Ignite Medical Resort St Marys LLC
111 Mock Avenue, Blue Springs, MO 64014 · Jackson County · 130 certified beds · avg 87 residents/day · certified since Jul 1, 2003
Part of chain: IGNITE MEDICAL RESORTS (22 facilities, chain avg rating 2.7★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
2.95
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)
▲ Actual harm, one-off · Aug 27, 2024 · 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 (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 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (35)
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 |
|---|---|---|
| Aug 27, 2024 | ▲ G · Actual 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. |
| Aug 27, 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 27, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Aug 27, 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 27, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 27, 2024 | E · Potential for harm, repeated | 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. |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Aug 27, 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. |
| Aug 27, 2024 | 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. |
| Aug 27, 2024 | 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. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| Aug 27, 2024 | 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. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Oct 25, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Oct 25, 2022 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Oct 25, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 25, 2022 | D · Potential for harm, one-off | 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. |
| Oct 25, 2022 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Oct 25, 2022 | 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. |
| Jan 14, 2020 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 14, 2020 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 14, 2020 | 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 14, 2020 | 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 14, 2020 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 14, 2020 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jan 14, 2020 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 14, 2020 | 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. |
| Jan 14, 2020 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 19).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 9 | 0 | E |
| 2022 | 7 | 0 | E |
| 2024 | 19 | 1 | G ▲ |
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 | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.95 | 3.66 | 3.95 | bottom 21% in Missouri; bottom 12% in the U.S. |
| Registered Nurse hours | 0.45 | 0.49 | 0.69 | top 44% in Missouri; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.58 | 3.22 | 3.50 | bottom 22% in Missouri; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.33 | 0.48 | bottom 39% in Missouri; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 56.0 | 45.8 | top 40% in Missouri; bottom 30% in the U.S. |
| RN turnover (%) | 33.3 | 47.8 | 42.9 | top 26% in Missouri; top 33% 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 3.15, RN 0.48, weekend 2.75. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carr, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Eddleman, Mindy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Gillis, Karen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Gobst, Ryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Gold Pearl, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Ignite St Marys JV LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 11/01/2020 |
| Israel Investment Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Jablonski, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| McFarlane, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Prestige Worldwide St Marys LLC | Organization | 5% or Greater Indirect Ownership Interest | 10% | 11/01/2020 |
| Rogers, Dylan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2024 |
| Thengil, Mathew | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| White, Jim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2020 |
| Berger Fam Tr Ua 06252014 | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2021 |
| Berger Fam Tr Ua 06252014 | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2021 |
| Berger, Aviva | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/28/2025 |
| Berger, Menachem | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2020 |
| Blue Pearl Financial LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2021 |
| Carr, Barry | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2020 |
| Carr, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "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 |
|---|---|---|---|---|---|
| Blue Springs Wellness & Rehabilitation | 0.9 mi | Blue Springs, MO | ★★☆☆☆ | 2/5 | abuse |
| Ignite Medical Resort Blue Springs | 4.2 mi | Blue Springs, MO | ★★★★★ | 4/5 | |
| Monterey Park Rehabilitation & Health Care Center | 4.5 mi | Independence, MO | ★★★☆☆ | 4/5 | |
| Villages of Jackson Creek | 5.0 mi | Independence, MO | ★★☆☆☆ | 2/5 | |
| Sunterra Springs Independence | 5.4 mi | Independence, MO | ★★★★★ | 4/5 | |
| Wilshire at Lakewood Rehab Center | 6.4 mi | Lees Summit, MO | ★★★☆☆ | 4/5 | |
| Abode Health and Wellness Center | 7.0 mi | Independence, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Rehabilitation Center of Independence, the | 7.0 mi | Independence, MO | ★★☆☆☆ | 2/5 | abuse |
| Aspire Senior Living Oak Grove | 7.3 mi | Oak Grove, MO | ★★☆☆☆ | 4/5 | |
| University Health Lakewood Medical Center | 7.6 mi | Kansas City, MO | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265759.