Ignite Medical Resort Okc, Llc
IGNITE MEDICAL RESORT OKC, LLC in OKLAHOMA CITY, OK — inspection on September 11, 2025.
Found 8 citations. 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
Based on observation and interview, the facility failed to ensure a homelike environment for 1 (#16) of 5 sampled resident rooms reviewed for cleanliness.The MDS coordinator identified 72 residents resided in the facility.Findings: On 09/09/25 at 9:50 a.m., Resident #16's floor of their room was observed to have a substance throughout the room.
The substance was clear to white in appearance and there were footprints in the substance in several different places.
There were small pieces of paper and white tape scattered on the floor.
There were two large pieces of black cardboard on the floor by Resident #16's bed. On 09/09/25 at 10:59 a.m., Resident #16's floor was observed to still have the sticky substance, pieces of paper, tape, and black cardboard on the floor of their room. On 09/10/25 at 5:22 p.m., Resident #16's floor was observed to still have the sticky substance, pieces of paper, tape, and black cardboard on the floor of their room. An undated policy Room Cleaning for Residents, read in part, The resident's room daily cleaning steps daily cleaning steps and recommended procedures are as follows: Pick up all paper, trash, etc.
Dust the floor thoroughly.
After mopping the floor, place a wet floor sign. On 09/09/25 at 9:51 a.m., Resident #16 was asked how comfortable their room was for them.
They stated, It's dirty. My [family member] told them to clean it and they still haven't. On 09/09/25 at 11:00 a.m., Resident #16's family member stated they had asked multiple staff members to have Resident #16's room cleaned since their admission, but it still had not been done. On 09/11/25 at 8:56 a.m., housekeeper #1 was asked how often they cleaned resident rooms.
They stated, Every day.
They were asked if Resident #16's room was cleaned on 09/10/25.
Housekeeper #1 stated, Yeah, every day.
They were asked if the floor had been swept and mopped.
They stated, Yeah. On 09/11/25 at 9:00 a.m., housekeeper #1 was shown Resident #16's floor and asked when the last time the floor was mopped.
They stated, Yesterday.
Housekeeper #1 was advised the floor had been sticky with footprints on it and the paper, tape, and black cardboard had been present since at least 09/09/25.
They stated, Oh.
Housekeeper #1 was asked if Resident #16's floor was dirty.
They stated, Yes. On 09/11/25 at 10:37 a.m., the maintenance director was asked how often the housekeepers were supposed to mop the resident rooms.
They stated, Every day.
The maintenance director was asked what their expectation of the housekeepers was for mopping resident rooms.
They stated, A quick sweep or dust mop first, then mop every day.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Ignite Medical Resort Okc, LLC
6312 North Portland Oklahoma City, OK 73112
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited IGNITE MEDICAL RESORT OKC, LLC in OKLAHOMA CITY, OK for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of IGNITE MEDICAL RESORT OKC, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited IGNITE MEDICAL RESORT OKC, LLC in OKLAHOMA CITY, OK for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of IGNITE MEDICAL RESORT OKC, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Based on observation, record review, and interview, the facility failed to assess, monitor, and intervene for no bowel elimination from 09/02/25 to 09/07/25 for 1 (#48) of 3 sampled residents reviewed for bowel elimination.The MDS coordinator identified 72 residents resided in the facility.Findings:On 09/10/25 at 1:20 p.m., Resident #48 was lying in bed watching television.
The resident was clean and without foul odor.
The resident was pleasant and denied pain or discomfort at the time. A private sitter was in the room at the time of the observation.A facility policy titled Bowel Monitoring, revised/reviewed 07/2025, read in part, Licensed nursing staff will complete a review daily to ensure there are no abdominal abnormalities present.
Abnormal findings may include but aren't limited to:.Infrequent bowel patterns and/or consistency of stool.An undated face sheet showed the Resident #48 had disease of spinal cord, quadriplegia C5-C7 incomplete, cognitive communication deficit, and need for assistance with personal care.A care plan, dated 08/16/25, did not show a care plan for constipation. A physician order, dated 08/22/25, showed Resident #48 was to have bowel and bladder training every two hours.
The order showed the resident was to be offered the bedpan and urinal every two hours. A physician order, dated 08/22/25, showed Resident #48 was to receive Colace (a stool softener) 100mg two times a day for constipation.A physician order, dated 08/23/25, showed Resident #48 was to receive MiraLAX (an osmotic laxative) 17 GM every 24 hours as needed for constipation. An admission assessment, dated 08/28/25, showed Resident #48 had a BIMS of 10 which indicated they were moderately impaired for daily decision making.
The assessment showed Resident #48 was incontinent of bowel.
The task area of Resident #48's medical record showed the history of bowel elimination.
