Federal inspection record · CMS data as of October 1, 2026

Ignite Medical Resort St Peters

5101 Executive Centre Parkway, Saint Peters, MO · (636) 226-1900

CMS overall rating

Not rated
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Certified beds
91
Residents per day
63
Ownership
For-Profit
Chain
Ignite Medical Resorts
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 17, 2025

3

What inspectors found

23 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 8 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

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

    May 20, 2026 · Complaint inspection · Quality of Life and Care · F697 · Corrected June 23, 2026

  2. G

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

    February 24, 2026 · Complaint inspection · Quality of Life and Care · F686 · Corrected March 30, 2026

Everything else, by area of care

Quality of Life and Care4E
  1. E

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

    April 16, 2026 · Complaint · F677 · Corrected May 11, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 10, 2026 · Complaint · F689 · Corrected April 6, 2026

  3. E

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

    February 24, 2026 · Complaint · F677 · Corrected May 11, 2026

  4. D

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

    February 24, 2026 · Complaint · F692 · Corrected March 30, 2026

Resident Rights4D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    April 16, 2026 · Complaint · F558 · Corrected May 11, 2026

  2. D

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

    April 16, 2026 · Complaint · F580 · Corrected May 11, 2026

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    February 24, 2026 · Complaint · F558 · Corrected May 11, 2026

  4. D

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

    February 24, 2026 · Complaint · F580 · Corrected May 11, 2026

Resident Assessment and Care Planning3E
  1. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 16, 2026 · Complaint · F658 · Corrected May 11, 2026

  2. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 10, 2026 · Complaint · F658 · Corrected May 11, 2026

  3. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    February 24, 2026 · Complaint · F658 · Corrected May 11, 2026

Pharmacy Service3E
  1. D

    Ensure that residents are free from significant medication errors.

    April 16, 2026 · Complaint · F760 · Corrected May 11, 2026

  2. E

    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.

    February 24, 2026 · Complaint · F761 · Corrected March 30, 2026

  3. D

    Ensure that residents are free from significant medication errors.

    February 24, 2026 · Complaint · F760 · Corrected May 11, 2026

Administration2F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    April 16, 2026 · Complaint · F838 · Corrected May 11, 2026

  2. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    February 24, 2026 · Complaint · F838 · Corrected May 11, 2026

Nursing and Physician Services2E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    April 16, 2026 · Complaint · F725 · Corrected May 11, 2026

  2. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 24, 2026 · Complaint · F725 · Corrected May 11, 2026

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2026 · Complaint · F880 · Corrected May 11, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 24, 2026 · Complaint · F880 · Corrected May 11, 2026

Nutrition and Dietary1D
  1. D

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    February 24, 2026 · Complaint · F800 · Corrected March 30, 2026

Inspection history

  1. 2025-10-17

    23 health deficiencies · 0 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 9 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

4 h 9 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$59,500 in federal fines on record over the past three years.

DatePenaltyAmount
2026-05-20Fine$59,500
2026-02-24Payment Denial · 40 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse73.7%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better92.0%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4 pts better0.0%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms21.5 pts worse41.5%20.0%13.5%
Percentage of long-stay residents who lose too much weight5.1 pts better0.0%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.6 pts better13.0%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.3 pts better16.2%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.9 pts worse22.7%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts better17.0%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better1.8%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse18.8%17.1%18.3%
Percentage of long-stay residents with pressure ulcers4 pts worse8.4%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better66.9%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4 pts better9.4%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.8%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.9 pts better62.3%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts better23.1%25.7%23.4%

·

Who owns and runs it

66 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bertsch, TroyIndirect Ownership Interest · Individual0%1 facilities
Brown, LeoIndirect Ownership Interest · Individual0%1 facilities
Carr, BarryIndirect Ownership Interest · Individual0%21 facilities
Carr, BarryManaging Control - Governing Body · Individual0%21 facilities
Carr, BarryOperational/Managerial Control · Individual0%21 facilities
Carr, BarryAdp Of The SNF · Individual0%21 facilities
Carr, JaredIndirect Ownership Interest · Individual0%19 facilities
Carr, JaredOperational/Managerial Control · Individual0%19 facilities
Carr, JaredAdp Of The SNF · Individual0%19 facilities
Fields, TimothyIndirect Ownership Interest · Individual0%21 facilities
Fields, TimothyManaging Control - Governing Body · Individual0%21 facilities
Fields, TimothyOperational/Managerial Control · Individual0%21 facilities
Fields, TimothyAdp Of The SNF · Individual0%21 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
Gillis, KarenIndirect Ownership Interest · Individual0%14 facilities
Gillis, KarenOperational/Managerial Control · Individual0%14 facilities
Gillis, KarenAdp Of The SNF · Individual0%14 facilities
Gobst, RyanIndirect Ownership Interest · Individual0%18 facilities
Ignite St Peters Jv, LLCIndirect Ownership Interest · Organization0%1 facilities
Ignite St Peters Jv, LLCAdp Of The SNF · Organization0%1 facilities
Ignite Team Partners LLCOperational/Managerial Control · Organization0%22 facilities
Ignite Team Partners LLCAdp Of The SNF · Organization0%22 facilities
Imr St Peters Holdings, LLCDirect Ownership Interest · Organization0%1 facilities
Imr St Peters Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Jablonski, NicoleIndirect Ownership Interest · Individual0%20 facilities
Jablonski, NicoleOperational/Managerial Control · Individual0%20 facilities
Jablonski, NicoleAdp Of The SNF · Individual0%20 facilities
Kcb St Peters TrustIndirect Ownership Interest · Organization0%1 facilities
Kcb St Peters TrustAdp Of The SNF · Organization0%1 facilities
King, ChristopherIndirect Ownership Interest · Individual0%2 facilities
Lane, AndrewOperational/Managerial Control · Individual0%1 facilities
Lane, AndrewAdp Of The SNF · Individual0%1 facilities
Lbg St Peters LLCIndirect Ownership Interest · Organization0%1 facilities
Lbg St Peters LLCAdp Of The SNF · Organization0%1 facilities
Mabins, ZenaOperational/Managerial Control · Individual0%1 facilities
Mabins, ZenaAdp Of The SNF · Individual0%1 facilities
Malik, RameezOperational/Managerial Control · Individual0%3 facilities
Malik, RameezAdp Of The SNF · Individual0%3 facilities
Mcfarlane, JohnIndirect Ownership Interest · Individual0%19 facilities
Mcfarlane, JohnOperational/Managerial Control · Individual0%19 facilities
Mcfarlane, JohnAdp Of The SNF · Individual0%19 facilities
Morton, WilliamIndirect Ownership Interest · Individual0%1 facilities
Rainey, ShawnaIndirect Ownership Interest · Individual0%6 facilities
Rainey, ShawnaOperational/Managerial Control · Individual0%6 facilities
Rainey, ShawnaAdp Of The SNF · Individual0%6 facilities
Rogers, DylanIndirect Ownership Interest · Individual0%6 facilities
Rogers, DylanOperational/Managerial Control · Individual0%6 facilities
Rogers, DylanAdp Of The SNF · Individual0%6 facilities
Rose, MarcIndirect Ownership Interest · Individual0%19 facilities
Rose, MarcOperational/Managerial Control · Individual0%19 facilities
Rose, MarcAdp Of The SNF · Individual0%19 facilities
See, KevinIndirect Ownership Interest · Individual0%1 facilities
Smith, ThomasIndirect Ownership Interest · Individual0%9 facilities
Smith, ThomasManaging Control - Governing Body · Individual0%9 facilities
Spark Therapy LLCOperational/Managerial Control · Organization0%17 facilities
Spark Therapy LLCAdp Of The SNF · Organization0%17 facilities
St. Peters Senior Investors, LLCIndirect Ownership Interest · Organization0%1 facilities
St. Peters Senior Investors, LLCAdp Of The SNF · Organization0%1 facilities
Thengil, MathewIndirect Ownership Interest · Individual0%19 facilities
Thengil, MathewOperational/Managerial Control · Individual0%19 facilities
Thengil, MathewAdp Of The SNF · Individual0%19 facilities
Wagner, MichaelIndirect Ownership Interest · Individual0%2 facilities
Wagner, MichaelManaging Control - Governing Body · Individual0%2 facilities
White, JimIndirect Ownership Interest · Individual0%19 facilities
White, JimOperational/Managerial Control · Individual0%19 facilities
White, JimAdp Of The SNF · Individual0%19 facilities

·

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