Ignite Medical Resort Huntersville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880Mar 14, 2025

  Based on observations, record review, and staff, Nurse Practitioner, and Medical Director interviews, the facility staff failed to follow the manufacturer's instructions for cleaning and disinfecting of a shared glucometer between resident usage for 2 of 2 residents whose blood sugar levels were checked (Resident #58, Resident #1). Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. Failure to use an Environmental Protection Agency (EPA)-approved disinfectant in accordance with the manufacturer's instructions for disinfection of the glucometer potentially exposes residents to the spread of blood borne infections. […]

• No harm, potential for more than minimal, isolatedF550Mar 14, 2025

  Based on observations, record review, and resident and staff interviews, the facility failed to maintain a resident's dignity by continuously utilizing a video and audio monitoring device in his room for 1 of 3 sampled residents reviewed for dignity (Resident #49). Resident #49 stated the video and audio device in his room did not make him feel good at all and he had to watch what he said around it because it was always watching him. Findings included: Resident #49 was admitted to the facility on [DATE] with diagnoses of type 2 diabetes mellitus, hypertension, and peripheral vascular disease. The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #49 was cognitively intact and needed substantial assistance with transfers and walking. […]

• No harm, potential for more than minimal, isolatedF583Mar 14, 2025

  Based on observations, record review, and resident and staff interviews, the facility failed to maintain privacy and obtain written consent for the use of a video and audio monitoring device in a resident's rooms for 1 of 3 sampled residents reviewed for privacy (Resident #49). A reasonable person would expect privacy in their living area and not be monitored continuously by a monitoring technician at an offsite location. Findings included: A review of the facility's policy entitled Assignment and Use of Virtual Patient Observation (VPO) Greater [NAME] Market dated 4/12/23 revealed the administrative supervisor or designee would bring the monitoring device to the unit as needed and would contact the VPO monitoring center to enroll the resident. […]

• No harm, potential for more than minimal, isolatedF550Nov 16, 2023

  Based on record review, resident, and staff interview the facility failed to treat a resident in a dignified manner by not adequately preparing her for an outside medical appointment for 1 of 3 residents reviewed for dignity (Resident #18). This made Resident #18 feel forgotten and unimportant. The findings included: Resident #18 was admitted to the facility on [DATE] with diagnoses that included seizure, history of a cerebrovascular accident (stroke), and dysphagia as late effect of a stroke. A review of Resident #18's annual Minimum Data Set assessment dated [DATE] revealed her to be cognitively intact with no psychosis, behaviors, or rejection of care. Resident #18 had indicated is was very important to choose what clothes she wore daily. […]

• No harm, potential for more than minimal, isolatedF600Nov 16, 2023

  Based on observations, record review, and staff interviews the facility neglected to feed a dependent resident (Resident #15) her lunch meal for 1 of 2 residents reviewed for neglect. The findings included: Resident #15 was admitted to the facility on [DATE] with diagnosis that included vascular dementia with severe anxiety. Review of the significant change Minimum Data Set (MDS) dated [DATE] revealed that Resident #15 was severely cognitively impaired and required total assistance with eating. The MDS further revealed no behaviors or rejection of care and indicated that Resident #15 received Hospice services during the look back period. An observation of Resident #15 was made on 11/13/23 at 4:19 PM. […]