Ignite Medical Resort Fort Worth, LLC

In the surveyor’s words

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

• Immediate jeopardy, patternF697Jun 28, 2024

  Based on observation, interview, and record review, the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 3 of 9 residents (Resident #1, #2, and #3) reviewed for pain management. 1. The facility failed to provide medication oxycodone Oral tablet 10 MG per doctor's order for Resident #1 on 6-5-2024 after Resident #1 complained of continued pain and requested medication. Resident #1 admitted to the facility on [DATE] at 3:30 PM and only received Acetaminophen Capsule 500 MG for pain at 11:55 PM. […]

• Immediate jeopardy, isolatedF686May 31, 2025

  Based on observation, interviews, and record reviews, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (Resident #1) of 3 residents reviewed for pressure ulcers, in that: 1. The facility failed to provide preventive care, consistent with professional standards of practice, to Resident#1 who was at risk for pressure injury development. […]

• Immediate jeopardy, isolatedF600Nov 2, 2023

  Based on observation, interview and record review the facility failed to ensure residents had the right to be free from abuse and neglect for 2 of 5 residents reviewed (Resident # 7's and Resident # 26) for abuse and neglect. The facility failed to: 1. Respond and assist Resident #7 after a fall and constantly yelling out for help on 10/27/23. The resident was found by EMT, lying in feces and with partially dried blood to laceration on her head requiring 10 sutures. LVN F ignored the pleas for help according to the EMT. Resident #26 had to call 911 and guided the EMTs to Resident #7's room. 2. (Non IJ in IJ) Provide Resident #26 ostomy care during shift on 10/31/23 leaving the bag soiled that was connected due to him emptying independently. […]

• Immediate jeopardy, isolatedF607Nov 2, 2023

  Based on observation, interview and record review the facility failed to implement written policies and procedures that prohibit and prevent abuse and neglect establish policies and procedures to investigate any such allegations for 2 (Resident 7 and Resident #26) of 5 residents reviewed for abuse and neglect in that: The facility failed to implement their abuse and neglect policy because Resident #7 and #26 were not free from abuse/neglect and failed to: 1. Respond and assist Resident #7 after a fall and constantly yelling out for help. on 10/27/23. The resident was found by EMT, lying in feces and with partially dried blood to laceration on her head requiring 10 sutures. LVN F ignored the pleas for help according to the EMT. […]

• Actual harm, isolatedF698Feb 7, 2026

  Based on interview and record review the facility failed to ensure that a resident who required dialysis received such services, consistent with professional standards of practice for 1 (Resident #1) of 1 resident reviewed peritoneal dialysis.The facility failed to ensure nursing staff received training to administer, monitor and intervene for Resident #1 who required PD (During peritoneal dialysis, a cleansing fluid flows through a tube into part of the stomach area, also called the abdomen. The inner lining of the abdomen, known as the peritoneum, acts as a filter and removes wastes from blood. After a set amount of time, the fluid with the filtered waste flows out of the abdomen and is thrown away). […]