C
62/100

IGNITE MEDICAL RESORT ROUND ROCK, LLC Inspection Report, Violations & Safety Grade (Austin, Texas)

16219 Ranch Road 620 N, Austin, Texas 78717

Phone: 5125201834

CMS Overall:3/5

Overview & Bed Count

Certified Beds
70
Avg Residents/Day
49.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare
County
Williamson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day1.060.44+0.62
Total Nurse Hours per Resident per Day3.823.42+0.40
CMS Staffing Rating2/51.9/5-
Nursing Staff Turnover66.7%50.8%-

Health Citation History

37 health citations on record

DateCategoryDescriptionSeverity
2026-01-28Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2026-01-28Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-01-15Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2026-01-15Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2026-01-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-01-15Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-01-15Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2026-01-15Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2025-12-08Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2025-05-03Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-01-29Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-01-15Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2024-11-14Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2024-11-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2024-11-14Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.E – Moderate Harm Potential
2024-11-14Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2024-11-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-10-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-10-16Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-10-16Environmental DeficienciesHave policies on smoking.D – Moderate Harm Potential
2024-09-24Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G – Actual Harm
2024-09-24Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2024-07-27Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-07-19Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2024-07-19Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J – Immediate Jeopardy
2024-07-19Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2023-11-03Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.E – Moderate Harm Potential
2023-08-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-08-25Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E – Moderate Harm Potential
2023-08-25Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E – Moderate Harm Potential
2023-08-25Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E – Moderate Harm Potential
2023-08-25Administration DeficienciesProvide training in compliance and ethics.E – Moderate Harm Potential
2023-08-25Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.E – Moderate Harm Potential
2023-08-25Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-08-25Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2026-01-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-01-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2026-01-15Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-10-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure precautions for handling oxygen cylinders and equipment are correctly followed.D – Moderate Harm Potential
2023-08-25Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2023-08-25Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential

Total Penalties & Fines

$63,733
Total Fine Amount (CMS)
3
Number of Fines
4
Total Penalties
DateTypeFine AmountPayment Denial
2024-10-16Fine$18,295-
2024-09-24Fine$8,018-
2024-07-19Fine$37,420-
2024-07-19Payment Denial-10 days starting 2024-08-20

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the Austin area at no cost.

Advisor service is free for families. We may receive referral compensation.