Ignite Medical Resort Round Rock, LLC
16219 Ranch Road 620 North, Austin, TX 78717 · Williamson County · 70 certified beds · avg 58 residents/day · certified since Feb 21, 2018
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: ★☆☆☆☆1/5 · 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, one-off · Nov 14, 2024 · F-0580 · triggered by a complaint
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.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Dec 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 14, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Dec 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 19, 2024 · F-0580 · triggered by a complaint
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.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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 30, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 19, 2024 · 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 30, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 19, 2024 · 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 30, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 24, 2024 · F-0690 · triggered by a complaint
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.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 13, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (37)
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 |
|---|---|---|
| Jan 28, 2026 | E · Potential for harm, repeated | 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 |
| Jan 28, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Jan 15, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 15, 2026 | 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. |
| Jan 15, 2026 | 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. |
| Jan 15, 2026 | 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. |
| Jan 15, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 15, 2026 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| May 3, 2025 | 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. · from a complaint |
| Jan 29, 2025 | 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 |
| Jan 15, 2025 | E · Potential for harm, 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. · from a complaint |
| Nov 14, 2024 | ▲ J · Immediate jeopardy, one-off | 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. · from a complaint |
| Nov 14, 2024 | ▲ J · Immediate jeopardy, 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 |
| Nov 14, 2024 | E · Potential for harm, 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. · from a complaint |
| Nov 14, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 14, 2024 | 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 |
| Oct 16, 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. |
| Oct 16, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Oct 16, 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. |
| Oct 16, 2024 | 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. |
| Oct 16, 2024 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
| Sep 24, 2024 | ▲ G · Actual 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. · from a complaint |
| Sep 24, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jul 27, 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. · from a complaint |
| Jul 19, 2024 | ▲ J · Immediate jeopardy, one-off | 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. · from a complaint |
| Jul 19, 2024 | ▲ 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 19, 2024 | ▲ 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 |
| Nov 3, 2023 | E · Potential for harm, repeated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Aug 25, 2023 | 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. · from a complaint |
| Aug 25, 2023 | E · Potential for harm, repeated | The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. · from a complaint |
| Aug 25, 2023 | E · Potential for harm, repeated | The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about. · from a complaint |
| Aug 25, 2023 | E · Potential for harm, repeated | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. · from a complaint |
| Aug 25, 2023 | E · Potential for harm, repeated | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint |
| Aug 25, 2023 | E · Potential for harm, repeated | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint |
| Aug 25, 2023 | D · Potential for harm, one-off | 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 25, 2023 | C · Minimal risk, facility-wide | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 16 | 6 | J ▲ |
| 2025 | 4 | 0 | E |
| 2026 | 8 | 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)
3 fines totaling $63,733, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 16, 2024 | Fine | $18,295 |
| Sep 24, 2024 | Fine | $8,018 |
| Jul 19, 2024 | Fine | $37,420 |
| Jul 19, 2024 | Payment Denial | 10 days from Aug 20, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.40 | 3.46 | 3.95 | top 43% in Texas; bottom 31% in the U.S. |
| Registered Nurse hours | 0.92 | 0.44 | 0.69 | top 4% in Texas; top 20% in the U.S. |
| Weekend total nurse staffing | 2.91 | 3.04 | 3.50 | bottom 50% in Texas; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.34 | 0.48 | top 4% in Texas; top 14% in the U.S. |
| Total nursing staff turnover (%) | 61.2 | 55.3 | 45.8 | bottom 31% in Texas; bottom 15% in the U.S. |
| RN turnover (%) | 40.0 | 54.6 | 42.9 | top 30% in Texas; top 46% 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 3.89, RN 1.05, weekend 3.33. 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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
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 | 04/01/2022 |
| Blue Pearl Financial LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Carr, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Gillis, Karen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Gobst, Ryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Gold Pearl, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Ignite Post Acute Solutions LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Ignite Round Rock JV LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Ignite-Villa Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Israel Family Investment Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Israel Investment Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Jablonski, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| McFarlane, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Prestige Worldwide Round Rock LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Rose, Marc | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Shearer, Rachel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Stern Family Investment Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Thengil, Mathew | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| White, Jim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2022 |
| Berger, Aviva | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "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 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 |
|---|---|---|---|---|---|
| The Center at Parmer | 1.2 mi | Austin, TX | ★★★★★ | 4/5 | |
| Park Valley Inn Health Center | 1.6 mi | Round Rock, TX | ★★☆☆☆ | 1/5 | abuse |
| Hearthstone Nursing and Rehabilitation | 1.8 mi | Round Rock, TX | ★★★☆☆ | 3/5 | |
| Trinity Care Center | 3.9 mi | Round Rock, TX | ★★★☆☆ | 2/5 | |
| Windsor Nursing and Rehabilitation Center of Duval | 5.1 mi | Austin, TX | ★★★☆☆ | 2/5 | |
| Austin Wellness & Rehabilitation | 5.2 mi | Austin, TX | ★☆☆☆☆ | 1/5 | |
| San Gabriel Rehabilitation and Care Center | 5.4 mi | Round Rock, TX | ★☆☆☆☆ | 1/5 | abuse |
| Cedar Pointe Health and Wellness Center | 5.5 mi | Cedar Park, TX | ★★★★☆ | 4/5 | |
| The Springs Healthcare and Rehabilitation | 5.7 mi | Cedar Park, TX | ★★★★☆ | 3/5 | |
| Avir at Park Bend | 5.9 mi | Austin, TX | ★★★☆☆ | 3/5 | |
| Sagebrook Nursing and Rehabilitation | 5.9 mi | Cedar Park, TX | ★★★★☆ | 4/5 | |
| Five Points of Pflugerville | 6.0 mi | Pflugerville, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676440.