San Antonio, TX

Ignite Medical Resort San Antonio, LLC

3-star overall rating with 2-star inspections with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

6035 Eckhert Rd, San Antonio, TX

(210) 642-5300

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ignite Medical Resorts

Operator or chain grouping

Approved since

2018-06-12

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

1.62

Licensed practical nurse staffing

Aide hours / resident day

1.80

Nurse aide staffing

Weekend hours

3.57

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

49%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 14.9%
89.7%
74.8 pts worse
81.7%
66.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.4%
12.0%
4.6 pts better
12.0%
4.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 31.0%
88.0%
57 pts worse
79.7%
48.7 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.9%
25.9%
1 pts better
23.9%
1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-08 · Fire 2025-12-08

20 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-15 · Fire 2024-08-15

6 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

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

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-08

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.

Not marked corrected

F · Potential for more than minimal harm 2025-12-08

K345 · Smoke Deficiencies

Fire Safety

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

Not marked corrected

F · Potential for more than minimal harm 2025-12-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Not marked corrected

E · Potential for more than minimal harm 2025-12-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-29

E · 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 2024-09-04

F · Potential for more than minimal harm 2023-07-13

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 2023-08-27

E · Potential for more than minimal harm 2023-07-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-08

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2026-01-18

E · Potential for more than minimal harm 2025-12-08

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 2026-01-18

E · Potential for more than minimal harm 2025-12-08

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 2026-01-18

E · Potential for more than minimal harm 2025-12-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-18

E · Potential for more than minimal harm 2025-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-12-08

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-12-08

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 2026-01-18

D · Potential for more than minimal harm 2025-12-08

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 2026-01-18

D · Potential for more than minimal harm 2025-12-08

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 2026-01-18

D · Potential for more than minimal harm 2025-12-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-12-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-18

D · Potential for more than minimal harm 2025-12-08

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 2026-01-18

E · Potential for more than minimal harm 2025-05-19

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-05-19

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 2025-06-30

D · Potential for more than minimal harm 2025-05-19

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 2025-06-30

E · Potential for more than minimal harm 2025-03-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-21

E · Potential for more than minimal harm 2025-03-17

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 2025-04-21

E · Potential for more than minimal harm 2025-03-17

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 2025-04-21

D · Potential for more than minimal harm 2025-03-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-28

F · 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 2024-09-29

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

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-29

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

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 2024-09-29

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-29

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

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-09-29

E · Potential for more than minimal harm 2024-07-18

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 2024-08-19

E · Potential for more than minimal harm 2024-01-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-08

E · Potential for more than minimal harm 2024-01-23

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 2024-03-08

E · Potential for more than minimal harm 2023-07-13

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 2023-08-27

E · Potential for more than minimal harm 2023-07-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-27

E · Potential for more than minimal harm 2023-07-13

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 2023-08-27

D · Potential for more than minimal harm 2023-07-13

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 2023-08-27

D · Potential for more than minimal harm 2023-07-13

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-03-02

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-16

D · Potential for more than minimal harm 2023-03-02

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2023-04-16

D · Potential for more than minimal harm 2023-03-02

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 2023-04-16

D · Potential for more than minimal harm 2023-03-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-16

Penalties and ownership

What sits behind the stars

Ownership

Fields, Timothy

5% Or Greater Indirect Ownership Interest · Individual

20% 22 facilities 2022-04-01
Carr, Barry

5% Or Greater Indirect Ownership Interest · Individual

16% 22 facilities 2022-04-01
Carr, Barry

Operational/Managerial Control · Individual

0% 22 facilities 2022-04-01
Carr, Jared

Operational/Managerial Control · Individual

0% 19 facilities 2025-01-01
Fields, Timothy

Operational/Managerial Control · Individual

0% 22 facilities 2022-04-01
Gillis, Karen

Operational/Managerial Control · Individual

0% 14 facilities 2022-04-01
Ignite Team Partners LLC

Operational/Managerial Control · Organization

0% 22 facilities 2022-04-01
Jablonski, Nicole

Operational/Managerial Control · Individual

0% 20 facilities 2022-04-01
Mcfarlane, John

Operational/Managerial Control · Individual

0% 19 facilities 2022-04-01
Mushtaq, Uzair

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-01
Rose, Marc

Operational/Managerial Control · Individual

0% 19 facilities 2022-04-01
Shearer, Rachel

Operational/Managerial Control · Individual

0% 9 facilities 2022-04-01
Spark Therapy LLC

Operational/Managerial Control · Organization

0% 17 facilities 2022-04-01
Thengil, Mathew

Operational/Managerial Control · Individual

0% 19 facilities 2022-04-01
Theus, Michelle

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
White, Jim

Operational/Managerial Control · Individual

0% 19 facilities 2022-04-01

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2-star overall rating with 2-star inspections with $14,327 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

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#2

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2-star overall rating with 3-star inspections with $8,160 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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#3

Northgate Health And Rehabilitation Center

San Antonio, TX

1-star overall rating with 2-star inspections with $39,165 in total fines with 23 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$39,165

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