Cycle 1
Health 2024-10-10 · Fire 2024-10-10
9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Blue Springs, MO
Ignite Medical Resort Blue Springs
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
20511 E Trinity Place, Blue Springs, MO
(816) 622-2900
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ignite Medical Resorts
Operator or chain grouping
Approved since
2020-10-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.53
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.46
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.72
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.07
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,616
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9922
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.25
Baseline 21.51% · Performance 18.07% · Measure score 7.25 · Achievement 7.25 · Improvement 7.17
Healthcare-associated infections
6.31
Baseline 7.70% · Performance 5.95% · Measure score 6.31 · Achievement 6.31 · Improvement 5.98
Total nurse turnover
2.14
Baseline 71.43% · Performance 59.14% · Measure score 2.14 · Achievement 1.11 · Improvement 2.14
Adjusted total nurse staffing
0
Baseline 2.77 hours · Performance 2.73 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.09% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 564 · Observed rate 11.35% · Lower 95% interval 9.3% |
| Discharge to community | 65.75% |
50.57%
15.2 pts better
|
Better than the National Rate · Eligible stays 547 · Observed rate 60.51% · Lower 95% interval 61.65% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.05% |
95.27%
1.8 pts better
|
Numerator 395 · Denominator 407 |
| Falls with major injury | 0.49% |
0.77%
0.3 pts better
|
Numerator 2 · Denominator 407 |
| Discharge self-care score | 67.42% |
53.69%
13.7 pts better
|
Numerator 180 · Denominator 267 |
| Discharge mobility score | 47.19% |
50.94%
3.8 pts worse
|
Numerator 126 · Denominator 267 |
| Pressure ulcers or injuries, new or worsened | 2.21% |
2.29%
0.1 pts better
|
Numerator 9 · Denominator 407 · Adjusted rate 2.71% |
| Healthcare-associated infections requiring hospitalization | 5.95% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 369 · Observed rate 5.42% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 81.61% |
8.2%
73.4 pts better
|
Numerator 142 · Denominator 174 |
| Staff flu vaccination coverage | 78.75% |
42%
36.8 pts better
|
Numerator 126 · Denominator 160 |
| Discharge function score | 57.3% |
56.45%
0.8 pts better
|
Numerator 153 · Denominator 267 |
| Transfer of health information to provider | 97.39% |
95.95%
1.4 pts better
|
Numerator 261 · Denominator 268 |
| Transfer of health information to patient | 89.26% |
96.28%
7 pts worse
|
Numerator 108 · Denominator 121 |
| Resident COVID-19 vaccinations up to date | 27.96% |
25.2%
2.8 pts better
|
Numerator 59 · Denominator 211 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.7% |
84.8%
5.1 pts worse
|
93.4%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 81.8% · 4Q avg 79.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.8% |
90.9%
20.1 pts worse
|
95.5%
24.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 70.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
4.1%
0.3 pts better
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.5% |
14.7%
3.2 pts better
|
11.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.5% · 4Q avg 11.5% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.5%
2.3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.4% |
25.3%
10.1 pts worse
|
19.6%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
25.0%
14.3 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9% |
20.3%
5.4 pts better
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
19.8%
11.9 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.4%
0.5 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
18.1%
0.6 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 11.4% |
5.0%
6.4 pts worse
|
5.1%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 14.1% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.1% |
66.4%
16.3 pts worse
|
81.7%
31.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 46.2% · Q3 53.9% · Q4 59.5% · 4Q avg 50.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
13.4%
4.4 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 9.4% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
2.2%
1.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.5% · Q3 0.2% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.1% |
63.5%
15.4 pts worse
|
79.7%
31.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
25.3%
2.1 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 24.4% · Expected 25.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-13 · Fire 2022-12-13
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
19 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Cycle 3
Health 2020-10-08 · Fire 2020-10-08
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-10
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-12-02
F · Potential for more than minimal harm
2024-10-10
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-12-02
F · Potential for more than minimal harm
2024-10-10
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-12-02
F · Potential for more than minimal harm
2024-10-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-10-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-02
F · Potential for more than minimal harm
2022-12-13
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-03-17
F · Potential for more than minimal harm
2022-12-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-17
F · Potential for more than minimal harm
2022-12-13
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-17
F · Potential for more than minimal harm
2022-12-13
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-03-17
E · Potential for more than minimal harm
2022-12-13
K344 · Smoke Deficiencies
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-12-13
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-01-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-04-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-17
E · Potential for more than minimal harm
2024-10-10
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-12-02
E · Potential for more than minimal harm
2024-10-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-02-23
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-02-23
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-01
D · Potential for more than minimal harm
2023-06-16
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-11
D · Potential for more than minimal harm
2023-06-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-11
E · Potential for more than minimal harm
2022-12-13
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-01-13
E · Potential for more than minimal harm
2022-12-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-13
D · Potential for more than minimal harm
2022-12-13
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-13
Penalties and ownership
What sits behind the stars
Ownership
Hageman Investments LLC
5% Or Greater Direct Ownership Interest · Organization
Ignite Ind LLC
5% Or Greater Direct Ownership Interest · Organization
Berger Fam Tr Ua 06252014
5% Or Greater Indirect Ownership Interest · Organization
Blue Pearl Financial LLC
5% Or Greater Indirect Ownership Interest · Organization
Carr, Barry
5% Or Greater Indirect Ownership Interest · Individual
Carr, Barry
Operational/Managerial Control · Individual
Carr, Jared
Operational/Managerial Control · Individual
Fields, Timothy
5% Or Greater Indirect Ownership Interest · Individual
Fields, Timothy
Operational/Managerial Control · Individual
Griffitt, Kyla
Operational/Managerial Control · Individual
Hageman Family Tr
5% Or Greater Indirect Ownership Interest · Organization
Hageman, Sandra
Operational/Managerial Control · Individual
Hageman, Shane
5% Or Greater Indirect Ownership Interest · Individual
Hageman, Shane
Operational/Managerial Control · Individual
Hageman, Steve
Operational/Managerial Control · Individual
Ignite Ind Jv LLC
5% Or Greater Indirect Ownership Interest · Organization
Ignite Post Acute Solutions LLC
5% Or Greater Indirect Ownership Interest · Organization
Ignite Team Partners LLC
Operational/Managerial Control · Organization
Ignite-Villa Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Jablonski, Nicole
Operational/Managerial Control · Individual
Mcfarlane, John
Operational/Managerial Control · Individual
Prestige Worldwide Ind LLC
5% Or Greater Indirect Ownership Interest · Organization
Rogers, Dylan
Operational/Managerial Control · Individual
Rose, Marc
Operational/Managerial Control · Individual
Spark Therapy LLC
Operational/Managerial Control · Organization
Stern Family Investment Tr
5% Or Greater Indirect Ownership Interest · Organization
Tadakamalla, Srinath
Operational/Managerial Control · Individual
Thengil, Mathew
Operational/Managerial Control · Individual
White, Jim
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Monterey Park Rehabilitation & Health Care Center
Independence, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Jackson Creek Post Acute
Independence, MO
2-star overall rating with 2-star inspections with $29,186 in total fines with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Sunterra Springs Independence
Independence, MO
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out