Ignite Medical Resort San Antonio, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF730Dec 8, 2025

  Based on interview and record review, the facility failed to complete a performance review of every nurse aide at least once every 12 months and provide regular in-service education based on the outcome of these reviews for 1 of 1 facility reviewed for competent staffing. The facility failed to complete annual performance reviews for CNAs employed by the facility for 1/1/2025 through 9/1/2025.This failure could lead to incompetent staff and improper care to residents. Findings included: Record review of the facility staff roster provided by the HR Dir on 9/23/2025 reflected 35 CNA staff members. Of the 25 CNAs, 25 were eligible for an annual performance review in that they had been employed by the facility for over one year and had a month of hire occurring from January through September. […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the kitchen. The facility failed to ensure osmolite (a tube feeding formula) was disposed of after its best-by date. The facility failed to ensure staffs facial hair was covered by a hair restraint. The facility failed to ensure trays, insulated plate lids, and insulated plate bases were air dried prior to stacking them with water droplets resulting in being wiped dry with a hand towel during meal prep. […]

• No harm, potential for more than minimal, widespreadF880Jan 15, 2021

  Based on observations, interviews and record reviews the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 6 of 6 residents (#41, #47, #51, #53, #160, and #259) reviewed for infection prevention and control, in that: 1. The facility practiced re-use of personal protective equipment contrary to the Centers for Disease Prevention and Control's guidelines. 2. The facility cross contaminated the Presumed COVID-19 quarantine / warm and non-COVID-19 cold zones. 3. The facility did not screen residents once each shift for signs and symptoms of COVID-19. 4. […]

• No harm, potential for more than minimal, patternF689Dec 8, 2025

  Based on observations, interviews, and record reviews the facility failed to ensure the resident environment remained free of accident hazards as is possible for 1 of 1 laundry departments (2 of the 3 dryers) reviewed for fire hazards.The facility failed to clean out the lint from the 2 commercial dryer's interiors for a year.This failure could place residents at risk for a potential fire. The findings included: During an observation on 9/23/2025 at 2:41 PM revealed the facility's laundry department had 2, natural gas fueled, commercial dryers. The mechanical back of the dryers were housed in an enclosed room accessed by a wood frame door. […]

• No harm, potential for more than minimal, patternF726Dec 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs for 3 of 3 LVNs (ADON A, LVN F, and LVN G) reviewed for staff competency. The facility failed to ensure ADON A, LVN F, and LVN G were competent and trained to provide care for Resident #108's PleurX [a catheter placed in the chest cavity for long-term drainage]. This failure could lead to improper care and complications of Residents' medical care.Findings included: Record review of Resident #108's face sheet, dated 9/21/2025, reflected a [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE]. […]