Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 Okc, Llc during CMS and state inspections, most recent first.
A resident with a documented acetaminophen allergy had a Tylenol order entered, which was later discontinued without evidence of administration. Additionally, a provider's order for a diuretic to treat leg edema was incorrectly transcribed as a muscle relaxant, and neither medication was documented as administered. Staff interviews revealed confusion about medication orders, allergy verification, and documentation, leading to failures in medication allergy adherence and accurate medication administration.
A resident who required substantial to maximum assistance with personal care did not receive scheduled baths or showers on three occasions, with no documentation to indicate care was provided or refused. Facility staff and the DON confirmed the absence of records for these missed bathing dates.
A resident with a history of diverticulitis experienced prolonged diarrhea, and a physician ordered a stool sample to be collected and sent to the lab. The specimen was never collected or processed, as confirmed by the absence of results in the clinical record and staff and family interviews. The failure occurred during a transition to a new laboratory service, which caused integration issues with the facility's electronic system and disrupted the lab order process.
Two residents identified as exit-seeking or confused did not have appropriate care plans implemented. One resident, with a history of intracerebral hemorrhage and hemiplegia, was noted to be exit-seeking but was not marked as an elopement risk until after an incident where they were found outside the facility. Another resident with dementia had a care plan to disguise exits, but the emergency exit door was not disguised, and facility leadership was unaware of the care plan's interventions.
A resident with a history of exit-seeking behavior eloped from the facility due to inadequate supervision and a malfunctioning emergency exit door that did not latch or alarm. The resident, who was confused and had a history of wandering, was found down the road from the facility after being missing for about 30 minutes. The facility's Elopement Policy was not effectively implemented, contributing to the incident.
A medication cart was found unsecured and unattended, contrary to the facility's policy requiring carts to be locked at all times. This was confirmed by an LPN, a CMA, and the DON. The facility had 69 residents at the time.
A non-diabetic resident was mistakenly given 25 units of Insulin Glargine and had a fingerstick blood sugar test performed, despite having no orders for such interventions. The error was discovered when the resident reported the incident, and an investigation confirmed the mistake. The facility's medication administration protocols were not followed, leading to this significant medication error.
Failure to Ensure Medication Allergy Adherence and Accurate Medication Administration
Penalty
Summary
The facility failed to ensure proper pharmaceutical services for a resident, specifically regarding medication allergy adherence, accurate transcription of medication orders, and administration of medications as ordered. A resident with a documented allergy to acetaminophen was admitted and subsequently had a physician order for Tylenol (acetaminophen) entered, despite the known allergy. The order was discontinued after two days, and there was no documentation that the medication was administered. Staff interviews confirmed awareness of the allergy but could not explain why the order was placed or provide details about the resident's reaction to acetaminophen. Additionally, there were discrepancies in the transcription and administration of other medications. A provider ordered metolazone, a diuretic, for the resident's bilateral leg edema, but the order was incorrectly entered as metaxalone, a muscle relaxant, in the system. The metaxalone order was later discontinued with a note indicating it was entered in error. Neither metaxalone nor metolazone was documented as administered to the resident, and staff were unable to determine if the medications were ever received or given. Interviews with staff, including CMAs, LPNs, and the DON, revealed confusion regarding the medication orders, the process for verifying allergies, and the handling of new medication orders. Staff described procedures for checking allergies and communicating with the pharmacy, but in this case, these procedures were not effectively followed, resulting in medication orders that did not align with the resident's documented allergies and needs, and a lack of documentation regarding medication administration.
Failure to Provide Scheduled Bathing for Dependent Resident
Penalty
Summary
The facility failed to provide scheduled bathing for one resident who required substantial to maximum assistance with personal care due to muscle weakness and unsteadiness. According to the facility's policy, residents are to be offered a bath or shower twice per week if no preference is stated. Documentation and interviews revealed that the resident was scheduled for showers on Tuesdays and Fridays, but there was no record of bathing provided on three scheduled dates during the resident's admission. Certified nurse aide staff confirmed that showers are scheduled based on room numbers and refusals are documented, but there was no documentation of refusals or completed baths for the missed dates. The DON was unable to locate any documentation to confirm that bathing was provided on those dates.
