Ignite Medical Resort Edmond, LLC

Name: Ignite Medical Resort Edmond, LLC
Address: 1400 EAST MEMORIAL ROAD, Oklahoma City, OK, 73131, US
Telephone: 4058750040

1400 East Memorial Road, Oklahoma City, OK 73131 · Oklahoma County · 173 certified beds · avg 69 residents/day · certified since Feb 9, 2022

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.81

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Mar 17, 2023 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 24, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (36)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 25, 2025	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 25, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 25, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Nov 25, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 27, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 25, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 25, 2024	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 25, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 25, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 17, 2023	▲ K · Immediate jeopardy, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 17, 2023	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Mar 17, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 19).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	1	K ▲
2024	11	0	F
2025	20	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oklahoma avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.81	4.58	3.95	top 34% in Oklahoma; top 16% in the U.S.
Registered Nurse hours	0.65	0.41	0.69	top 10% in Oklahoma; top 41% in the U.S.
Weekend total nurse staffing	4.36	4.16	3.50	top 35% in Oklahoma; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.28	0.48	top 20% in Oklahoma; bottom 44% in the U.S.
Total nursing staff turnover (%)	68.4	55.5	45.8	bottom 19% in Oklahoma; bottom 7% in the U.S.
RN turnover (%)	63.2	53.6	42.9	bottom 37% in Oklahoma; bottom 17% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.60, RN 0.63, weekend 4.17. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Diakonos Group, LLC	Organization	5% or Greater Direct Ownership Interest	100%	07/20/2021
Pilgrim, Scott	Individual	Indirect Ownership Interest	NOT APPLICABLE	10/26/2018
Bush, William	Individual	Operational/Managerial Control	NOT APPLICABLE	07/20/2021
Bush, William	Individual	ADP of the SNF	NOT APPLICABLE	07/20/2021
Diakonos Group, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/20/2021
Diakonos Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/24/2025
Pilgrim, Scott	Individual	Corporate Officer	NOT APPLICABLE	10/26/2018
Pilgrim, Scott	Individual	Operational/Managerial Control	NOT APPLICABLE	10/26/2018
Pilgrim, Scott	Individual	ADP of the SNF	NOT APPLICABLE	10/26/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Edmond Health Care Center	1.0 mi	Edmond, OK	★☆☆☆☆	1/5	abuse
The Timbers Skilled Nursing and Therapy	1.6 mi	Edmond, OK	★☆☆☆☆	1/5
Epworth Villa Health Services	3.4 mi	Oklahoma City, OK	★★★★☆	4/5
The Wilshire Skilled Nursing and Therapy	4.1 mi	Oklahoma City, OK	★★★☆☆	3/5
Tuscany Village Nursing Center	4.5 mi	Oklahoma City, OK	★☆☆☆☆	1/5
Wildewood Skilled Nursing and Therapy	6.0 mi	Oklahoma City, OK	★★★☆☆	3/5
Northwest Nursing Center	6.7 mi	Oklahoma City, OK	★★☆☆☆	2/5
Bradford Village Healthcare Center	6.8 mi	Edmond, OK	★★★★☆	4/5
Bellevue Health & Rehabilitation Center	7.2 mi	Oklahoma City, OK	★★★☆☆	3/5
Ignite Medical Resort Okc, LLC	7.3 mi	Oklahoma City, OK	★★☆☆☆	3/5
The Lodge at Brookline	7.4 mi	Oklahoma City, OK	★★☆☆☆	2/5
The Lakes	7.8 mi	Oklahoma City, OK	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Oklahoma City →

Facility data as of CMS processing date 2026-08-01. CCN 375583.

The Care File

Visit checklist — Ignite Medical Resort Edmond, LLC

1400 East Memorial Road, Oklahoma City, OK 73131 · 4058750040

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Mar 17, 2023 (F-0686, Immediate jeopardy, repeated): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 375583 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)