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Complaint Investigation

Ignite Medical Resort Webster, Llc

April 24, 2026 · Webster, TX · 16130 Galveston Rd
Citations 1
CMS Rating 5/5
Beds 70
Provider ID 676460
Healthcare Facility
Ignite Medical Resort Webster, Llc
Webster, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

IGNITE MEDICAL RESORT WEBSTER, LLC in WEBSTER, TX — inspection on April 24, 2026.

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

FF0880
Infection Control Deficiencies

CNA A agreed that she may have missed to follow infection control protocol and that she did not

stated he will provide more education on maintaining infection control during incontinent care.During

performed upon hire, quarterly and as needed when completing infection control trending and tracking.

DON stated gloves should be changed in between treatment from dirty to clean. DON stated hand washing should be done before and after patient care and whenever it was needed. ADON stated residents can have negative outcomes from contamination and increased risk for infection. ADON stated they will provide in-services and education as they cannot follow every CNA into every resident room to audit skills check. DON stated his expectation was for care to be provided appropriately and as needed. ADON stated they will monitor signs and symptoms of UTI such as suprapubic pain (area just above the pubic bone), increased urinary frequency, dysuria (painful or difficult urination) and fever.

Record review of the facility's Infection Control Policy dated July 2020 last revision/reviewed May 2024 read in part ?.by establishing and maintaining an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.

Standard Precaution: . equipment or items in the resident's environment likely to have been contaminated with infectious body fluids must be handled in a manner to prevent transmission of infectious agents.

Perform hand hygiene: Before and after contact with a resident, Immediately after touching blood, body fluids, non-intact skin, mucous membranes or contaminated items (even when gloves are worn during contact), Immediately after removing gloves, When moving from contaminated body sites to clean body sites during resident care, After touching objects and medical equipment in immediate resident care area.

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


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.