Ignite Medical Resort Tulsa, LLC
8720 South 101st Avenue, Tulsa, OK 74133 · Tulsa County · 104 certified beds · avg 98 residents/day · certified since Aug 17, 2021
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: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Oct 31, 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: Aug 20, 2024 (Past Non-Compliance)
All citations in the current public record (5)
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 |
|---|---|---|
| Nov 21, 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 |
| Dec 11, 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. |
| Dec 11, 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. |
| Dec 11, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Oct 31, 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 1 | J ▲ |
| 2025 | 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)
1 fine totaling $16,772.
| Date | Type | Amount / length |
|---|---|---|
| Oct 31, 2024 | Fine | $16,772 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oklahoma avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.07 | 4.58 | 3.95 | bottom 21% in Oklahoma; top 37% in the U.S. |
| Registered Nurse hours | 0.39 | 0.41 | 0.69 | top 47% in Oklahoma; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.74 | 4.16 | 3.50 | bottom 25% in Oklahoma; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.28 | 0.48 | bottom 42% in Oklahoma; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 66.9 | 55.5 | 45.8 | bottom 21% in Oklahoma; bottom 8% in the U.S. |
| RN turnover (%) | 40.0 | 53.6 | 42.9 | top 28% in Oklahoma; 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 4.63, RN 0.44, weekend 4.26. 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: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carr, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Gillis, Karen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Gobst, Ryan | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Gold Pearl, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Ignite Tulsa LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2025 |
| Jablonski, Nicole | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| LBG Tulsa SHF Investors LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2025 |
| McFarlane, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Prestige Worldwide Tulsa LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2025 |
| Rainey, Shawna | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Rose, Marc | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Shearer, Rachel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Thengil, Mathew | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Tulsa Senior Investors LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2025 |
| White, Jim | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Carr, Barry | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Carr, Barry | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Carr, Jared | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Castillo-Simon, Revel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/18/2025 |
| Castillo-Simon, Revel | Individual | ADP of the SNF | NOT APPLICABLE | 08/18/2025 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Forest Hills Care and Rehabilitation Center | 1.6 mi | Broken Arrow, OK | ★★★☆☆ | 3/5 | |
| The Cottage Extended Care | 1.9 mi | Tulsa, OK | ★★★☆☆ | 4/5 | |
| Senior Suites Healthcare | 1.9 mi | Broken Arrow, OK | ★★☆☆☆ | 2/5 | |
| Montereau, INC. | 3.4 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| Aspen Health and Rehab | 3.5 mi | Broken Arrow, OK | ★★★☆☆ | 3/5 | |
| Tulsa Center for Rehabilitation and Healthcare | 3.8 mi | Tulsa, OK | ★★☆☆☆ | 4/5 | |
| Village Health Care Center | 4.2 mi | Broken Arrow, OK | ★☆☆☆☆ | 1/5 | |
| Broken Arrow Nursing Home, INC | 4.2 mi | Broken Arrow, OK | ★★★★☆ | 4/5 | |
| Southern Hills Rehabilitation Center | 5.0 mi | Tulsa, OK | ★★★☆☆ | 3/5 | |
| University Village Retirement Community | 5.1 mi | Tulsa, OK | ★★★★☆ | 3/5 | |
| Cedarcrest Care Center | 5.3 mi | Broken Arrow, OK | ★★☆☆☆ | 2/5 | |
| Grace Skilled Nursing and Therapy Jenks | 5.6 mi | Jenks, OK | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375581.