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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D34 | E57 | F30 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 16, 2026 | Fire safety | Fire Safety Complaint | 2 | Potential harm | — | Open → |
| Jan 16, 2026 | Fire safety | Fire Safety Standard | 17 | Potential harm | 1 | Open → |
| Jan 16, 2026 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Complaint, Health Standard | 34 | Actual harm | — | Open → |
| Jun 30, 2022 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Jun 30, 2022 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D34 | E57 | F30 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 20, 2026 | Complaint |
| Apr 29, 2026 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Past non-compliance | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
22 facilities in 6 states. CMS chain ID 279.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ignite Carondelet Jv LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Nov 1, 2020 |
| Prestige Worldwide Carondelet LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Nov 1, 2020 |
| Gold Pearl, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Jared Carr | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Karen Gillis | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Ryan Gobst | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Nicole Jablonski | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| John Mcfarlane | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Dylan Rogers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2024 |
| Marc Rose | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Mathew Thengil | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Jim White | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ignite Carondelet Jv LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Nov 1, 2020 |
| Prestige Worldwide Carondelet LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Nov 1, 2020 |
| Gold Pearl, LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Jared Carr | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Ignite Medical Resort St Marys LLC 111 Mock Avenue, Blue Springs, MO 64014 CCN 265759 | 130 | May 1, 2026 | 901 harm1 open | — | |
| Ignite Medical Resort Kansas City, LLC 2100 N W Barry Road, Kansas City, MO 64154 CCN 265872 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Kingswood Senior Living 10000 Wornall Road, Kansas City, MO 64114 CCN 265795 | 1.5 km | 86 | Jul 23, 2026 | 712 IJ | $135k | |
| Bridgewood Health Care Center 11515 Troost, Kansas City, MO 64131 CCN 265822SFF CandidateAbuse icon | 2.7 km | 166 | Aug 24, 2026 | 16513 IJ14 harm6 open | $1.1M | |
| Advanced Health Care of Overland Park 4700 Indian Creek Parkway, Overland Park, KS 66207 CCN 175542 | 3.3 km | 38 | Aug 19, 2026 | 661 IJ1 open | $13k | |
| The Hilltop at Blue River 10425 Chestnut Dr, Kansas City, MO 64137 CCN 265597 | 3.7 km | 160 | May 1, 2026 | 852 harm | — | |
| Overland Park Post Acute 5211 W 103rd Street, Overland Park, KS 66207 CCN 175180 | 3.9 km | 140 | Jul 14, 2026 | 1023 harm | $60k | |
| Hope Care Center 115 East 83rd Street, Kansas City, MO 64114 CCN 26A443 | 4.9 km | 16 | Sep 9, 2025 | 58 | — | |
| Swan Health at Overland Park 6505 W 103rd Street, Overland Park, KS 66212 CCN 175240 | 5.1 km | 44 | Aug 24, 2026 | 792 IJ2 harm | $93k | |
| Village Shalom Inc 5500 West 123rd St, Overland Park, KS 66209 CCN 175441 | 5.2 km | 66 | Jun 4, 2025 | 662 harm | $16k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265303 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265303 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 12185 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 10, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2026 | Complaint |
| Apr 10, 2026 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2026 | Complaint |
| Mar 16, 2026 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 13, 2026 | Complaint |
| Mar 16, 2026 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 13, 2026 | Complaint |
| Jan 16, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 27, 2026 |
| Jan 16, 2026 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Apr 16, 2026 |
| Jan 16, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 | Complaint |
| Jan 16, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 16, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 | Complaint |
| Jan 16, 2026 | F-0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jun 13, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jul 7, 2024 | Complaint |
| Feb 8, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0227 | Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Feb 8, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted |
| Feb 8, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted |
| Feb 8, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0693 | Ensure 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 8, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 | Complaint |
| Feb 8, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Jun 30, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0791 | Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2022 |
| Jun 30, 2022 | F-0570 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 30, 2022 |
| Jun 30, 2022 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2022 |
| Jun 30, 2022 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 8, 2022 |
| Jun 30, 2022 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 8, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.79 (case-mix index 1.53).
| Karen Gillis | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Ryan Gobst | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Nicole Jablonski | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| John Mcfarlane | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Dylan Rogers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2024 |
| Marc Rose | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Mathew Thengil | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Jim White | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2020 |
| Aviva Berger | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 28, 2025 |
| Yehudis Israel | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 28, 2025 |
| Menachem Berger | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Barry Carr | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Timothy Fields | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Benjamin Israel | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Todd Stern | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2020 |
| Ignite Team Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Spark Therapy LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 19, 2020 |
| Cory Bayless | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 5, 2024 |
| Barry Carr | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Jared Carr | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Timothy Fields | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Christopher Geha | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Karen Gillis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Nicole Jablonski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| John Mcfarlane | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Dylan Rogers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2024 |
| Marc Rose | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Mathew Thengil | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Jim White | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2020 |
| Berger Fam Tr Ua 06252014 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Blue Pearl Financial LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Ignite Missouri Property Jv LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Ignite Post Acute Solutions LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Ignite Team Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 3, 2025 |
| Ignite-Villa Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Israel Family Investment Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Israel Investment Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Luxe Staffing LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Prestige Worldwide Carondelet LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Spark Therapy LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 2, 2025 |
| Stern Family Investment Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Cory Bayless | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 5, 2024 |
| Barry Carr | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Jared Carr | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Timothy Fields | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Christopher Geha | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Karen Gillis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Nicole Jablonski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| John Mcfarlane | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Dylan Rogers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2024 |
| Marc Rose | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Mathew Thengil | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| Jim White | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| 90 |
| Feb 11, 2026 |
441 harm |
| $6,368 |
| Ignite Medical Resort Blue Springs 20511 E Trinity Place, Blue Springs, MO 64015 CCN 265880 | 90 | Apr 24, 2025 | 38 | — |
| Ignite Medical Resort St Peters 5101 Executive Centre Parkway, Saint Peters, MO 63376 CCN 265889 | 91 | Not rated | May 20, 2026 | 232 harm | $60k |