Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ignite Medical Resort Edmond, Llc during CMS and state inspections, most recent first.
Multiple infection control deficiencies were identified, including failure to date and properly store oxygen and BIPAP equipment for two residents, lack of enhanced barrier precautions during supra-pubic catheter care, delivery of uncovered laundry to resident rooms, and absence of documented legionella surveillance and water management practices. Staff interviews confirmed lapses in following facility policies for infection prevention.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
Two residents experienced inappropriate behavior from a CNA, leading to anxiety and fear. One resident, with anxiety and depression, reported rough handling and an inappropriate comment. Another resident, with physical limitations, reported a threatening comment and unprofessional attitude. The CNA was suspended and later left the facility.
The facility was found to have multiple food safety and sanitation deficiencies, including improperly labeled and expired food items, unsanitary storage conditions, and inadequate dishwashing practices. Staff failed to follow established policies for food handling and storage, leading to potential health risks for residents.
The facility did not complete annual competency reviews for two CNAs as required by their policy. The DON and Executive Director acknowledged the oversight, noting that while reviews are scheduled annually, the previous year's reviews were missing.
The facility did not offer two residents the choice to formulate advanced directives, as required. One resident had a fracture of the right arm, and another was recovering from knee replacement surgery. The Admissions Coordinator stated that the offer would be made during the admission contract signing process, which had not yet been completed for these residents.
A resident with conversion disorder and seizures was discharged without a physician's order, contrary to the facility's policy. A progress note recorded the discharge date and time, but the DON confirmed the lack of a required physician's order.
A facility failed to develop a baseline care plan within 48 hours for a resident admitted with acute kidney failure and gastrointestinal hemorrhage. Despite the facility's policy requiring such a plan, it was not found in the resident's clinical record. This was confirmed by an MDS Coordinator during an interview.
The facility failed to develop and implement comprehensive care plans for two residents. One resident's care plan inaccurately documented their mobility needs, while another resident admitted with acute kidney failure and gastrointestinal hemorrhage had no care plan in their clinical record. These deficiencies were confirmed by staff observations and interviews.
A resident with conversion disorder and seizures was discharged without a complete discharge summary. The summary, dated in January, noted the resident's stability and follow-up instructions but lacked documentation of medication reconciliation. The DON confirmed the omission in April.
A resident with hypertension did not receive their prescribed medication, losartan potassium-HCTZ, due to an RN holding the medication for a low pulse, contrary to the physician's order to hold it for low blood pressure. This indicates a misinterpretation of the order, as the RN later mentioned the need to clarify the order with the physician.
The facility failed to document appropriate indications for medications for two residents. A resident with dementia and pain was prescribed Lorazepam for pain, which the DON confirmed was inappropriate. Another resident had orders for Torsemide and Apixaban without documented indications. The DON acknowledged the lack of documentation and planned to seek clarification.
The facility failed to disinfect a glucometer before or after its use on a resident. The Glucometer Disinfection policy requires cleaning after each use, but an RN was observed using the device without disinfecting it. The RN stated that cleaning is done by the night shift, but the log only documented the glucometer's range, not its cleaning.
