D69

IGNITE MEDICAL RESORT ROUND ROCK, LLC

Grade D 69/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

70

Ownership

For profit - Limited Liability company

Total Fines

$84,696

Last Survey

N/A

16219 RANCH ROAD 620 NORTH, AUSTIN, TX 78717
5125201834

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.88h
LPN
1.33h
CNA
1.66h
Total
3.87h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CARR, BARRY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

17%

FIELDS, TIMOTHY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2022

21%

IGNITE TEAM PARTNERS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SPARK THERAPY LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

CARR, BARRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

CARR, JARED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

FIELDS, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

GAGE, LEAH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

GILLIS, KAREN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

JABLONSKI, NICOLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

MCFARLANE, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

RATHI, ANIL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

ROSE, MARC

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

SHEARER, RACHEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

THENGIL, MATHEW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

WHITE, JIM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

Penalties & Fines (5)

$84,696total fines
DateTypeDescriptionAmount
Oct 16, 2024Fine$18,295
Sep 24, 2024Fine$8,018
Jul 19, 2024Fine$37,420
Jul 19, 2024Payment Denial
Jul 11, 2023Fine$20,963

Health Inspection Deficiencies (45)

May 3, 2025Health1 deficiency
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 3, 2025
January 29, 2025Health1 deficiency
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 28, 2025
January 15, 2025Health1 deficiency
0686EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jan 31, 2025
November 14, 2024Health5 deficiencies2 severe
0580JImmediate jeopardy, Isolated

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

Resident Rights Deficiencies

Corrected Dec 12, 2024
0684JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 12, 2024
0686EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Dec 12, 2024
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 12, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 12, 2024
October 16, 2024Health5 deficiencies
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 20, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 20, 2024
0926DMinimal harm, Isolated

Have policies on smoking.

Environmental Deficiencies

Corrected Nov 20, 2024
September 24, 2024Health2 deficiencies1 severe
0690GActual harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Oct 13, 2024
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 13, 2024
July 27, 2024Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 15, 2024
July 19, 2024Health3 deficiencies3 severe
0580JImmediate jeopardy, Isolated

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

Resident Rights Deficiencies

Corrected Aug 30, 2024
0755JImmediate jeopardy, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 30, 2024
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Aug 30, 2024
November 3, 2023Health1 deficiency
0660EMinimal harm, Pattern

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 8, 2023
August 25, 2023Health8 deficiencies
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 28, 2023
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Sep 28, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 28, 2023
0941EMinimal harm, Pattern

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Administration Deficiencies

Corrected Sep 28, 2023
0942EMinimal harm, Pattern

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Resident Rights Deficiencies

Corrected Sep 28, 2023
0944EMinimal harm, Pattern

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies

Corrected Sep 28, 2023
0946EMinimal harm, Pattern

Provide training in compliance and ethics.

Administration Deficiencies

Corrected Sep 28, 2023
0949EMinimal harm, Pattern

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies

Corrected Sep 28, 2023
July 11, 2023Health3 deficiencies1 severe
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 7, 2023
0742JImmediate jeopardy, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Quality of Life and Care Deficiencies

Corrected Aug 7, 2023
0837EMinimal harm, Pattern

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Administration Deficiencies

Corrected Aug 7, 2023
March 13, 2023Health1 deficiency
0694EMinimal harm, Pattern

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 7, 2023
January 18, 2023Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 15, 2023
June 9, 2022Health12 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Jul 8, 2022
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Jul 8, 2022
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jul 8, 2022
0655EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 8, 2022
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2022
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jul 8, 2022
0700EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2022
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jul 8, 2022
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Jul 8, 2022
0808EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Jul 8, 2022
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 8, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 8, 2022

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Frequently Asked Questions

What is the CareGrader rating for IGNITE MEDICAL RESORT ROUND ROCK, LLC?

IGNITE MEDICAL RESORT ROUND ROCK, LLC in AUSTIN, Texas has a CareGrader grade of D (Below Average), with a composite score of 69 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for IGNITE MEDICAL RESORT ROUND ROCK, LLC?

IGNITE MEDICAL RESORT ROUND ROCK, LLC has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does IGNITE MEDICAL RESORT ROUND ROCK, LLC have?

IGNITE MEDICAL RESORT ROUND ROCK, LLC has 45 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has IGNITE MEDICAL RESORT ROUND ROCK, LLC been fined?

Yes. IGNITE MEDICAL RESORT ROUND ROCK, LLC has $84,696 in total fines from CMS enforcement actions across 5 penalties.

How many beds does IGNITE MEDICAL RESORT ROUND ROCK, LLC have?

IGNITE MEDICAL RESORT ROUND ROCK, LLC has 70 certified beds with approximately 51 current residents (73% occupancy). The facility is located at 16219 RANCH ROAD 620 NORTH, AUSTIN, Texas 78717. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.