Ignite Medical Resort San Antonio, LLC

Name: Ignite Medical Resort San Antonio, LLC
Address: 6035 ECKHERT RD, San Antonio, TX, 78229, US
Telephone: 2106425300

6035 Eckhert Rd, San Antonio, TX 78229 · Bexar County · 105 certified beds · avg 100 residents/day · certified since Jun 12, 2018

Part of chain: IGNITE MEDICAL RESORTS (22 facilities, chain avg rating 2.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.31

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: 3/5

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.

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
Apr 3, 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. · from a complaint
Apr 3, 2026	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 8, 2025	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Dec 8, 2025	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.
Dec 8, 2025	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 8, 2025	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.
Dec 8, 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.
Dec 8, 2025	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Dec 8, 2025	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.
Dec 8, 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.
Dec 8, 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.
Dec 8, 2025	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.
Dec 8, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 8, 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.
May 19, 2025	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
May 19, 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. · from a complaint
May 19, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 17, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Mar 17, 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. · from a complaint
Mar 17, 2025	E · Potential for harm, repeated	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. · from a complaint
Mar 17, 2025	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
Mar 17, 2025	D · Potential for harm, one-off	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
Aug 15, 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.
Aug 15, 2024	E · Potential for harm, repeated	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. · from a complaint
Aug 15, 2024	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.
Aug 15, 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.
Aug 15, 2024	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.
Jul 18, 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. · from a complaint
Jan 23, 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
Jan 23, 2024	E · Potential for harm, repeated	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. · from a complaint
Jul 13, 2023	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.
Jul 13, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 13, 2023	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.
Jul 13, 2023	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.
Jul 13, 2023	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.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 12).

Year	Citations	Worst severity that year
2023	6	E
2024	8	F
2025	20	F
2026	2	D

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	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.31	3.46	3.95	top 50% in Texas; bottom 27% in the U.S.
Registered Nurse hours	0.46	0.44	0.69	top 33% in Texas; bottom 31% in the U.S.
Weekend total nurse staffing	2.90	3.04	3.50	bottom 49% in Texas; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 46% in Texas; bottom 33% in the U.S.
Total nursing staff turnover (%)	44.7	55.3	45.8	top 32% in Texas; top 49% in the U.S.
RN turnover (%)	44.4	54.6	42.9	top 37% in Texas; bottom 45% 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 4.05, RN 0.56, weekend 3.54. Staffing rating: 2/5.

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 - Corporation

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 San Antonio 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 San Antonio, 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
Theus, Michelle	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2023
White, Jim	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022

Questions to ask on your visit

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

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"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
Huebner Creek Health & Rehabilitation Center	0.2 mi	San Antonio, TX	★☆☆☆☆	2/5
Mesa Vista Inn Health Center	0.4 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	0.4 mi	San Antonio, TX	★☆☆☆☆	1/5
Remington Transitional Care of San Antonio	0.6 mi	San Antonio, TX	★★★★☆	3/5
Sorrento	0.8 mi	San Antonio, TX	★★☆☆☆	2/5
Patriot Heights Health Care Center	1.3 mi	San Antonio, TX	★★☆☆☆	2/5	abuse
Wurzbach Nursing and Rehabilitation	1.6 mi	San Antonio, TX	★★☆☆☆	2/5
The Heights on Huebner	1.7 mi	San Antonio, TX	★★★★☆	4/5
Oak Park Nursing and Rehabilitation Center	1.9 mi	San Antonio, TX	★★☆☆☆	2/5
The Atrium Rehabilitation Center	2.0 mi	San Antonio, TX	★★★★☆	4/5
The Heights at Medical Center	2.5 mi	San Antonio, TX	★☆☆☆☆	2/5
Mystic Park Nursing and Rehabilitation Center	2.5 mi	San Antonio, TX	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 676447.

The Care File

Visit checklist — Ignite Medical Resort San Antonio, LLC

6035 Eckhert Rd, San Antonio, TX 78229 · 2106425300

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

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "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 676447 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)