Ignite Medical Resort Adams Parc

In the surveyor’s words

From the most serious findings on record at Ignite Medical Resort Adams Parc, in the surveyor’s own words.

• Actual harm, isolatedF760Jun 10, 2026

  Based on record review and interview, the facility failed to:a. ensure a resident was not administered medications that were not prescribed to them; andb. ensure medication prescribed to a resident was administered as ordered for 1 (#18) of 3 sampled residents reviewed for medication administration. The general manager stated 47 residents were administered medication at the facility.Findings:A policy titled Administration of Medication,dated 10/2025, read in part, All medications are administered safely and appropriately to aid residents to and help in overcome illness, relieve and prevent symptoms and help in diagnosis.Procedure Check medication administration record prior to administering medication for the right medication, dose, route, patient and time.Identify resident by reading… […]

• No harm, potential for more than minimal, patternF700Oct 26, 2023

  Based on observation, record review, and interview the facility failed to ensure entrapment assessments were performed and consents for use of bed rails were obtained prior to the use of bed rails for two (#15 and #23) of two sampled residents reviewed for accidents. The General Manager reported 48 resident had bed rails attached to their beds. Findings: A Side Rails policy, review date of 05/23, read in part, .1. The resident will be assessed for the use of full side rails prior to being used/installed using the device evaluation in [product name withheld]. 2. The resident or responsible party will be informed of the risks and benefits with the use of full side rails and a consent will be obtained . 1. […]

• No harm, potential for more than minimal, patternF804Oct 26, 2023

  Based on record review and interview, the facility failed to monitor food cooking and holding temperatures to ensure safe temperatures were maintained in the kitchen and on the steam table during meal service. The General Manager reported 48 residents resided in the facility. Findings: A facility policy titled Food, Revised 04/23, read in part, .The temperatures of food items served to elders will be tested and recorded before the delivery of food to the units/neighborhoods, at the time serving begins, at least once during serving if serving lasts longer than thirty (30) minutes, and at the conclusion of serving . The lunch temperature log, dated 10/23, did not document any food temperatures had been recorded between 10/18/23 and 10/24/23. […]

• No harm, potential for more than minimal, patternF755Apr 6, 2022

  Based on interview and record review, the facility failed to ensure medications were available for three (#42, #35 and #153) of nine sampled residents who were reviewed for medication availability. The DON identified 50 residents who received medications in the facility. Findings: 1. Resident #42 had diagnoses which included [CONDITION(S)], [CONDITION(S)], mild pain, anxiety, hypertension, and depression. Physician's orders, dated April 2022, documented the resident was ordered the following medications: ~ [MEDICATION(S)] 20 mg by mouth at bedtime for [CONDITION(S)], ~ [MEDICATION(S)] 60 mg by mouth daily for depression, ~ Losartan 25 mg by mouth daily for hypertension, ~ [MEDICATION(S)] 2.5 mg by mouth at bedtime for anxiety, ~ Tylenol 650 mg three times a day for mild pain, and ~… […]

• No harm, potential for more than minimal, patternF759Apr 6, 2022

  Based on observation and record review, the facility failed to ensure medication error rate of less than 5% during medication administration for two (#153 and #35) of three sampled residents observed during medication pass. The facility had two errors out of 35 opportunities, resulting in a 5.71% medication error rate. The DON identified 50 residents received medications. Findings: 1. Resident #153 had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . 2. Resident #35 had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . On 04/06/22 at 7:27 a.m., LPN #1 was observed to prepare medication for resident #153. She stated that the aspirin was not in the facility. At 7:43 a.m., LPN #1 was observed to prepare medication for resident #35. […]