Ignite Medical Hanover Park

In the surveyor’s words

From the most serious findings on record at Ignite Medical Hanover Park, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF561Jul 30, 2026

  Based on interview and record review, the facility failed to establish care schedules based on individual resident preferences and needs rather than staff convenience for 5 of 5 residents (R1, R2, R3, R7, and R8) in the sample of 5 reviewed for overnight care schedules. Specifically, timecard records revealed two dedicated wound nurses routinely initiated shift duties as early as 2:30 AM to perform non-emergent wound care while residents were sleeping, solely to accommodate employee personal and educational schedules. […]

• No harm, potential for more than minimal, widespreadF725Apr 21, 2022

  Based on observation, interview, and record review the facility failed to provide enough staff to meet residents' needs. This has the potential to affect all residents in the facility. The findings include: 1. On 4/19/2022 at 3:51 PM, R4 said yesterday and today R4 had to wait over an hour, until 11:00 AM, for someone to change R4's wet incontinence brief and wet clothes. R4 thought the morning wait times were the longest and when there are only two Certified Nursing Assistants (CNAs) for the entire floor which happens often, the wait was even longer. 2. […]

• No harm, potential for more than minimal, widespreadF803Jul 29, 2021

  Based on observation, interview, and record review, the facility failed to serve lunch entrees in portion sizes as planned on the approved facility cycle menu. This applies to all 93 residents receiving oral diets in the facility. The findings include: Resident Census and Condition of Residents, dated 7/26/21, shows the facility census was 96 residents. Diet Order Listing Report, dated 7/28/21, shows only two residents had diet orders for NPO (not by mouth), and one had a diet order for vegetarian. Facility Daily Spreadsheet Week 2 Monday, 7/26/21, shows one portion of the beef and broccoli entrée was to provide three ounces weight of protein. The spreadsheet showed one portion of beef and broccoli entrée was to be offered to residents on all oral diets, including ground and pureed diets. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2021

  Based on observation, interview, and record review, the facility failed to sanitize dishes, report inadequate hot water temperatures required for sanitizing dishes, perform hand washing after handling soiled dishes, and check the sanitizing solution in the three compartment sink to ensure adequate concentration of sanitizing liquid. This applies to all 94 residents receiving oral diets. The findings include: Resident Census and Condition of Residents, dated 7/26/21, shows the facility census was 96 residents. Diet Order Listing Report, dated 7/28/21, shows only two residents had diet orders for NPO (not by mouth). 1. […]

• No harm, potential for more than minimal, patternF656Jul 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure that a comprehensive care plan was implemented for 4 of 4 residents (R4, R5, R6, R7) reviewed for care plan implementation in the sample of 8. Specifically, the facility failed to ensure that individualized care plan interventions-including restorative nursing programs for dressing, grooming, ambulation, transfers, active range of motion, and bed mobility-were executed and provided as care planned.On 7/27/26 at 10:10 AM, V1 Administrator provided the facility census roster showing ninety current residents.On 7/28/26 at 2:15 PM, V12 Restorative and Minimum Data Set Coordinator was interviewed and stated the facility does not operate an active Restorative Nursing Program or employ designated Restorative Nursing… […]