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Complaint Investigation

Ignite Medical Resort Katy, Llc

November 12, 2025 · Katy, TX · 1222 Park West Green Drive
Citations 2
CMS Rating 4/5
Beds 70
Provider ID 676454
Healthcare Facility
Ignite Medical Resort Katy, Llc
Katy, TX  ·  View full profile →
Inspection Summary

IGNITE MEDICAL RESORT KATY, LLC in KATY, TX — inspection on November 12, 2025.

Found 2 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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

interview with LVN B on 11/12/2025 at 12:00pm, she said aides did weights and then they would tell her, and she would input weights into a resident's medical record. LVN B said weights helped keep track of resident's nutrients and track their health. If weights were not documented as needed, vital labs would not be ordered.

Interview with the Administrator and DON on 11/12/2025 at 3:29pm, the DON said that Resident #5 was a dialysis resident and the facility did not need to check their weights often because dialysis would monitor them.

When Resident #5's dialysis sheet was requested for 10/7/2025, the DON said it was difficult to get those records, and she had already called them twice on 11/12/2025 and would try again later.

The DON said weights should have been documented for Resident #5 because weights documented their progress, and the Administrator said weights were documented to track residents' care at the facility.

The DON said if weights were not done, staff would not know how they were progressing and if residents were improving at the facility or not.

Going forward, the DON said she would educate staff on weighing residents with one method such as with a mechanical lift or standing scale throughout their time at the facility and she would continue to review weights to ensure this compliance.

Record review of the facility's policy on Quality-of-Care last revised May 2025, it read in part, Key Principles .Person-Centered Care: This facility prioritizes individual preferences, choices, and unique needs, promoting a person-centered approach to care planning and care delivery .

The facility's QAPI Committee through the facility's QAPI Plan will define and monitor key performance indicators related to quality of care including but not limited to .unintended weight loss .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Ignite Medical Resort Katy, LLC

1222 Park West Green Drive Katy, TX 77493

SUMMARY STATEMENT OF DEFICIENCIES

the facility before she could re-measure his weights but that Resident #2's discharge weight of 161.8 and the 8.9% weight loss was incorrect.

Going forward, the DON said she would educate staff on weighing residents with one method such as with a mechanical lift or standing scale throughout their time at the facility and she would continue to review weights to ensure this compliance.

Record review of the facility's policy on Quality-of-Care last revised May 2025, it read in part, Key Principles .Person-Centered Care: This facility prioritizes individual preferences, choices, and unique needs, promoting a person-centered approach to care planning and care delivery .

The facility's QAPI Committee through the facility's QAPI Plan will define and monitor key performance indicators related to quality of care including but not limited to .unintended weight loss .

Facility ID:

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 KATY, TX, (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 KATY, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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