Ignite Medical Resort Chesterton

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 28, 2021

  Based on observation, record review and interview, the facility failed to ensure a resident received care, consistent with professional standards of practice, to prevent pressure ulcers related to not routinely repositioning a dependent resident for 1 of 3 residents reviewed for pressure ulcers. This resulted in the development of 2 Deep Tissue Injury (DTI) ulcers. (Resident G) Finding includes: On 4/26/21 at 9:40 a.m., Resident G was observed in his bed. He indicated he had some sores on his backside, which are not surprising, because I have just been laying in bed all day. On 4/27/21 at 12:15 p.m., the resident was observed in bed. He was alert and indicated he was able to turn himself in bed. […]

• No harm, potential for more than minimal, widespreadF812Nov 1, 2024

  Based on observation, record review, and interview, the facility failed to keep the kitchen clean and in good repair related to food debris on food preparation equipment, dirty convection ovens, food not labeled and dated, and the proper test strips not available to check the sanitation buckets for 1 of 1 kitchen. (The Main Kitchen) and 1 of 2 resident refrigerators. (The D Wing refrigerator) This had the potential to affect 67 of 67 residents who resided in the facility and received food from the kitchen. Findings include: 1. During the Initial Kitchen Sanitation Tour on 10/27/24 at 9:47 a.m. with [NAME] 1, the following was observed: a. There was food debris underneath and behind the stainless steel lid for the salad bar. b. […]

• No harm, potential for more than minimal, widespreadF921Nov 1, 2024

  Based on observation and interview, the facility failed to keep kitchen areas clean related to debris on the floor, an accumulation of a dried substance on the garbage disposal, and an accumulation of dust and dead insects inside the plastic light covers for 1 of 1 kitchen observed. (The Main Kitchen) Findings include: 1. During the Initial Kitchen Sanitation Tour on 10/27/24 at 9:47 a.m. with [NAME] 1, the following was observed: a. There was an accumulation of food debris on the floor of the walk in freezer and underneath the shelf. b. The garbage disposal, located next to the dishwasher, had a thick accumulation of an orange substance on the outside. 2. During the Kitchen Sanitation Tour on 10/31/24 at 12:10 p.m. […]

• No harm, potential for more than minimal, patternF692Feb 24, 2026

  Based on record review and interview, the facility failed to ensure weights were monitored as ordered and/or reweights were checked for significant weight changes for 5 of 8 residents reviewed for nutrition. (Residents 5, 27, 58, 6 and 17)Findings include: 1.Resident 5's record was reviewed on 2/20/26 at 10:09 a.m. Diagnoses included, but were not limited to, dependence on renal dialysis and heart failure. The resident was admitted on [DATE]. A Physician's order, dated 1/31/26, indicated to weigh the resident one time a day for three days, then once a week for four weeks, then monthly. The only weight recorded in vitals since admission was on 1/31/26. […]

• No harm, potential for more than minimal, patternF761Feb 24, 2026

  Based on observation, record review and interview, the facility failed to label insulin pens with open dates in 1 of 2 medication carts observed. (Cart C1)Finding includes:On 2/23/26 at 11:50 a.m., Medication Cart C1 was observed with LPN1. There were 12 various insulin pens in plastic baggies that were labeled Refrigerate Until Opened. There were stickers on each insulin pen with space provided to write an opened-on date, none of the pens had opened-on dates documented. The LPN indicated there should be dates written on the pens when opened, and should be refrigerated if not opened. During an interview on 2/23/26, the Administrator indicated all the insulin pens had been opened but did not have opened-on dates. […]