Ignite Medical Resort Norman, LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF755Jul 14, 2025

  On 07/11/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to prevent a significant medication error by administering the wrong dose of morphine (an opioid) to Resident #3.On 07/11/25 at 12:34 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation.On 07/11/25 at 2:23 p.m., the administrator and the general manager were notified of the IJ situation and the IJ template was provided.On 07/14/25 at 2:00 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• Immediate jeopardy, isolatedF760Jul 14, 2025

  On 07/11/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to prevent a significant medication error for Resident #3. On 07/11/25 at 12:34 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation.On 07/11/25 at 2:23 p.m., the administrator and the general manager were notified of the IJ situation and the IJ template was provided.On 07/14/25 at 2:00 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2022

  Based on record review, observation, and interview, the facility failed to ensure food was stored, prepared, and served in a sanitary manner. The facility failed to: a. clean the oven and hand washing sinks. b. wear hair restraints when in the kitchen. c. perform hand hygiene after touching unclean surfaces during meal service and meal pass. The Census and Conditions of Residents form documented 36 residents lived in the facility. Findings: The DIETARY SERVICES POLICY, revised 07/05/06, read in parts .All dietary services personnel shall at all times wear clean, washable clothes and hair nets or clean caps .Effective procedures are established for the cleaning of all equipment and work areas .personnel entering the dietary area will be responsible for the same standards of cleanliness as… […]

• No harm, potential for more than minimal, patternF680Jul 2, 2026

  Based on interview, record review, and facility document review, the facility failed to employ an activity professional with the required educational background and/or certifications for 1 of 1 activity professional reviewed.Findings included: A facility Job Description for the Director of Entertainment, created on 08/01/2023, indicated the qualifications included, To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.High School Diploma or it's equivalent and satisfactory completion of a training course for Activity Directors2 years minimum experience in a social or recreational programExceptional verbal and written communication skills. […]

• No harm, potential for more than minimal, patternF726Jul 2, 2026

  Based on observation, interview, record review, and review of manufacturer instructions for use, the facility failed to ensure nursing staff administering insulin via a prefilled pen had knowledge of priming an insulin pen before administration for 3 (Licensed Practical Nurse [LPN] #1, #2, and #3) of 3 nurses reviewed for competency.Findings included:A manufacturer's Instructions for Use for insulin lispro, revised 07/2023, revealed the section titled, Priming your Pen, included, Prome before each injection. - Priming your Pen means removing the air from the Needle and Cartridge that may collect during normal use and ensures that the Pen is working correctly. - If you do not prime before each injection, you may get too much or too little insulin. […]