01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-27 | 19 | 2024-08-27 | 22 |
| Cycle 2 | 2022-10-25 | 7 | 2022-10-25 | 22 |
| Cycle 3 | 2020-01-14 | 9 | 2020-01-14 | 6 |
CMS CCN 2657592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ignite Medical Resort St Marys Llc
111 Mock Avenue · Blue Springs, MO 64014 · Jackson County
Certified beds130CMS provider file
Recent citation rows85current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
85 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-08-27 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0007Severity E · pattern; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-10 · complaint2024-08-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0712Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0745Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2024-10-102024-08-27 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-10-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- IGNITE ST MARYS JV LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 11/01/2020
- PRESTIGE WORLDWIDE ST MARYS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 11/01/2020
- GOLD PEARL, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- ISRAEL INVESTMENT TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- CARR, JAREDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- EDDLEMAN, MINDYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- GILLIS, KARENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- GOBST, RYANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- JABLONSKI, NICOLEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- MCFARLANE, JOHNIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- ROGERS, DYLANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2024
- THENGIL, MATHEWIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- WHITE, JIMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2020
- BERGER FAM TR UA 06252014Organization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 03/01/2021
- BERGER, MENACHEMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2020
- CARR, BARRYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2020
- FIELDS, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2020
- ISRAEL, BENJAMINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.15per resident day
RN hours0.48per resident day
Weekend nurse hours2.75per resident day
Staff turnover52.9%CMS reported field
06 / LOCAL RECORDS
Open the Blue Springs ledger →