Ignite Medical Resort Sugar Land, LLC
Sugar Land, Texas · CCN 676384
35 surveys since 2015, 17 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 110
- Surveys
- 35
- Harm or worse
- 17
- Immediate jeopardy
- 15
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
- 90
- Ownership
- For profit - Individual
- Chain
- IGNITE MEDICAL RESORTS
- County
- Fort Bend
- Medicare-certified since
- 2015
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
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
Jun 30, 2026
132 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 | 3.82 | 3.22 |
| Registered-nurse hours per resident day | 0.72 | — |
| Annual nurse turnover | 62.2% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $137,052 across 6 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 | J321.4% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D964.3% | E214.3% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6781×
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
In the surveyor’s words
From the most serious findings on record at Ignite Medical Resort Sugar Land, LLC, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678Aug 30, 2024
Based on observation, interview, and record review the facility failed to ensure personnel provided basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel for 1 to 7 residents (CR#1) reviewed for CPR. -RT A and LVN A failed to initiate life-saving measures (CPR) when CR#1 who had a full code (meaning all resuscitation procedures provided if their heart stops beating or stop breathing) immediately when she was found unresponsive and died . -The facility failed to ensure that CR #1 received Cardio-pulmonary resuscitation (CPR) in accordance with professional standards of practice. -The facility failed to immediately initiate CPR when CR#1 was found unresponsive at or about 5:25 a.m. EMS was called at 5:37 a.m. […]
- Immediate jeopardy, isolatedF695Aug 30, 2024
Based on observation, record review and interview, the facility failed to ensure that residents who needs respiratory care is provided such care consistent with professional standards, the comprehensive care plan, the residents goals, and preferences for 1 of 5 (CR#1) residents reviewed for respiratory and tracheostomy care in that: -The facility failed to ensure that CR#1 who needed respiratory care, including tracheotomy care circuit was attached appropriately causing it to become dislodged resulting in agonal breathing, cardiac arrest, and death. -The facility failed to have emergency tracheostomy equipment at CR#1's bedside when CR#1 trach dislodged. An Immediate Jeopardy (IJ) was identified on [DATE] at 05:42pm . The IJ template was provided to the facility on [DATE] at 5:42pm. […]
- Immediate jeopardy, isolatedF755Aug 30, 2024
Based on observation interview and record reviews the facility failed to provide pharmaceutical services including procedure that assure accurate acquiring, receiving, dispensing and administering of all drugs and biologicals to meet the needs of each resident for 1 of 5 (Resident #8) residents reviewed for pharmaceutical services. -Facility failed to implement effective pharmaceutical procedures when RN A incorrectly added an order to Resident #8 to administer 12 units of Lispro insulin subcutaneously every 8 hours. Resident #8 who was not diabetic caused himcaused him to sweat and become lethargic and had to be sent to the emergency room due to hypoglycemia (low blood sugar). -The facility failed to prevent Resident #8 from receiving 48 units of insulin within 24-hours. […]
- Immediate jeopardy, isolatedF684Apr 28, 2023
Based on interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, for 1 (CR#1) of 5 residents reviewed for quality of care. The facility failed to call 911 for three hours after finding CR#1 vomiting up blood and blood in her urine and feces on [DATE]. CR #1 later expired at the hospital because of her condition and lack of 911 being called. An Immediate Jeopardy (IJ) was identified on [DATE] at 12:45p.m. […]
- Actual harm, isolatedF604Jun 23, 2022
Based on interview and record review, the facility failed to ensure residents the right to be free from any physical restraints imposed for purposes of convenience, and not required to treat the resident's medical symptoms for 1 (CR #134) of 1 resident reviewed for restraints. Staff applied socks on both of CR #134's hands to restrict her movement during the night and did not remove the socks until family's intervention. This failure could place residents at risk of a decline in the ability to participate in activities of daily living (ADLs). Findings Included: Record review of CR #134's undated Face Sheet reflected a [AGE] year-old female who admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
Read 33 findings in full →The most serious and the most recent: 33 of 110 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 30, 2026Complaint1 finding
- Dec 10, 2025Complaint1 finding
- Sep 27, 2024Standard and complaint9 findings
- Aug 30, 2024Complaint3 findings · 3 harm
- Aug 9, 2023Standard1 finding
- Jun 26, 2023Complaint4 findings
- Apr 28, 2023Complaint2 findings · 1 harm
- Mar 6, 2023Complaint2 findings
Show the 27 earlier surveys
- Nov 10, 2022Complaint1 finding
- Jul 26, 2022Complaint1 finding
- Jun 23, 2022Standard9 findings · 1 harm
- Feb 23, 2022Complaint1 finding
- Dec 1, 2021Complaint2 findings
- Sep 27, 2021Complaint3 findings
- Aug 6, 2021Complaint3 findings
- Mar 11, 2021Standard7 findings
- Nov 13, 2020Infection control1 finding
- Jul 2, 2020Complaint1 finding · 1 harm
- Feb 11, 2020Complaint2 findings · 1 harm
- Jul 31, 2019Complaint1 finding
- May 17, 2019Standard10 findings
- Sep 5, 2018Complaint1 finding
- Jul 31, 2018Complaint1 finding
- May 22, 2018Standard and complaint10 findings · 3 harm
- May 17, 2018Standard and complaint10 findings · 3 harm
- Mar 22, 2018Complaint1 finding
- Mar 6, 2018Complaint6 findings · 4 harm
- Jun 22, 2017Standard6 findings
- Apr 13, 2017Complaint2 findings
- Dec 14, 2016Complaint1 finding
- Aug 11, 2016Complaint1 finding
- Aug 4, 2016Standard2 findings
- Jul 19, 2016Complaint1 finding
- Jun 27, 2016Complaint2 findings
- Nov 23, 2015Complaint1 finding
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.
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