort Edmond, LLC in OKLAHOMA CITY, OK — inspection on November 25, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
nightly to help them breathe.
On 10/02/25 at 10:17 a.m., CNA #1 was asked about Resident #3's respiratory needs. CNA #1 stated Resident #3 had a BIPAP on their bedside table and the mask was in the top drawer not in a bag.
On 10/02/25 at 10:50 a.m., the IP stated they observed a BIPAP with a mask with visible moisture and hose attached to the BIPAP on Resident #3's bed side dresser in an open drawer not in a bag.
The IP stated there was not a physician order or care plan focus on Resident #3's medical record for BIPAP therapy.
The IP stated the mask should be bagged when not in use to prevent germs and spread of infection.
On 10/02/25 at 11:15 a.m., LPN #1 stated they did not recall catheter care required the use of EBP.
On 10/02/25 at 11:20 a.m., the DON stated EBP was used with anybody that had a line, wound, or break in their body, to protect the resident from possible infection.
The DON agreed when staff performed supra-pubic catheter care, the facility required the staff to use EBP.
- On 10/01/25 at 8:00 a.m., laundry aide #1 was observed to deliver laundry to resident rooms uncovered.
On 10/02/25 at 8:21 a.m., the housekeeping supervisor, stated resident clothes were washed separately and delivered back to their rooms in their own bag.
They stated laundry aide #1 did not put the clothes in the bag.
They stated they were aware of the incident on 10/01/25 at 8:00 a.m.
- An undated policy Legionella Surveillance, read in part, It is the policy of this facility to establish primary
and secondary strategies for the prevention and control of Legionella infections.
An undated policy Water Management Program, read in part, It is the policy of this facility to establish water management plans for reducing the risk of legionellosis and other opportunistic pathogens .in the facility's water systems based on nationally accepted standards .A water management team has been established to develop and implement the facility's water management program, including facility leadership, the Infection Preventionist, maintenance employees, safety officers, risk and quality management staff, and Director of Nursing .The Maintenance Director maintains documentation that describes the facility's water system. A copy is kept in the water management program binder.
On 10/02/25 at 9:10 a.m., the maintenance supervisor stated they had no facility map of the water flow in the facility.
The maintenance supervisor stated they added sanitizer tablets to the condensation pans in the air conditioning units in the attic to prevent the stopping up of lines and leaks.
The maintenance supervisor stated they did not document when they completed that.
The maintenance supervisor stated they were not aware of a water management plan or legionella prevention plan.
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