D
46/100

Ignite Medical Resort Fort Worth, LLC Inspection Report, Violations & Safety Grade (Fort Worth, Texas)

6301 Oakmont Blvd, Fort Worth, Texas 76132

Phone: 6822504055

CMS Overall:2/5

Overview & Bed Count

Certified Beds
70
Avg Residents/Day
48.3
Ownership
For profit - Corporation
Provider Type
Medicare
County
Tarrant
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day1.030.44+0.59
Total Nurse Hours per Resident per Day4.153.42+0.73
CMS Staffing Rating3/51.9/5-
Nursing Staff Turnover58.2%50.8%-

Health Citation History

43 health citations on record

DateCategoryDescriptionSeverity
2026-07-16Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-07-03Pharmacy 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.E – Moderate Harm Potential
2026-07-03Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-02-12Nutrition 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
2026-02-12Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2026-02-12Pharmacy 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.E – Moderate Harm Potential
2026-02-12Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2026-02-12Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2026-02-12Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-02-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-02-07Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.G – Actual Harm
2025-12-08Pharmacy 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.E – Moderate Harm Potential
2025-12-08Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-12-08Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-07-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-05-31Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.J – Immediate Jeopardy
2025-05-31Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2025-05-31Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-05-31Quality 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.D – Moderate Harm Potential
2025-02-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-02-05Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-02-05Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-11-07Nutrition 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
2024-11-07Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-11-07Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D – Moderate Harm Potential
2024-09-04Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.G – Actual Harm
2024-09-04Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D – Moderate Harm Potential
2024-09-04Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2024-09-04Pharmacy 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
2024-09-04Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-09-04Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-28Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.K – Immediate Jeopardy
2024-03-14Pharmacy 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
2023-11-02Freedom 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.J – Immediate Jeopardy
2023-11-02Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2023-11-02Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-11-02Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D – Moderate Harm Potential
2023-10-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-09-18Nutrition 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
2023-09-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2023-09-18Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E – Moderate Harm Potential
2023-09-18Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2023-09-18Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-12Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-02-12Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2026-02-12Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-02-12Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-02-12Electrical DeficienciesEnsure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.F – Moderate Harm Potential
2026-02-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2024-11-07Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-11-07Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-11-07Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-09-18Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2023-09-18Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2023-09-18Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2023-09-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2023-09-18Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-09-18Miscellaneous DeficienciesMeet Health Care Facilities Code mechanical requirements.F – Moderate Harm Potential
2023-09-18Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-09-18Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-09-18Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2023-09-18Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Total Penalties & Fines

$132,365
Total Fine Amount (CMS)
5
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2026-02-07Fine$12,611-
2025-05-31Fine$12,428-
2024-09-04Fine$12,048-
2024-06-28Fine$80,760-
2023-10-24Fine$14,518-

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