Ignite Medical Resort Tulsa, Llc
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interview, the facility failed to ensure a medical appointment was attended for 1 (#3) of 3 sampled residents reviewed for medical appointments.The administrator identified 88 residents resided in the facility.Findings:A review of hospital discharge orders, dated 03/14/25, read in part, Discharge instructions Patient needs to follow-up with podiatry 2 weeks after surgery. 3/21/25.An admission assessment, dated 03/20/25, showed a BIMS of 12 which indicated Resident #3 was moderately impaired for daily decision making. The assessment showed diagnoses which included amputation, peripheral vascular disease, and end stage renal disease.A Medication Administration Note, dated 03/21/25, read in part, Remove sutures/staples from amputation sites to L [left] toes unless contraindicated. Contact [the physician] with any concerns. One time only for 1 [one] day Appt [appointment] Monday [03/24/25]. Pt [patient] wanted surgeon to remove sutures.A physician encounter note, dated 03/24/25, read in part, Date of Service: 03/24/25 Visit Type: Follow up Transition of Care: No transition occurred. Details: This is a copy of a signed encounter note documented in GEHRIMED. Progress Note .Plan: Continue current medical regimen. No changes. Patient has follow-up appointment today.On 10/14/25 at 1:03 p.m., the resident representative for Resident #3 stated the delay in therapy was caused due to a missed appointment that would have provided orders for weight bearing as tolerated, and Resident #3 could have gotten more therapy before discharging home.On 10/17/25 at 10:29 a.m., the social services director stated the appointment on 03/24/25 was cancelled due to the staff did not see on the dashboard, Resident #3 had an appointment that day. On 10/17/25 at 11:20 a.m., the DON stated the appointment was scheduled and transportation was set up, but the staff missed the appointment on the dashboard. They stated the physician was notified and provided instruction and orders to remove the sutures and re-schedule an appointment. The DON stated the appointment was rescheduled for 04/09/25, but Resident #3 discharged
on 04/08/25.
Residents Affected - Few
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
IGNITE MEDICAL RESORT TULSA, LLC in TULSA, OK inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TULSA, OK, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from IGNITE MEDICAL RESORT TULSA, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.