Ignite Medical Resort Round Rock, LLC

Penalties

• Oct 16, 2024 — Fine ($18,295)
• Sep 24, 2024 — Fine ($8,018)
• Jul 19, 2024 — Fine ($37,420)
• Jul 19, 2024 — Payment Denial · payment denial 10 days

Inspection findings

1. Jan 28, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Feb 27, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Feb 27, 2026 · CMS health inspection

2. Jan 15, 2026 Health · 9 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 Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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 Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 16, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 16, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Feb 16, 2026 · CMS fire safety

3. Dec 8, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

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

     Corrected Dec 9, 2025 · CMS health inspection

4. May 3, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     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 Jun 3, 2025 · CMS health inspection

5. Jan 29, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jan 28, 2025 · CMS health inspection

6. Jan 15, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Jan 31, 2025 · CMS health inspection

7. Nov 14, 2024 Health · 5 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Dec 12, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Dec 12, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Dec 12, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Dec 12, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 12, 2024 · CMS health inspection

8. Oct 16, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Nov 20, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Nov 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Nov 20, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Nov 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected Nov 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Mar 24, 2025 · CMS fire safety

9. Sep 24, 2024 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0690 Quality of Life and Care Deficiencies

     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 Oct 13, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Oct 13, 2024 · CMS health inspection

10. Jul 27, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 15, 2024 · CMS health inspection

11. Jul 19, 2024 Health · 3 findings
    • Serious Scope/severity J Complaint

      F0580 Resident Rights Deficiencies

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

      Corrected Aug 30, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      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 Aug 30, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Aug 30, 2024 · CMS health inspection

12. Nov 3, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0660 Resident Assessment and Care Planning Deficiencies

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

      Corrected Dec 8, 2023 · CMS health inspection

13. Aug 25, 2023 Health · 10 findings
    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity C Complaint

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0941 Administration Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0942 Resident Rights Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0944 Administration Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0946 Administration Deficiencies

      Provide training in compliance and ethics.

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0949 Administration Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0345 Smoke Deficiencies

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

      Corrected Sep 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Sep 25, 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 — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• CARR, JARED — indirect ownership interest, NOT APPLICABLE, since 01/01/2025
• CARR, JARED — adp of the snf, NOT APPLICABLE, since 01/01/2025
• FIELDS, TIMOTHY — managing control - governing body, NOT APPLICABLE, since 04/01/2022
• FIELDS, TIMOTHY — adp of the snf, NOT APPLICABLE, since 04/01/2022
• FIELDS, TIMOTHY — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• GAGE, LEAH — adp of the snf, NOT APPLICABLE, since 12/09/2024
• GAGE, LEAH — operational/managerial control, NOT APPLICABLE, since 12/09/2024
• GILLIS, KAREN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• GILLIS, KAREN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• GILLIS, KAREN — indirect ownership interest, 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 — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• JABLONSKI, NICOLE — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• JABLONSKI, NICOLE — adp of the snf, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• MCFARLANE, JOHN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• RATHI, ANIL — adp of the snf, NOT APPLICABLE, since 02/01/2025
• RATHI, ANIL — operational/managerial control, NOT APPLICABLE, since 02/01/2025
• ROSE, MARC — indirect ownership interest, 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
• SHEARER, RACHEL — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• SHEARER, RACHEL — operational/managerial control, 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 — adp of the snf, 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
• 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 ROUND ROCK JV LLC — direct 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 06/25/2025
• 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 ROUND ROCK 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 06/25/2025
• STERN FAMILY INVESTMENT TR — indirect ownership interest, NOT APPLICABLE, since 04/01/2022