Ignite Medical Resort Webster, LLC

Inspection findings

1. Apr 24, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 13, 2026 · CMS health inspection

2. Jun 11, 2025 Health · 6 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 26, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 26, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 26, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 26, 2025 · CMS fire safety

3. Mar 22, 2023 Health · 12 findings
   • Not serious Scope/severity E

     F0565 Resident Rights Deficiencies

     Honor the resident's right to organize and participate in resident/family groups in the facility.

     Corrected Mar 24, 2023 · CMS health inspection

   • Serious Scope/severity G

     F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Mar 24, 2023 · CMS health inspection

   • Serious Scope/severity G

     F0742 Quality of Life and Care Deficiencies

     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.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Mar 24, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 24, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Mar 24, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BERGER, AVIVA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 07/01/2025
• BERGER, MENACHEM — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• CARR, BARRY — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• CARR, BARRY — adp of the snf, NOT APPLICABLE, since 04/01/2022
• CARR, BARRY — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• CARR, JARED — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CARR, JARED — indirect ownership interest, NOT APPLICABLE, since 01/01/2025
• CARR, JARED — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• EXLEY, ANNE — operational/managerial control, NOT APPLICABLE, since 01/01/2023
• EXLEY, ANNE — adp of the snf, NOT APPLICABLE, since 01/01/2023
• EXLEY, ANNE — indirect ownership interest, NOT APPLICABLE, since 01/01/2023
• FIELDS, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• FIELDS, TIMOTHY — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• FIELDS, TIMOTHY — adp of the snf, NOT APPLICABLE, since 04/01/2022
• GILLIS, KAREN — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• GILLIS, KAREN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• GILLIS, KAREN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• GOBST, RYAN — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• ISRAEL, BENJAMIN — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• ISRAEL, YEHUDIS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 07/01/2025
• JABLONSKI, NICOLE — adp of the snf, NOT APPLICABLE, since 04/01/2022
• JABLONSKI, NICOLE — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• JABLONSKI, NICOLE — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• KAR, FIROOZEH — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• KAR, FIROOZEH — adp of the snf, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• ROSE, MARC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• ROSE, MARC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• ROSE, MARC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• SHEARER, RACHEL — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• SHEARER, RACHEL — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• SHEARER, RACHEL — adp of the snf, NOT APPLICABLE, since 04/01/2022
• STERN, TODD — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• THENGIL, MATHEW — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• THENGIL, MATHEW — adp of the snf, NOT APPLICABLE, since 04/01/2022
• THENGIL, MATHEW — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• WHITE, JIM — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• WHITE, JIM — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• WHITE, JIM — adp of the snf, NOT APPLICABLE, since 04/01/2022
• BERGER FAM TR UA 06252014 — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• BLUE PEARL FINANCIAL LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• GOLD PEARL, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• IGNITE POST ACUTE SOLUTIONS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• IGNITE TEAM PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• IGNITE TEAM PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 06/26/2025
• IGNITE WEBSTER JV, LLC — direct ownership interest, NOT APPLICABLE, since 04/01/2022
• IGNITE-VILLA HOLDCO LLC — direct ownership interest, NOT APPLICABLE, since 04/01/2022
• ISRAEL FAMILY INVESTMENT TRUST — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• ISRAEL INVESTMENT TR — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• PRESTIGE WORLDWIDE WEBSTER, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• SPARK THERAPY LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• SPARK THERAPY LLC — adp of the snf, NOT APPLICABLE, since 06/26/2025
• STERN FAMILY INVESTMENT TR — indirect ownership interest, NOT APPLICABLE, since 04/01/2022