Ignite Medical Resort Katy, LLC

In the surveyor’s words

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

• Actual harm, patternF697Sep 11, 2024

  Based on observation, interview and record review, the facility failed to ensure that 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 1 of 4 (Resident #1) reviewed for pain management. -The facility failed to ensure that as a resident with cancer of the esophagus Resident #1's pain medications (Lyrica 75mg and Tramadol HCl 50mg) were available at the facility after he was admitted from a cancer treatment hospital. […]

• Actual harm, patternF755Sep 11, 2024

  Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 4 (Resident #1) residents reviewed. -The facility failed to ensure that as a resident with cancer of the esophagus Resident #1's Lyrica and Tramadol were available for administration from 09/04/2024 at 10pm to 09/06/2024 at 2pm according to Physician Orders started on 09/04/2024 when Resident #1's nurses knew the pharmacy did not have the prescription for the pain medications but the nurses did not intervene even after Resident #1's representatives requested his pain medications This deficient practice could place… […]

• No harm, potential for more than minimal, patternF755Jul 15, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that ensure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident, for 1 of 6 residents (Resident #25) and 1 (wound care cart) of 4 carts reviewed for medication administration and storage.1. The facility failed to ensure the timely administration of physician-ordered medications for Resident #25. Eleven scheduled morning medications ordered for 07/15/2026 were not administered at their ordered times and were administered more than one hour late after nursing staff incorrectly assumed the resident was out of the facility for a medical appointment without verifying her whereabouts.2. […]

• No harm, potential for more than minimal, patternF812Jul 15, 2026

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food and nutrition service. 1. There was a metal bowl of lemon that was not fully covered in the fridge and a bottle of cranberry juice that was not labelled after opening observed 07/13/2026. 2. [NAME] G did not follow infection control protocols when measuring food temperature when she wiped her nose without changing gloves and changed her gloves without washing her hands in between until surveyor intervention. 3.Cook G did not use alcohol wipes to clean the thermometer in between testing food temperature. […]

• No harm, potential for more than minimal, patternF760May 8, 2025

  Based on observation, interview, and record review the facility failed to ensure residents were free of significant medications errors for 1 resident (Resident #20) of 8 resident for medication errors in that: - The facility was unable to locate a current order for Resident #20 for the medication Brilinta (blood thinner/antiplatelet {medication that prevents blood clots}) 90mg oral 1 tablet in the morning and at bedtime. Resident #20 received the medication from 05/01/25 at 9:00PM to 05/07/25 at 9:00PM. This failure placed resident at risk for increase in bleeding and unwanted hospitalization . Findings included: Resident #20: Record review of Resident #20's face sheet dated 05/08/25 revealed a [AGE] year-old male admitted to the facility on [DATE]. […]