Ignite Medical Resort Crown Point LLC

In the surveyor’s words

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

• Actual harm, isolatedF686Apr 27, 2021

  Based on observation, record review, and interview, the facility failed to ensure residents who were admitted with open areas and at risk for further pressure sore development, received the necessary treatment and services to prevent pressure ulcers for 2 of 3 residents reviewed for pressure ulcers. (Residents D & C) This resulted in a second unstageable (full thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar in the wound bed) pressure ulcer developing from a leg brace for a resident who had already acquired an unstageable pressure ulcer from the leg brace. (Resident D) Findings include: 1) During an observation with Wound Nurse 1 and CNA 4 on 4/26/21 at 9:45 a.m., Resident D was lying in bed on a low air loss mattress. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Based on observation, record review, and interview, the facility failed to ensure food was stored and served under sanitary conditions related to dirty food equipment, boxes stored on the floor, dirty dishes stored on food equipment, and lack of sanitation of the food thermometer for 1 of 1 kitchen. (The Main Kitchen) This had the potential to affect the 68 residents who received food from the kitchen. Findings include:1. During the Kitchen Sanitation Initial Tour on 3/29/26 at 9:55 a.m. with [NAME] 1, the following was observed:a. The grill had an accumulation of crumbs and debris on it.b. There was a stack of dirty pans and dishes on top of the flat-top grill.c. There were multiple boxes of food stored on the floor of the walk-in freezer. Some of the boxes were open and tipped over.d. […]

• No harm, potential for more than minimal, widespreadF921Apr 2, 2026

  Based on observation, record review, and interview, the facility failed to keep the kitchen clean and in good repair related to dirty floors and shelved for 1 of 1 kitchen. (The Main Kitchen) Finding includes:Findings include:During the Kitchen Sanitation Initial Tour on 3/29/26 at 9:55 a.m. with [NAME] 1, the following was observed:a. An accumulation of dirt and debris was observed on the floor in front of the oven.b. An accumulation of dirt and debris was observed on the floor in between the oven, grill, and fryer.c. An accumulation of dried food spillage, dirt, and debris was observed on the shelf underneath the grill.d. […]

• No harm, potential for more than minimal, widespreadF812Apr 5, 2024

  Based on observation and interview, the facility failed to ensure there was a sanitary kitchen, related to undated and/ or unlabeled food, a build up on ice in the freezer, and a spilled substance and food on the floors in a refrigerator and dry storage room. This had the potential to affect all 68 residents who received meals prepared in the kitchen. Findings include: On 4/1/24 at 8:45 a.m., during the initial kitchen tour with Cook 1, the following was observed: a. In the walk in refrigerator, there were boxes of soda and pies sitting directly on the floor. b. In the walk in refrigerator, there was a package of raw meat, gravy in a plastic container, and mashed potatoes that were unlabeled and undated. c. […]

• No harm, potential for more than minimal, patternF680Apr 2, 2026

  Based on record review and interview, the facility failed to ensure the Activities Program was directed by a qualified professional who met required training and certification standards prior to assuming the role of Activities Director. This failure had the potential to affect 69 of 69 residents who relied on the activities program to meet their psychosocial, emotional, and social needs. Finding includes: The employee records were reviewed on 4/1/26. The Activity Director was hired on 10/20/25. There was a certificate, dated 12/31/25, for Hospitality Management Studies. There was no indication she had completed the Activities Director course. […]