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

IGNITE MEDICAL RESORT WEBSTER, LLC

WEBSTER, TX · 70 certified beds · Last Life Safety survey June 11, 2025

CMS Certification Number 676460 · first certified January 2019

Ownership

Operated by IGNITE MEDICAL RESORTS · For profit - Partnership

Ownership changed April 1, 2022 (change of ownership)from MOC WEBSTER LLC

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 TX

7 citations — more than 44% 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 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2026 to August 2026), and past the point by which nine in ten TX facilities have been surveyed. This facility’s last Life Safety survey was June 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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2 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.

Physical environment (health survey)

2 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 7 Life Safety citations above. The Physical Environment Index

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.

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.

Citations on file over three years, compared
Measure	Citations
This facility	7
Median facility in TX	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 22, 2023	3
May 8, 2024	0
June 11, 2025	4

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-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	2	2025-06-11
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2025-06-11
K-0712	Have simulated fire drills held at unexpected times.	2	2025-06-11
K-0324	Provide properly protected cooking facilities.	1	2025-06-11

What the citations cover

Citations by CMS category

Smoke Deficiencies 3
Miscellaneous Deficiencies 2
Gas, Vacuum, and Electrical Systems Deficiencies 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	3
Miscellaneous Deficiencies	2
Gas, Vacuum, and Electrical Systems Deficiencies	2

Every citation on file

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

June 11, 2025 — 4 citations

Citations issued on June 11, 2025
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 26, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (June 26, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 26, 2025)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (June 26, 2025)

March 22, 2023 — 3 citations

Citations issued on March 22, 2023
Tag	What the surveyor checks	Status
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 24, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 24, 2023)
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Deficient, Provider has date of correction (March 24, 2023)

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