Crown Point, IN

Ignite Medical Resort Crown Point LLC

2-star overall rating with 2-star inspections with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1555 S Main Street, Crown Point, IN

(219) 323-8700

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ignite Medical Resorts

Operator or chain grouping

Approved since

2015-07-13

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

22 facilities

Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.37

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.65

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.55

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

2.01

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.21

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

2.72

CMS adjusted total nurse staffing hours

Case-mix index

1.79

Higher values indicate more complex resident acuity

RN turnover

59%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,663

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

11.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.32

Baseline 17.26% · Performance 19.89% · Measure score 3.32 · Achievement 3.32 · Improvement 0

Healthcare-associated infections

Baseline 6.47% · Performance 7.99% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 61.32% · Performance 67.80% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.15

Baseline 4.79 hours · Performance 3.41 hours · Measure score 1.15 · Achievement 1.15 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	14.12%	10.72% 3.4 pts worse	Worse than the National Rate · Eligible stays 664 · Observed rate 15.66% · Lower 95% interval 12.09%
Discharge to community	63.9%	50.57% 13.3 pts better	Better than the National Rate · Eligible stays 650 · Observed rate 57.54% · Lower 95% interval 60.05%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	99%	95.27% 3.7 pts better	Numerator 493 · Denominator 498
Falls with major injury	0.6%	0.77% 0.2 pts better	Numerator 3 · Denominator 498
Discharge self-care score	61.36%	53.69% 7.7 pts better	Numerator 216 · Denominator 352
Discharge mobility score	69.32%	50.94% 18.4 pts better	Numerator 244 · Denominator 352
Pressure ulcers or injuries, new or worsened	1.61%	2.29% 0.7 pts better	Numerator 8 · Denominator 496 · Adjusted rate 1.63%
Healthcare-associated infections requiring hospitalization	7.99%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 437 · Observed rate 8.24% · Lower 95% interval 6.12%
Staff COVID-19 vaccination coverage	5.11%	8.2% 3.1 pts worse	Numerator 7 · Denominator 137
Staff flu vaccination coverage	74.45%	42% 32.5 pts better	Numerator 102 · Denominator 137
Discharge function score	70.17%	56.45% 13.7 pts better	Numerator 247 · Denominator 352
Transfer of health information to provider	98.83%	95.95% 2.9 pts better	Numerator 169 · Denominator 171
Transfer of health information to patient	99.36%	96.28% 3.1 pts better	Numerator 311 · Denominator 313
Resident COVID-19 vaccinations up to date	53.53%	25.2% 28.3 pts better	Numerator 144 · Denominator 269

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.4%	81.6% 5.8 pts better	81.7% 5.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 83.4% · Q2 92.6% · Q3 90.7% · Q4 83.0% · 4Q avg 87.4%
Percentage of short-stay residents who had an outpatient emergency department visit	10.1%	10.5% 0.4 pts better	12.0% 1.9 pts better	Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.4% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.6% · Q3 1.2% · Q4 1.5% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.8%	79.0% 7.8 pts better	79.7% 7.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.7%	22.4% 6.3 pts worse	23.9% 4.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.7% · Observed 27.1% · Expected 22.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-13 · Fire 2025-01-13

16 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-04-05 · Fire 2024-04-05

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-03-27 · Fire 2023-03-27

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

13 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-13

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-01-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-13

F · Potential for more than minimal harm 2024-04-05

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-04-05

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 2024-05-28

E · Potential for more than minimal harm 2024-04-05

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-05-28

C · Minimal harm 2024-04-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-28

C · Minimal harm 2024-04-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-28

F · Potential for more than minimal harm 2023-03-27

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-27

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-27

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-27

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-27

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-03-27

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

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 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-03-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-09

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-05-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-05-01

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-05-01

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-05-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-05-01

F772 · Administration Deficiencies

Health

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-05-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-18

D · Potential for more than minimal harm 2025-01-13

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

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 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

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 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-05

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-07-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-25

D · Potential for more than minimal harm 2024-07-16

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-07-25

C · Minimal harm 2024-07-16

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-04-05

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 2024-04-20

D · Potential for more than minimal harm 2024-04-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-20

D · Potential for more than minimal harm 2024-04-05

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 2024-04-20

D · Potential for more than minimal harm 2024-04-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-20

E · Potential for more than minimal harm 2024-02-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-23

D · Potential for more than minimal harm 2024-02-14

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-23

D · Potential for more than minimal harm 2023-03-27

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-27

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-27

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-27

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

Penalties and ownership