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

Ignite Medical Resort El Paso, LLC

El Paso, TX · 60 certified beds · Last Life Safety survey July 31, 2025

CMS Certification Number 676428 · first certified October 2017

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Luxe Life Senior Living (3421 Joe Battle Boulevard). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by IGNITE MEDICAL RESORTS · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within TX

17 citations — more than 91% of the 1,177 certified nursing homes in TX. Compared within TX 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 the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to October 2026. This facility’s last Life Safety survey was July 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 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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Which alerts

Emergency preparedness

7 of the 17 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)

7 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 17 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

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

This facility17TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0422024-0682025-07
Citations at each Life Safety survey
Survey dateCitations
April 14, 20237
June 6, 20242
July 31, 20258

Most-cited tags

Most-cited tags at this facility
K-09111E-00411K-07121K-03241E-00181E-00301K-09181K-09161
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-07-31
E-0041Implement emergency and standby power systems.12025-07-31
K-0712Have simulated fire drills held at unexpected times.12024-06-06
K-0324Provide properly protected cooking facilities.12023-04-14
E-0018Establish procedures for tracking staff and patients during an emergency.12023-04-14
E-0030List the names and contact information of those in the facility.12023-04-14
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-07-31
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12023-04-14

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 2
  • Smoke Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies2
Smoke Deficiencies2
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

July 31, 2025 — 8 citations

Citations issued on July 31, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 30, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 30, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 30, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 30, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 30, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (September 30, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 30, 2025)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (September 30, 2025)

June 6, 2024 — 2 citations

Citations issued on June 6, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 1, 2024)

April 14, 2023 — 7 citations

Citations issued on April 14, 2023
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (May 10, 2023)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (May 10, 2023)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 10, 2023)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (May 10, 2023)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 1, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 10, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (May 10, 2023)

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