Oklahoma City, OK

Ignite Medical Resort Okc, LLC

3-star overall rating with 3-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

6312 North Portland, Oklahoma City, OK

(405) 946-6932

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ignite Medical Resorts

Operator or chain grouping

Approved since

2002-05-24

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

0.55

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

1.73

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.60

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

2.27

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

4.18

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.42

CMS adjusted total nurse staffing hours

Case-mix index

1.84

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,392

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

Performance score

16.91

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.57

Baseline 19.03% · Performance 20.24% · Measure score 2.57 · Achievement 2.57 · Improvement 0

Healthcare-associated infections

0.37

Baseline 8.87% · Performance 8.54% · Measure score 0.37 · Achievement 0 · Improvement 0.37

Total nurse turnover

2.78

Baseline 69.06% · Performance 54.55% · Measure score 2.78 · Achievement 2.23 · Improvement 2.78

Adjusted total nurse staffing

1.04

Baseline 4.15 hours · Performance 3.37 hours · Measure score 1.04 · Achievement 1.04 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.45%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 730 · Observed rate 13.15% · Lower 95% interval 10.44%
Discharge to community	65.21%	50.57% 14.6 pts better	Better than the National Rate · Eligible stays 687 · Observed rate 59.83% · Lower 95% interval 61.48%
Medicare spending per beneficiary	1.23	1.02 0.2 pts worse
Drug regimen review with follow-up	80.58%	95.27% 14.7 pts worse	Numerator 390 · Denominator 484
Falls with major injury	0.21%	0.77% 0.6 pts better	Numerator 1 · Denominator 484
Discharge self-care score	60.36%	53.69% 6.7 pts better	Numerator 204 · Denominator 338
Discharge mobility score	51.48%	50.94% 0.5 pts better	Numerator 174 · Denominator 338
Pressure ulcers or injuries, new or worsened	3.1%	2.29% 0.8 pts worse	Numerator 15 · Denominator 484 · Adjusted rate 3.3%
Healthcare-associated infections requiring hospitalization	8.54%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 436 · Observed rate 8.94% · Lower 95% interval 6.41%
Staff COVID-19 vaccination coverage	82.22%	8.2% 74 pts better	Numerator 111 · Denominator 135
Staff flu vaccination coverage	85.19%	42% 43.2 pts better	Numerator 115 · Denominator 135
Discharge function score	63.91%	56.45% 7.5 pts better	Numerator 216 · Denominator 338
Transfer of health information to provider	97.59%	95.95% 1.6 pts better	Numerator 162 · Denominator 166
Transfer of health information to patient	99.35%	96.28% 3.1 pts better	Numerator 304 · Denominator 306
Resident COVID-19 vaccinations up to date	14.88%	25.2% 10.3 pts worse	Numerator 36 · Denominator 242

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.8%	75.0% 15.8 pts better	81.7% 9.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 92.5% · Q3 88.8% · Q4 89.7% · 4Q avg 90.8%
Percentage of short-stay residents who had an outpatient emergency department visit	16.0%	17.1% 1.1 pts better	12.0% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 14.1% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.9% 1.4 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.6% · Q3 0.3% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	74.6%	74.0% 0.6 pts better	79.7% 5.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 74.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.4%	27.0% 3.6 pts better	23.9% 0.5 pts better	Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 23.1% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

11 health deficiencies

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

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-03-29 · Fire 2024-03-29

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-21 · Fire 2023-02-21

1 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

C · Minimal harm 2025-09-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-16

E · Potential for more than minimal harm 2023-02-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-02

E · Potential for more than minimal harm 2023-02-21

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

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 2025-10-23

D · Potential for more than minimal harm 2025-09-11

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-09-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-09-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-09-11

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 2025-10-23

D · Potential for more than minimal harm 2025-09-11

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-23

D · Potential for more than minimal harm 2025-09-11

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 2025-10-23

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-23

E · Potential for more than minimal harm 2025-03-13

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 2025-05-02

D · Potential for more than minimal harm 2025-03-13

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 2025-05-02

D · Potential for more than minimal harm 2025-03-13

F772 · Administration Deficiencies

Health

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

Corrected 2025-01-22

D · Potential for more than minimal harm 2024-12-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-08

D · Potential for more than minimal harm 2024-12-03

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 2025-01-08

E · Potential for more than minimal harm 2024-11-27

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-10-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-03-29

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 2024-05-06

D · Potential for more than minimal harm 2023-08-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-06

Penalties and ownership

What sits behind the stars

Ownership

Ignite-Villa Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

50% 7 facilities 2020-03-01

Carr, Barry

5% Or Greater Indirect Ownership Interest · Individual

36% 22 facilities 2019-12-11

Fields, Timothy

5% Or Greater Indirect Ownership Interest · Individual

20% 22 facilities 2020-03-01

Israel Family Investment Trust

5% Or Greater Indirect Ownership Interest · Organization

8% 19 facilities 2020-03-01

Israel Investment Tr

5% Or Greater Indirect Ownership Interest · Organization

8% 18 facilities 2020-03-01

Carr, Barry