Ignite Medical Resort Round Rock, LLC
Austin, Texas · CCN 676440
21 surveys since 2019. The first finding at harm level was recorded in 2023.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 61
- Surveys
- 21
- Harm or worse
- 7
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 70
- Ownership
- For profit - Limited Liability company
- Chain
- IGNITE MEDICAL RESORTS
- County
- Williamson
- Medicare-certified since
- 2018
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Jan 28, 2026
285 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.89 | 3.22 |
| Registered-nurse hours per resident day | 1.05 | — |
| Annual nurse turnover | 61.2% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $63,733 across 3 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J615.0% | K— | L— |
| Actual harm | G12.5% | H— | I— |
| No harm, potential for more than minimal | D1127.5% | E1947.5% | F25.0% |
| No harm, potential for minimal | A— | B— | C12.5% |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8803×
Provide and implement an infection prevention and control program.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6862×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Ignite Medical Resort Round Rock, LLC, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Nov 14, 2024
Based on interviews and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (Resident #1) of 6 residents reviewed for resident rights. 1. The facility failed to notify the MD or NP when Resident #1, who has a diagnosis of stage 5 kidney failure, complained of not being able to urinate. 2. The facility failed to notify the MD or NP when Resident #1, with a BIMS score of 15, began exhibiting erratic behaviors, changes in mental status, confusion, and agitation. 3. […]
- Immediate jeopardy, isolatedF684Nov 14, 2024
Based on observations, interviews, and record reviews, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for 1 (Resident #1) of 6 residents reviewed for quality of care. 1. The facility failed to assess the resident or notify the provider when Resident #1, who has a diagnosis of stage 5 kidney failure, complained of not being able to urinate. 2. The facility failed to assess Resident #1, notify the provider or the abuse coordinator when Resident #1, who was taking blood thinners and had a BIMS score of 15, presented with bruises all over her body, and began throwing herself on the floor, hitting herself on the head, yelling, and exhibiting erratic behaviors . 3. […]
- Immediate jeopardy, isolatedF580Jul 19, 2024
Based on interviews and record reviews, the facility failed to inform the resident's Physician or Nurse Practitioner when there was a need to alter treatment significantly for 1 (Resident #1) of 5 residents reviewed for pharmacy services. The facility failed to ensure Resident #1's scheduled medications were acquired and administered. Resident #1 was not given ceftriaxone (antibiotic used to treat bacterial infections) for a total of 4 times within the dates of 07/09/2024 to 07/11/2024, staff did follow up with the pharmacy for the antibiotics, staff did not communicate with the NP of the lack of antibiotics and missed medications, and staff did not communicate the missed doses to the administration. […]
- Immediate jeopardy, isolatedF755Jul 19, 2024
Based on interviews and record reviews, the facility failed to provide pharmaceutical services, including accurate acquiring, and administering of all drugs and biologicals to meet the needs for 1 (Resident #1) of 5 residents reviewed for pharmacy services. The facility failed to ensure Resident #1's scheduled medications were acquired and administered. Resident #1 was not given ceftriaxone (antibiotic used to treat bacterial infections) for a total of 4 times within the dates of 07/09/2024 to 07/11/2024, staff did follow up with the pharmacy for the antibiotics, staff did not communicate with the NP of the lack of antibiotics and missed medications, and staff did not communicate the missed doses to the administration. […]
- Immediate jeopardy, isolatedF760Jul 19, 2024
Based on interviews and record reviews, the facility failed to ensure a resident was free of any significant medication errors for 1 (Resident #1) of 5 residents reviewed for pharmacy services. The facility failed to ensure Resident #1's scheduled medications were acquired and administered. Resident #1 was not given ceftriaxone (antibiotic used to treat bacterial infections) for a total of 4 times within the dates of 07/09/2024 to 07/11/2024, staff did follow up with the pharmacy for the antibiotics, staff did not communicate with the NP of the lack of antibiotics and missed medications, and staff did not communicate the missed doses to the administration. […]
Read 25 findings in full →The most serious and the most recent: 25 of 61 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 28, 2026Complaint2 findings
- Jan 15, 2026Standard6 findings
- Dec 8, 2025Complaint1 finding
- May 3, 2025Complaint1 finding
- Jan 29, 2025Complaint1 finding
- Jan 15, 2025Complaint1 finding
- Nov 14, 2024Complaint5 findings · 2 harm
- Oct 16, 2024Standard5 findings
Show the 13 earlier surveys
- Sep 24, 2024Complaint2 findings · 1 harm
- Jul 27, 2024Complaint1 finding
- Jul 19, 2024Complaint3 findings · 3 harm
- Nov 3, 2023Complaint1 finding
- Aug 25, 2023Standard and complaint8 findings
- Jul 11, 2023Complaint3 findings · 1 harm
- Mar 13, 2023Complaint1 finding
- Jan 18, 2023Complaint1 finding
- Dec 31, 2022Complaint2 findings
- Jun 9, 2022Standard12 findings
- Dec 18, 2020Infection control1 finding
- Jan 29, 2020Standard1 finding
- Feb 6, 2019Standard3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction