Cycle 1
Health 2024-12-11 · Fire 2024-12-11
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Tulsa, OK
Ignite Medical Resort Tulsa, LLC
4-star overall rating with 4-star inspections with $16,772 in total fines with 4 recent health deficiencies
8720 South 101st Avenue, Tulsa, OK
(918) 965-0101
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ignite Medical Resorts
Operator or chain grouping
Approved since
2021-08-17
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
0.37
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
1.53
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
4.71
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.90
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 55% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,284
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.77% · Performance 24.07% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.28
Baseline 6.35% · Performance 6.26% · Measure score 5.28 · Achievement 5.28 · Improvement 0.19
Total nurse turnover
1.34
Performance 58.22% · Measure score 1.34 · Achievement 1.34 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.74
Baseline 8.46 hours · Performance 5 hours · Measure score 6.74 · Achievement 6.74 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.88% |
10.72%
2.2 pts worse
|
Worse than the National Rate · Eligible stays 725 · Observed rate 12.83% · Lower 95% interval 10.83% |
| Discharge to community | 63.49% |
50.57%
12.9 pts better
|
Better than the National Rate · Eligible stays 730 · Observed rate 58.77% · Lower 95% interval 59.78% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.53% |
95.27%
4.3 pts better
|
Numerator 427 · Denominator 429 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 4 · Denominator 429 |
| Discharge self-care score | 45.12% |
53.69%
8.6 pts worse
|
Numerator 134 · Denominator 297 |
| Discharge mobility score | 50.84% |
50.94%
0.1 pts worse
|
Numerator 151 · Denominator 297 |
| Pressure ulcers or injuries, new or worsened | 3.73% |
2.29%
1.4 pts worse
|
Numerator 16 · Denominator 429 · Adjusted rate 3.82% |
| Healthcare-associated infections requiring hospitalization | 6.26% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 398 · Observed rate 5.53% · Lower 95% interval 4.68% |
| Staff COVID-19 vaccination coverage | 2.98% |
8.2%
5.2 pts worse
|
Numerator 5 · Denominator 168 |
| Staff flu vaccination coverage | 9.14% |
42%
32.9 pts worse
|
Numerator 18 · Denominator 197 |
| Discharge function score | 50.84% |
56.45%
5.6 pts worse
|
Numerator 151 · Denominator 297 |
| Transfer of health information to provider | 99.4% |
95.95%
3.5 pts better
|
Numerator 334 · Denominator 336 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 67 · Denominator 67 |
| Resident COVID-19 vaccinations up to date | 18.1% |
25.2%
7.1 pts worse
|
Numerator 38 · Denominator 210 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 4.1 · Expected 3.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.9
1.7 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.8 · Expected 2.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
90.3%
8.6 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.4% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
94.6%
1.3 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
4.5%
0.8 pts better
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.5% · Q3 0.0% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.6% |
3.3%
6.3 pts worse
|
11.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 20.5% · Q3 11.8% · Q4 5.9% · 4Q avg 9.6% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
3.6%
0.2 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.2% · Q3 6.7% · Q4 0.0% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
25.3%
8.7 pts better
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 19.6% · Q3 13.3% · Q4 6.9% · 4Q avg 16.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
18.6%
7.8 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 12.5% · Q3 4.8% · Q4 4.5% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.3% |
15.5%
6.8 pts worse
|
16.3%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 35.4% · 4Q avg 22.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% |
14.1%
4.8 pts worse
|
14.9%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 29.5% · Q3 10.7% · Q4 3.8% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
2.1%
0.5 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 1.7% · Q4 3.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.8%
1.2 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.5% |
17.8%
14.7 pts worse
|
19.8%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 46.4% · Q3 21.8% · Q4 31.3% · 4Q avg 32.5% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.1%
0.3 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.4% · Q3 4.6% · Q4 8.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
75.0%
20.7 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 94.4% · Q3 95.3% · Q4 95.5% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.5% |
17.1%
5.6 pts better
|
12.0%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 11.9% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.4% |
74.0%
19.4 pts better
|
79.7%
13.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
27.0%
2.4 pts better
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 26.6% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-19 · Fire 2023-09-19
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-07-15 · Fire 2021-07-15
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2021-07-15
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 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-09
F · Potential for more than minimal harm
2021-07-15
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-15
E · Potential for more than minimal harm
2024-12-11
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 2025-01-09
D · Potential for more than minimal harm
2024-12-11
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 2025-01-09
D · Potential for more than minimal harm
2024-12-11
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-01-09
J · Immediate jeopardy
2024-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-20
Penalties and ownership
What sits behind the stars
$16,772
2024-10-31
Fine
Fine · fine $16,772
Fine
Ownership
Tulsa Senior Investors LLC
5% Or Greater Direct Ownership Interest · Organization
Blue Pearl Financial LLC
5% Or Greater Indirect Ownership Interest · Organization
Carr, Barry
5% Or Greater Indirect Ownership Interest · Individual
Carr, Barry
Operational/Managerial Control · Individual
Carr, Jared
Operational/Managerial Control · Individual
Castillo-Simon, Revel
Operational/Managerial Control · Individual
Fields, Timothy
5% Or Greater Indirect Ownership Interest · Individual
Fields, Timothy
Operational/Managerial Control · Individual
Gillis, Karen
Operational/Managerial Control · Individual
Ignite Post Acute Solutions LLC
5% Or Greater Indirect Ownership Interest · Organization
Ignite Team Partners LLC
Operational/Managerial Control · Organization
Ignite Tulsa LLC
5% Or Greater Indirect Ownership Interest · Organization
Jablonski, Nicole
Operational/Managerial Control · Individual
Lbg Tulsa Shf Investors LLC
5% Or Greater Indirect Ownership Interest · Organization
Mcfarlane, John
Operational/Managerial Control · Individual
Prestige Worldwide Tulsa LLC
5% Or Greater Indirect Ownership Interest · Organization
Rose, Marc
Operational/Managerial Control · Individual
Shearer, Rachel
Operational/Managerial Control · Individual
Spark Therapy LLC
Operational/Managerial Control · Organization
Thengil, Mathew
Operational/Managerial Control · Individual
Wagner, Michael
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Forest Hills Care And Rehabilitation Center
Broken Arrow, OK
3-star overall rating with 2-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
The Cottage Extended Care
Tulsa, OK
2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Senior Suites Healthcare
Broken Arrow, OK
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out