Infection Control Failures in Respiratory Care, Catheter Care, Laundry Handling, and Water Management
Penalty
Summary
The facility failed to implement adequate infection prevention and control measures in several areas related to respiratory care, urinary catheter care, laundry handling, and water system management. For one resident requiring supplemental oxygen, the oxygen tubing and nasal cannula were observed not labeled with the date of administration and not stored in a bag when not in use, as required by facility policy. The equipment was left exposed, wrapped around a bed bar, and connected to a humidifier, also undated. Staff interviews confirmed that the equipment should have been dated and bagged to prevent contamination, but these procedures were not followed. Another resident with a BIPAP machine and a supra-pubic catheter did not have a physician order or care plan focus for BIPAP therapy, and the BIPAP mask and hose were found with visible moisture, stored in an open drawer and not bagged. During catheter care, staff wore gloves but did not use an isolation gown as required by the resident's care plan and physician orders for enhanced barrier precautions (EBP). The resident confirmed that staff did not consistently use gowns during catheter care, and staff interviews revealed a lack of awareness regarding the EBP requirement for catheter care. Additionally, laundry was observed being delivered to resident rooms uncovered, contrary to facility practice of returning clean clothes in individual bags. The housekeeping supervisor acknowledged the incident. Regarding water management, the maintenance supervisor reported the absence of a facility water flow map, lack of documentation for maintenance activities, and unawareness of the water management or legionella prevention plans, despite facility policies requiring such programs and documentation.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to ensure residents were free from physical abuse, as evidenced by incidents involving two residents. One resident, diagnosed with anxiety disorder and depression, reported that a CNA was rough during care and made an inappropriate comment, suggesting the resident should be in a bubble. The CNA admitted to making the statement, and the incident caused anxiety for both the resident and the CNA, who was new to the unit. Another resident, with diagnoses including epileptic seizures and muscle wasting, reported that the same CNA had an unprofessional attitude and made a threatening comment about getting the resident kicked out. The resident was unable to comply with the CNA's care method due to physical limitations from a stroke. Other residents also reported feeling uncomfortable with the CNA's demeanor, leading to fear of using the call light for assistance. The CNA was placed on suspension pending investigation and eventually left the facility.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to proper food safety and handling protocols, as observed during a survey. Several deficiencies were noted, including improperly labeled and expired food items in the refrigerator, such as a jar of grape jelly opened and dated months prior, and various dairy products with expired use-by dates. Additionally, thawed chicken pieces and other food items lacked proper labeling and use-by dates. The facility's walk-in cooler and large refrigerator contained items that were either expired or not properly dated, indicating a lack of compliance with the facility's 'Date Marking for Food Safety' policy. Further observations revealed unsanitary conditions in the kitchen, such as the use of dirty and greasy bins for storing bulk foods and the absence of beard restraints for staff with facial hair. The dishwashing process was also found to be inadequate, with clean dishware exposed to splash from soiled dishes and a lack of routine testing for proper chemical sanitization in the dishwasher rinse cycles. The facility's 'Dishwashing Machine Use' policy was not followed, as there were no documented sanitizer levels for the dishwasher, and staff were unaware of how to check these levels. These findings were acknowledged by the Certified Dietary Manager, who confirmed that proper procedures for food handling and storage had not been followed.
Failure to Conduct Annual CNA Competency Reviews
Penalty
Summary
The facility failed to conduct annual performance reviews for two certified nurse aides (CNAs) as required by their Competency Evaluation policy. The policy mandates that subsequent and/or annual competency evaluations be conducted based on the facility assessment, training program evaluation, and job performance evaluations. However, upon review, it was found that there were no annual competency reviews in the personnel files of two CNAs, one hired in November 2021 and the other in July 2022. The Director of Nursing (DON) and Executive Director confirmed that while competency reviews are supposed to be completed upon hire and annually, the reviews from the previous year could not be located, and skills checks were scheduled for May.
Failure to Offer Advanced Directives
Penalty
Summary
The facility failed to ensure that residents were offered the choice to formulate advanced directives, as required. This deficiency was identified during a review of the clinical records and interviews with facility staff. Specifically, two residents, one with a diagnosis of a displaced comminuted fracture of the right arm and another following joint replacement surgery of the left knee, were not documented as having been offered the choice to formulate an advanced directive. The Admissions Coordinator confirmed that these residents had not been offered this choice because they had not yet completed the admission contract signing process.
Failure to Obtain Discharge Order
Penalty
Summary
The facility failed to obtain a discharge order for a resident diagnosed with conversion disorder with seizures. The facility's policy, revised in 2023, requires obtaining a physician's order for transfer or discharge. However, a progress note dated January 25, 2024, indicated the date and time of discharge without a corresponding physician's order. During an interview on April 23, 2024, the Director of Nursing confirmed the absence of a physician's order for the discharge of the resident.