The record showed Resident #48 had not had a bowel movement from 09/02/25 to 09/07/25.On 09/11/25 at 12:43 p.m., RN #1 stated if a resident had not had a bowel movement within two days, they would notify the physician and see if the resident had a physician order for as needed medication for constipation available. On 09/11/25 at 1:03 p.m., the DON stated if a resident had not had a bowel movement within three days, they would expect the nurse to notify the physician.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Ignite Medical Resort Okc, LLC
6312 North Portland Oklahoma City, OK 73112
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, record review, and interview, the facility failed to ensure a resident with limited mobility was provided with the appropriate padding for a cervical collar for 1 (#48) of 1 sampled resident reviewed for the use of a cervical collar.
The MDS coordinator identified 72 residents resided in the facility.Findings:On 09/10/25 at 1:20 p.m., Resident #48 was lying in bed watching television.
The resident was wearing a Miami J cervical collar. On 09/11/25 at 8:57 a.m., Resident #48 was sitting in their wheelchair eating breakfast with assistance from the private sitter.
The resident's cervical collar was lying on the bed and the padding was soiled. An undated face sheet showed Resident #48 had diagnoses which included disease of the spinal cord, quadriplegia C5- C7 incomplete, and falls.
The care plan, dated 08/16/25, showed Resident #48 had an ADL self-care performance deficit and limitations in physical mobility. A physician order, dated 08/25/25, showed Resident #48 was to always wear the Miami J cervical collar except during meals and showers until follow up in six weeks.An admission assessment, dated 08/28/25, showed Resident #48 had a BIMS of 10, which indicated the resident was moderately impaired for daily decision making.
The assessment showed Resident #48 was dependent with bathing and required assistance with eating. On 09/10/25 at 1:34 p.m., LPN #1 stated the Resident #48 had a Miami J cervical collar and the facility only had padding to fit an Aspen cervical collar. On 09/10/25 at 2:40 p.m., the DON stated the padding the facility had was not for a Miami J cervical collar.
The DON stated the facility did not have padding for the cervical collar. On 09/10/25 at 2:57 p.m., the DON stated the facility did not have the correct padding for Resident #48's cervical collar.
The DON stated there was a miscommunication regarding the availability of the correct cervical collar padding.
The DON stated the padding should be changed when soiled, at least after showers, or maybe daily with sweating.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/11/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Ignite Medical Resort Okc, LLC
6312 North Portland Oklahoma City, OK 73112
SUMMARY STATEMENT OF DEFICIENCIES
Based on observation, record review, and interview, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight for 1 (#48) of 3 sampled residents reviewed for weight loss.
The MDS coordinator identified 72 residents resided in the facility.Findings:On 09/11/25 at 8:57 a.m., Resident #48 was sitting in their wheelchair eating breakfast.
The resident was assisted with the meal by the private sitter. An undated face sheet showed Resident #48 had diagnoses which included quadriplegia, muscle weakness, the need for assistance with personal care, gastroesophageal reflux disease, and a body mass index (BMI) 19.9 or less. A care plan, dated 08/16/25, showed Resident #48 had the potential for alterations in nutrition and hydration.
Interventions were to evaluate any weight changes and follow facility protocol for weight change. A physician order, dated 08/22/25, showed Resident #48 was to receive a regular diet and Ensure one can with meals for a supplement. A physician order, dated 08/22/25, showed Resident #48 was to be offered assist with every meal. A physician order, dated 08/28/25, showed Resident #48 was to be weighed weekly for four weeks and then monthly.An admission assessment, dated 08/28/25, showed Resident #48 had a BIMS of 10.
The assessment showed the resident had not had weight loss.Resident #48's weight record, dated 09/04/25, showed the resident weighed 137.5 pounds and had a 5.4% weight loss from the weight on 08/16/25 of 145.4 pounds.Resident #48's electronic record for the task amount eaten of meals, showed the resident ate 76% to 100% of meals. On 09/10/25 at 1:20 p.m., the private sitter stated they assisted the staff with Resident #48's personal care. On 09/10/25 at 4:17 p.m., the DM stated the dietitian was in the facility twice a week.
The DM stated the dietitian was responsible for monitoring resident weights. On 09/11/25 at 8:38 a.m., the physician stated the facility had weekly QA meetings and weight loss was one of the topics.
The physician stated they did not have a QA meeting last week.
The physician stated the dietician monitored the resident weights and should be aware. On 09/11/25 at 9:21 a.m., the dietician stated they were not in the facility last week and the weekly QA meeting was cancelled.
The dietician stated they would have been aware of the resident's weight loss this week.On 09/11/25 at 10:00 a.m., the DON stated the dietician was responsible for monitoring resident weights and notifying the physician.
The DON stated the resident's weight loss had flagged in the computer last week.
The DON stated no new intervention had been implemented since the identified weight loss on 09/04/25.
Facility ID:
Federal health inspectors cited IGNITE MEDICAL RESORT OKC, LLC in OKLAHOMA CITY, OK for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-09-11.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of IGNITE MEDICAL RESORT OKC, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited IGNITE MEDICAL RESORT OKC, LLC in OKLAHOMA CITY, OK for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of IGNITE MEDICAL RESORT OKC, LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.