Ignite Medical Resort Sugar Land, LLC
1803 Wescott Avenue, Sugar Land, TX 77479 · Fort Bend County · 90 certified beds · avg 58 residents/day · certified since Jul 29, 2015
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 · Aug 30, 2024 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
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: Sep 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 30, 2024 · F-0695 · triggered by a complaint
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.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
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: Oct 4, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 30, 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: Oct 4, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 10, 2025 | 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 |
| Sep 27, 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 |
| Sep 27, 2024 | 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 |
| Sep 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. · from a complaint |
| Sep 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. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, 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 |
| Sep 27, 2024 | 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. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Sep 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 |
| Aug 30, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Aug 30, 2024 | ▲ J · Immediate jeopardy, 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 30, 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 |
| Aug 9, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 11 | 3 | J ▲ |
| 2025 | 1 | 0 | E |
| 2026 | 1 | 0 | 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)
6 fines totaling $137,052, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Aug 30, 2024 | Fine | $14,433 |
| Aug 30, 2024 | Fine | $14,433 |
| Aug 30, 2024 | Fine | $83,496 |
| Aug 30, 2024 | Payment Denial | 129 days from Oct 1, 2024 |
| Feb 20, 2024 | Fine | $4,938 |
| Feb 12, 2024 | Fine | $4,938 |
| Jan 22, 2024 | Fine | $14,814 |
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) | 3.05 | 3.46 | 3.95 | bottom 26% in Texas; bottom 15% in the U.S. |
| Registered Nurse hours | 0.58 | 0.44 | 0.69 | top 17% in Texas; bottom 49% in the U.S. |
| Weekend total nurse staffing | 2.90 | 3.04 | 3.50 | bottom 49% in Texas; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.34 | 0.48 | top 6% in Texas; top 20% in the U.S. |
| Total nursing staff turnover (%) | 62.2 | 55.3 | 45.8 | bottom 29% in Texas; bottom 13% in the U.S. |
| RN turnover (%) | 61.5 | 54.6 | 42.9 | bottom 38% in Texas; bottom 20% 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 3.82, RN 0.72, weekend 3.63. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ignite Medical Resort Sugar Land, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2025 |
| Ignite Sugar Land JV, LLC | Organization | 5% or Greater Indirect Ownership Interest | 50% | 06/01/2025 |
| Prestige Worldwide Sugar Land, LLC | Organization | 5% or Greater Indirect Ownership Interest | 10% | 06/01/2025 |
| Berger, Aviva | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
| Carr, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Carr, Barry | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Fields, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Fields, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Ignite Medical Resort Sugar Land, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ignite Medical Resort Sugar Land, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Ignite Team Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ignite Team Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Israel, Benjamin | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
| Israel, Yehudis | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
| Oommen, Biju | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Stern, Todd | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
| Washington, Rulkiya | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Washington, Rulkiya | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 Crescent | 1.9 mi | Sugar Land, TX | ★☆☆☆☆ | 1/5 | |
| Sugar Land Health Care Center | 2.0 mi | Sugar Land, TX | ★★★☆☆ | 3/5 | |
| Paradigm at First Colony | 3.9 mi | Missouri City, TX | ★☆☆☆☆ | 1/5 | |
| Chelsea Gardens | 4.6 mi | Missouri City, TX | ★☆☆☆☆ | 2/5 | |
| Park Manor of Quail Valley | 4.8 mi | Missouri City, TX | ★★☆☆☆ | 2/5 | |
| Windsor Quail Valley Post-Acute Healthcare | 5.1 mi | Missouri City, TX | ★★★☆☆ | 3/5 | |
| West Houston Rehabilitation and Healthcare Center | 6.6 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Cambridge Health and Rehabilitation Center | 7.0 mi | Richmond, TX | ★★★☆☆ | 2/5 | |
| Richmond Health Care Center | 7.2 mi | Richmond, TX | ★★★★☆ | 4/5 | |
| Focused Care at Beechnut | 7.3 mi | Houston, TX | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676384.