Ignite Medical Resort St Peters
5101 Executive Centre Parkway, Saint Peters, MO 63376 · St. Charles County · 91 certified beds · avg 68 residents/day · certified since Oct 17, 2025
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: —/5 · CMS overall rating: —/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 · May 20, 2026 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Jun 23, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 24, 2026 · F-0686 · triggered by a complaint
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: Mar 30, 2026 (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 |
|---|---|---|
| May 20, 2026 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Apr 16, 2026 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Apr 16, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Apr 16, 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. · from a complaint |
| Apr 16, 2026 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Apr 16, 2026 | 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. · from a complaint |
| Apr 16, 2026 | D · Potential for harm, 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 |
| Apr 16, 2026 | D · Potential for harm, 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 |
| Apr 16, 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 |
| Mar 10, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Mar 10, 2026 | 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. · from a complaint |
| Feb 24, 2026 | ▲ 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. · from a complaint |
| Feb 24, 2026 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Feb 24, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 24, 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. · from a complaint |
| Feb 24, 2026 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Feb 24, 2026 | 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 |
| Feb 24, 2026 | 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. · from a complaint |
| Feb 24, 2026 | D · Potential for harm, 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 |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Feb 24, 2026 | D · Potential for harm, 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 |
| Feb 24, 2026 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint |
| Feb 24, 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2026 | 23 | 2 | 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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 24, 2026 | Payment Denial | 40 days from Apr 1, 2026 |
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) | 0.00 | 3.66 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.49 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.22 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.33 | 0.48 | top 7% in Missouri; top 27% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 56.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 47.8 | 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 4.12, RN 0.68, weekend 3.35. Staffing rating: —/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 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bertsch, Troy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Brown, Leo | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Carr, Barry | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Carr, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Fields, Timothy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Gillis, Karen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Gobst, Ryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Ignite St Peters JV, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Imr St Peters Holdings, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Jablonski, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| KCB St Peters Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| King, Christopher | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| LBG St Peters LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| McFarlane, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Morton, William | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Rainey, Shawna | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Rogers, Dylan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Rose, Marc | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| See, Kevin | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Smith, Thomas | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 |
|---|---|---|---|---|---|
| St Peters Post Acute | 0.0 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | |
| St Peters Rehab and Healthcare Center | 0.6 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| McClay Senior Care | 3.0 mi | Saint Peters, MO | ★★★☆☆ | 3/5 | |
| Garden View Care Center | 4.2 mi | O Fallon, MO | ★☆☆☆☆ | 1/5 | abuse |
| Aspen Point Health and Rehabilitation | 4.6 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | |
| Abbey Senior Health | 4.9 mi | O Fallon, MO | ★★★☆☆ | 2/5 | abuse |
| NHC Healthcare, St Charles | 5.4 mi | Saint Charles, MO | ★★★★☆ | 4/5 | |
| Lutheran Senior Services at Breeze Park | 5.6 mi | Saint Charles, MO | ★★★★☆ | 3/5 | |
| Lewis & Clark Gardens | 6.1 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | |
| Delmar Gardens of O'Fallon | 6.2 mi | O Fallon, MO | ★★★☆☆ | 2/5 | |
| Laurel Meadows Wellness & Rehabilitation | 6.5 mi | Saint Charles, MO | ★★☆☆☆ | 2/5 | |
| Windsor Estates of St Charles | 6.7 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 265889.