Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

IGNITE MEDICAL RESORT OVERLAND PARK LLC

OVERLAND PARK, KS · 102 certified beds · Last Life Safety survey July 29, 2026

CMS Certification Number 175183 · first certified March 1989

Ownership

Operated by IGNITE MEDICAL RESORTS · For profit - Limited Liability company

Ownership changed August 1, 2024 (change of ownership)from CARONDELET LONG TERM CARE FACILITIES INC

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

43 citations — more than 90% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 15 citations; the earlier surveys on file averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2028 — about 16 months from now. This facility’s last Life Safety survey was July 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 290 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

15 of the 43 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 43 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.

How that compares

Citations in CMS's current file

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	43
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 20, 2023	5
July 17, 2024	23
July 29, 2026	15

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-07-29
K-0363	Install corridor and hallway doors that block smoke.	3	2026-07-29
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2024-07-17
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-07-17
K-0222	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.	2	2026-07-29
E-0023	Establish policies and procedures for medical documentation.	2	2026-07-29
K-0712	Have simulated fire drills held at unexpected times.	2	2026-07-29
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2026-07-29

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 15
Smoke Deficiencies 11
Egress Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 6
Other 5

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	15
Smoke Deficiencies	11
Egress Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	6
Services Deficiencies	3
Miscellaneous Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 29, 2026 — 15 citations

Citations issued on July 29, 2026
Tag	What the surveyor checks	Status
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has no plan of correction
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has no plan of correction
E-0031	Provide emergency officials' contact information.	Deficient, Provider has no plan of correction
E-0041	Implement emergency and standby power systems.	Deficient, Provider has no plan of correction
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has no plan of correction
K-0222	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.	Deficient, Provider has no plan of correction
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has no plan of correction
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has no plan of correction
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has no plan of correction
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has no plan of correction
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has no plan of correction
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has no plan of correction
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has no plan of correction
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has no plan of correction
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has no plan of correction

July 17, 2024 — 23 citations

Citations issued on July 17, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 18, 2024)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (October 18, 2024)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 18, 2024)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (October 18, 2024)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (October 18, 2024)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (October 18, 2024)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (October 18, 2024)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (October 18, 2024)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (October 18, 2024)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (October 18, 2024)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (October 18, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 18, 2024)
K-0222	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.	Deficient, Provider has date of correction (October 18, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (October 18, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 18, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 18, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 18, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 18, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 18, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 18, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (October 18, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 18, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 18, 2024)

March 20, 2023 — 5 citations

Citations issued on March 20, 2023
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 6, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 6, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 6, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 6, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 6, 2023)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.