Ignite Medical Resort Okc, LLC

In the surveyor’s words

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

• Actual harm, patternF684Mar 16, 2021

  Based on observation, record review and staff interview, it was determined the facility failed to ensure a resident's wound was assessed on admission and did not deteriorate for one (#4) of three sampled residents reviewed for wound care which resulted in actual harm. The facility identified 13 residents with wounds. Finding: Resident #4 admitted on [DATE] with [DIAGNOSES REDACTED]. A hospital note, dated 02/13/21, documented, .Open wound of midline back .Wound Location: back .Treatment Measurements (L x W x D in cm) (length times width times depth in centimeters): 3.6x1.2x2 .drainage .minimal .Complicating Factors to Wound Healing: Immobility and infection . […]

• No harm, potential for more than minimal, patternF755Mar 13, 2025

  Based on record review and interview, the facility failed to ensure: a. medication allergy adherence; b. a medication was accurately transcribed; and c. medications were administered as ordered for 1 (#2) of 3 sampled residents reviewed for medication administration. The director of MDS identified 69 residents resided in the facility. Findings: An Administration of Medication policy, dated 04/2024, read in part, All medications are administered safely and appropriately to aid residents to and help in overcome [sic] illness, relieve and prevent symptoms and help in diagnosis. Resident #2 had diagnoses which included polyosteoarthritis, essential hypertension, and venous insufficiency. […]

• No harm, potential for more than minimal, patternF761Nov 27, 2024

  Based on observation and interview, the facility failed to ensure a medication cart was securely locked according to company policy and procedure. The administrator identified 69 residents resided in the facility. Findings: An Administrations of Medications policy, dated 04/2023, read in part, Never leave the medication cart open or unattended. On 11/26/24 at 4:03 p.m., medication cart #1 on hall 400 was found unsecured and unattended. On 11/26/24 at 4:04 p.m., LPN #1 reported the medication cart was supposed to be locked. On 11/26/24 at 4:05 p.m., CMA #1 reported the medication cart was to be locked. On 11/27/24 at 11:25 a.m., the DON reported according to company policy and procedure, medication carts were to be locked.

• No harm, potential for more than minimal, patternF580Sep 22, 2021

  Based on record review and interview, the facility failed to ensure resident representatives were notified of changes in skin conditions for two (#7 and #18) of three residents reviewed for notification. The assistant administrator identified 68 residents resided in the facility. Findings: 1. Res #7 admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Daily Skilled Note, dated 06/13/20 at 2:17 p.m., read in part, .redness to both buttocks . Daily Skilled Notes, dated 06/16/20, 06/17/20, 06/18/20, 06/23/20, and 06/24/20, read in part, .Skin/Wound .Pressure Ulcer . A Physician's Progress Note, dated 06/25/20, read in part, .upon visual inspection it appears as though patient has a open unstageable wound to .buttocks . A physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF602Sep 22, 2021

  Based on record review and interview, the facility failed to ensure residents were free from misappropriation of property for one (#8) of one resident sampled for abuse. The DON identified 68 residents who resided in the facility. Findings: A Misappropriation of Resident Property policy, dated January 2020, read in part, .The misappropriation of the property of a resident will not be condoned at this facility . Resident #8 was admitted with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A resident admission assessment, dated 04/30/20, documented the resident had moderately impaired cognition. An email from the assistant administrator, dated 07/25/20, read in part, .5/19- [Resident's family member] called at 6:04pm and stated that someone took $80 from [the resident's] room. […]