Failure to Develop Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to ensure a baseline care plan was completed within 48 hours for a resident admitted with acute kidney failure and gastrointestinal hemorrhage. The facility's policy, dated 2023, mandates that a baseline care plan be developed within 48 hours of a resident's admission. However, upon review, there was no baseline care plan found in the clinical record of the resident in question. This deficiency was confirmed during an interview with MDS Coordinator #2, who acknowledged that the baseline care plan had not been developed.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents, leading to deficiencies in meeting their care needs. Resident #9's care plan, initiated in February 2024, inaccurately documented the resident's ability to walk with assistance, despite an admission assessment indicating the need for substantial assistance with bed mobility and no attempts to transfer or walk due to medical or safety concerns. This discrepancy was confirmed by a nurse and the MDS Coordinator, and a physical therapist was observed assisting the resident with a stand pivot transfer using a gait belt. Additionally, Resident #28, admitted with acute kidney failure and gastrointestinal hemorrhage, did not have a comprehensive care plan in their clinical record, as confirmed by the MDS Coordinator.
Incomplete Discharge Summary for a Resident
Penalty
Summary
The facility failed to ensure a complete discharge summary for a resident diagnosed with conversion disorder with seizures. The discharge summary, dated January 25, 2024, indicated that the resident received skilled nursing and therapy services and was stable at the time of discharge. It also noted that the resident and their representative were instructed to follow up with the primary care provider after discharge. However, the Clinical Discharge Instruction Form, which should have included a section for medications sent home, was found to be incomplete. On April 23, 2024, the Director of Nursing confirmed that medication reconciliation was not documented.
Medication Administration Error Due to Misinterpretation of Physician's Order
Penalty
Summary
The facility failed to administer medications as ordered for a resident diagnosed with hypertension. The resident had a physician's order for losartan potassium-HCTZ to be given daily, with instructions to hold the medication if the systolic blood pressure was less than 105 or the diastolic was less than 65, and to notify the physician. On the specified date, an RN documented holding the medication due to a low pulse, which was not in accordance with the physician's order. The RN later stated the order was to hold the medication if the blood pressure was low and to notify the physician, indicating a misunderstanding or miscommunication regarding the order.
Failure to Document Appropriate Indications for Medications
Penalty
Summary
The facility failed to ensure that each resident's drug regimen was free from unnecessary medications, as evidenced by the lack of proper indications for the use of certain medications for two residents. Resident #4, who had diagnoses including dementia and pain, was prescribed Lorazepam, an antianxiety medication, for pain management. However, the Director of Nursing (DON) confirmed that pain was not an appropriate indication for Lorazepam use. Additionally, Resident #262 had physician orders for Torsemide, a diuretic, and Apixaban, an anticoagulant, but neither medication had an appropriate indication for use documented. The DON acknowledged this oversight and indicated they would seek clarification from the physician.
Failure to Disinfect Glucometer
Penalty
Summary
The facility failed to disinfect a glucometer before or after its use on a resident, as observed during a survey. The facility's Glucometer Disinfection policy, dated 2023, mandates that blood glucometers be cleaned and disinfected after each use and according to the manufacturer's instructions for multi-resident use. On April 23, 2024, at 11:30 a.m., RN #2 was observed performing glucose monitoring with a glucometer without disinfecting it before or after use. RN #2 stated that the glucometer is cleaned by the night shift, but the provided Glucometer Control Log only documented that the glucometer was in range, with no record of any cleanings.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Oklahoma City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edmond Health Care Center | 1 mi | — | 10 | 0 |
| The Timbers Skilled Nursing And Therapy | 1.6 mi | — | 6 | 2 |
| Epworth Villa Health Services | 3.4 mi | — | 0 | 0 |
| The Wilshire Skilled Nursing And Therapy | 4.1 mi | — | 0 | 0 |
| Tuscany Village Nursing Center | 4.5 mi | — | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.