Ignite Medical Resort Norman, LLC
1050 Rambling Oaks Drive, Norman, OK 73072 · Cleveland County · 52 certified beds · avg 39 residents/day · certified since Jun 23, 2004
Part of chain: IGNITE MEDICAL RESORTS (22 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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, one-off · Jul 14, 2025 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 6, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 14, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 6, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Jul 14, 2025 | ▲ J · Immediate jeopardy, 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 |
| Jul 14, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jul 14, 2025 | 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. · from a complaint |
| Dec 2, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 2, 2024 | 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 |
| Aug 15, 2024 | E · Potential for harm, repeated | 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 |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2024 | 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. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 15, 2024 | 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. · from a complaint |
| Aug 15, 2024 | 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. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 15, 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. |
| Jul 17, 2023 | E · Potential for harm, repeated | 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. |
| Jul 17, 2023 | 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. |
| Jul 17, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 17, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jul 17, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 12, 2022 | 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. |
| May 12, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | F |
| 2023 | 5 | 0 | E |
| 2024 | 12 | 0 | E |
| 2025 | 4 | 2 | J ▲ |
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)
1 fine totaling $16,660.
| Date | Type | Amount / length |
|---|---|---|
| Jul 14, 2025 | Fine | $16,660 |
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) | 2.84 | 4.58 | 3.95 | bottom 1% in Oklahoma; bottom 9% in the U.S. |
| Registered Nurse hours | 0.29 | 0.41 | 0.69 | bottom 26% in Oklahoma; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.59 | 4.16 | 3.50 | bottom 1% in Oklahoma; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.28 | 0.48 | top 21% in Oklahoma; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 68.0 | 55.5 | 45.8 | bottom 20% in Oklahoma; bottom 7% in the U.S. |
| RN turnover (%) | 0.0 | 53.6 | 42.9 | — |
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 3.36, RN 0.34, weekend 3.06. Staffing rating: 1/5.
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: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berger Fam Tr Ua 06252014 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Blue Pearl Financial LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Carr, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Castillo-Simon, Revel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2023 |
| Gobst, Ryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Gold Pearl, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/03/2022 |
| Ignite Oklahoma JV, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Ignite Post Acute Solutions LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Ignite-Villa Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Israel Family Investment Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Israel Investment Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Jablonski, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| McFarlane, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Prestige Worldwide Oklahoma, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Rolf, Chelsey | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2024 |
| Rose, Marc | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/20/2020 |
| Shearer, Rachel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Skelton, Meaghan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2022 |
| Stern Family Investment Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
| Thengil, Mathew | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2020 |
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 does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Medical Park West Rehabilitation & Skilled Care | 0.8 mi | Norman, OK | ★☆☆☆☆ | 1/5 | |
| Grace Skilled and Nursing Therapy Norman | 1.3 mi | Norman, OK | ★★★★★ | 5/5 | |
| 24th Place | 1.6 mi | Norman, OK | ★☆☆☆☆ | 1/5 | |
| Holiday Heights Healthcare | 2.7 mi | Norman, OK | ★★★★★ | 5/5 | |
| Noble Health Care Center | 7.8 mi | Noble, OK | ★☆☆☆☆ | 1/5 | |
| Thunder Care and Rehabilitation | 8.8 mi | Moore, OK | ★☆☆☆☆ | 1/5 | abuse |
| Meadowlake Estates | 9.2 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Brookwood Skilled Nursing and Therapy | 10.7 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Accel at Crystal Park | 10.8 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Senior Village Healthcare | 11.2 mi | Blanchard, OK | ★★★★★ | 4/5 | |
| Emerald Care Center Southwest LLC | 12.4 mi | Oklahoma City, OK | ★☆☆☆☆ | 1/5 | |
| Capitol Hill Skilled Nursing and Therapy | 12.9 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 375461.