Failure to Obtain Physician-Ordered Lab Specimen Due to Lab Service Transition
Penalty
Summary
The facility failed to ensure that a physician-ordered laboratory test was obtained for one resident who had a diagnosis including diverticulitis of the intestine. A physician ordered a stool sample to be collected and sent to the lab, with instructions to leave the order active until the specimen was collected and to call the lab for pickup. Documentation in the resident's clinical record did not show any results for the ordered stool specimen, and interviews with staff and the resident's family confirmed that the specimen was likely never collected. The resident had experienced ongoing diarrhea for an extended period, and the family expressed concern that the necessary laboratory testing was not completed. Staff interviews revealed that there was a process in place for handling lab orders, including entering orders into the electronic system, collecting specimens, labeling them, and notifying the lab for pickup. However, during the time in question, the facility had changed laboratory service providers and experienced difficulties integrating the new lab into their electronic system. This disruption contributed to the failure to collect and process the ordered specimen as required by the physician's order.
Failure to Implement Comprehensive Care Plans for Exit-Seeking Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents identified as exit-seeking or confused. Resident #2, admitted with diagnoses including nontraumatic intracerebral hemorrhage and hemiplegia, was noted to be confused and exit-seeking but easily redirected. Despite these observations, the care plan did not indicate the resident was an elopement risk. On one occasion, the resident was found missing and later located by staff heading towards a nearby store. The care plan was only updated to reflect the elopement risk after this incident. Resident #3, admitted with dementia, had a care plan that included interventions for elopement risk, such as disguising exits and decorating doors. However, during an observation, the emergency exit door on the resident's hall was not disguised or decorated, contradicting the care plan. The administrator and CNO were unaware of why these interventions were included in the care plan and stated they would investigate further.
Resident Elopement Due to Inadequate Supervision and Door Malfunction
Penalty
Summary
The facility failed to adequately supervise and prevent a resident from eloping, which resulted in a resident with a history of exit-seeking behavior leaving the premises unsupervised. The resident, who was admitted with diagnoses including nontraumatic intracerebral hemorrhage and hemiplegia, was noted to be confused and confabulating, with a documented history of exit-seeking behavior. Despite being stationed at the nurses' station for monitoring, the resident managed to leave the facility through an emergency exit door that did not latch properly, and the alarm did not sound. The resident was found down the road from the facility approximately 30 minutes after being noticed missing. The facility's Elopement Policy required that residents identified with wandering or exit-seeking behavior be assessed and have appropriate interventions included in their care plan. However, the resident's exit-seeking behavior was known to staff, and the door's malfunction was not addressed in a timely manner, leading to the resident's elopement. The facility's failure to ensure the door was functioning properly and to provide adequate supervision contributed to the incident. The facility's administrator later acknowledged that the exit doors were checked monthly, but the door in question had not been checked since earlier in the month, and the facility was not equipped to handle residents with such behaviors as they were not a memory care facility.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure that a medication cart was securely locked according to company policy and procedure. On November 26, 2024, at 4:03 p.m., medication cart #1 on hall 400 was observed to be unsecured and unattended. This was confirmed by LPN #1 and CMA #1, who both reported that the medication cart was supposed to be locked. The following day, on November 27, 2024, at 11:25 a.m., the Director of Nursing (DON) reiterated that according to company policy, medication carts were required to be locked at all times. The facility housed 69 residents at the time of the observation.
Medication Error Involving Non-Diabetic Resident
Penalty
Summary
The facility failed to prevent a significant medication error involving a resident who was not diabetic and had no orders for insulin administration. Despite this, the resident was mistakenly given 25 units of Insulin Glargine and had a fingerstick blood sugar test performed. The incident was reported by the resident, who was confused about the procedures performed on them, as they were not diabetic and had no orders for such interventions. The resident's medical history included acute kidney failure, seizure, sepsis, and acute cystitis, but did not include diabetes or any indication for insulin use. The error was discovered when the resident reported the incident to the charge nurse, who then initiated an investigation. The investigation confirmed that the resident had been given insulin and had a fingerstick blood sugar test, which were not part of their prescribed care plan. The facility's medication administration policy requires verification of the right medication, dose, route, patient, and time, as well as proper identification of the resident before administering medication. However, these protocols were not followed, leading to the administration of insulin to a non-diabetic resident.
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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) |
|---|---|---|---|---|
| Bellevue Health & Rehabilitation Center | 0.1 mi | — | 3 | 0 |
| Northwest Nursing Center | 1.1 mi | — | 0 | 0 |
| The Lodge At Brookline | 1.2 mi | — | 0 | 0 |
| North Winds Living Center | 1.8 mi | — | 0 | 0 |
| Warr Acres Nursing Center | 2 mi | — | 0 | 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.