Norman, OK

Ignite Medical Resort Norman, Llc

1-star overall rating with 1-star inspections with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1050 Rambling Oaks Drive, Norman, OK

(405) 292-2273

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 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

2004-06-23

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

0.26

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

1.76

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.92

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

2.01

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.41

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.21

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.21

CMS adjusted RN staffing hours

Adjusted total hours

3.17

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,702

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

Performance score

1.42

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.70% · Performance 26.28% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.52% · Performance 8.46% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.57

Baseline 78.26% · Performance 72.55% · Measure score 0.57 · Achievement 0 · Improvement 0.57

Adjusted total nurse staffing

Baseline 3.39 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	14.26%	10.72% 3.5 pts worse	Worse than the National Rate · Eligible stays 534 · Observed rate 14.98% · Lower 95% interval 11.5%
Discharge to community	65.43%	50.57% 14.9 pts better	Better than the National Rate · Eligible stays 518 · Observed rate 60.23% · Lower 95% interval 61.36%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	99.71%	95.27% 4.4 pts better	Numerator 343 · Denominator 344
Falls with major injury	0.29%	0.77% 0.5 pts better	Numerator 1 · Denominator 344
Discharge self-care score	74.21%	53.69% 20.5 pts better	Numerator 164 · Denominator 221
Discharge mobility score	49.77%	50.94% 1.2 pts worse	Numerator 110 · Denominator 221
Pressure ulcers or injuries, new or worsened	3.2%	2.29% 0.9 pts worse	Numerator 11 · Denominator 344 · Adjusted rate 3.47%
Healthcare-associated infections requiring hospitalization	8.46%	7.12% 1.3 pts worse	No Different than the National Rate · Eligible stays 331 · Observed rate 7.85% · Lower 95% interval 5.35%
Staff COVID-19 vaccination coverage	5%	8.2% 3.2 pts worse	Numerator 5 · Denominator 100
Staff flu vaccination coverage	6.33%	42% 35.7 pts worse	Numerator 10 · Denominator 158
Discharge function score	65.61%	56.45% 9.2 pts better	Numerator 145 · Denominator 221
Transfer of health information to provider	98.92%	95.95% 3 pts better	Numerator 275 · Denominator 278
Transfer of health information to patient	94.23%	96.28% 2 pts worse	Numerator 49 · Denominator 52
Resident COVID-19 vaccinations up to date	43.51%	25.2% 18.3 pts better	Numerator 67 · Denominator 154

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	75.0% 20.6 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.1% · Q3 97.7% · Q4 90.3% · 4Q avg 95.6%
Percentage of short-stay residents who had an outpatient emergency department visit	11.9%	17.1% 5.2 pts better	12.0% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.0% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.9% 1.7 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.5% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.4%	74.0% 20.4 pts better	79.7% 14.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.3%	27.0% 1.7 pts better	23.9% 1.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 23.9% · Expected 22.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-15 · Fire 2024-08-15

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-07-17 · Fire 2023-07-17

7 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2022-05-12 · Fire 2022-05-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-15

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-08-15

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-08-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-08-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-08-15

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-08

E · Potential for more than minimal harm 2023-07-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-31

E · Potential for more than minimal harm 2023-07-17

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-12-31

E · Potential for more than minimal harm 2022-05-12

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 2022-06-24

E · Potential for more than minimal harm 2022-05-12

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 2022-06-24

E · Potential for more than minimal harm 2022-05-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-24

E · Potential for more than minimal harm 2022-05-12

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-06-24

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-14

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 2025-08-06

J · Immediate jeopardy 2025-07-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-07-14

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-06

E · Potential for more than minimal harm 2024-12-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-02

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 2025-01-08

E · Potential for more than minimal harm 2024-08-15

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 2024-10-08

E · Potential for more than minimal harm 2024-08-15

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 2024-10-08

E · Potential for more than minimal harm 2024-08-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-08-15

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-08-15

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 2024-10-08

E · Potential for more than minimal harm 2024-08-15

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-08-15

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 2024-10-08

D · Potential for more than minimal harm 2024-08-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-08

E · Potential for more than minimal harm 2023-07-17

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 2023-08-25

D · Potential for more than minimal harm 2023-07-17

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-17

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 2023-08-25

D · Potential for more than minimal harm 2023-07-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-08-25

F · Potential for more than minimal harm 2022-05-12

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 2022-06-24

D · Potential for more than minimal harm 2022-05-12

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 2022-06-24

Penalties and ownership

What sits behind the stars

Ownership

Fields, Timothy

5% Or Greater Indirect Ownership Interest · Individual

20% 22 facilities 2020-03-01

Carr, Barry

5% Or Greater Indirect Ownership Interest · Individual

16% 22 facilities 2020-03-01

Carr, Barry