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

IGNITE MEDICAL RESORT CARONDELET LLC

KANSAS CITY, MO · 162 certified beds · Last Life Safety survey March 16, 2026

CMS Certification Number 265303 · first certified January 1986

Ownership

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

Ownership changed November 1, 2020 (change of ownership)from CARONDELET LONG TERM CARE FACILITIES INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

54 citations — more than 99% of the 487 certified nursing homes in MO. Compared within MO 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 17.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 8 months from now. This facility’s last Life Safety survey was March 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 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 three years in Maryland. How the window is measured

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7 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 54 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)

17 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 54 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0908 Keep all essential equipment working safely.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

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

Citations on file over three years, compared
Measure	Citations
This facility	54
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 30, 2022	16
February 8, 2024	19
January 16, 2026	17
March 16, 2026	2

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-0324	Provide properly protected cooking facilities.	3	2026-01-16
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	3	2026-01-16
K-0300	Meet other general requirements that are deficient.	3	2026-03-16
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	3	2026-01-16
E-0025	Create arrangements with other facilities to receive patients.	2	2024-02-08
K-0919	Meet requirements for the use of electrical equipment.	2	2026-01-16
K-0923	Have proper medical gas storage and administration areas.	2	2026-01-16
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-01-16

What the citations cover

Citations by CMS category

Smoke Deficiencies 19
Egress Deficiencies 11
Emergency Preparedness Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 7
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	19
Egress Deficiencies	11
Emergency Preparedness Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	7
Miscellaneous Deficiencies	4
Construction Deficiencies	3
Services Deficiencies	1

Every citation on file

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

March 16, 2026 — 2 citations

Citations issued on March 16, 2026
Tag	What the surveyor checks	Status
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (April 13, 2026)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (April 13, 2026)

January 16, 2026 — 17 citations

Citations issued on January 16, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (January 27, 2026)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (February 11, 2026)
K-0132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.	Deficient, Provider has date of correction (February 11, 2026)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (February 11, 2026)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 11, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 11, 2026)
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 date of correction (February 11, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 11, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has plan of correction (April 16, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 11, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 11, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 11, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 11, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 11, 2026)
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 (February 11, 2026)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (February 11, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 11, 2026)

February 8, 2024 — 19 citations

Citations issued on February 8, 2024
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (March 15, 2024)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (March 15, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 15, 2024)
K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.	Waiver has been granted
K-0271	Have exits that are accessible at all times.	Waiver has been granted
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 15, 2024)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (March 15, 2024)
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 date of correction (March 15, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 15, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 15, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 15, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Waiver has been granted
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 15, 2024)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (March 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 15, 2024)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (March 15, 2024)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (March 15, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 15, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 15, 2024)

June 30, 2022 — 16 citations

Citations issued on June 30, 2022
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (August 8, 2022)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 8, 2022)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (August 8, 2022)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (August 8, 2022)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (August 8, 2022)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (August 8, 2022)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (August 8, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 8, 2022)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (August 8, 2022)
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 date of correction (August 8, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 8, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (August 8, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 8, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 8, 2022)
K-0791	Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.	Deficient, Provider has date of correction (August 8, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 8, 2022)

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