Ignite Medical Resort Webster, LLC

Scope/severity G — ACTUAL HARM

Survey 2023-03-22 · Tag F0604 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-03-22 · Tag F0742 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-04-24 · Tag F0880 · Complaint investigation · Deficient, Provider has no plan of correction

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-06-11 · Tag F0655 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-07-11

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-06-11 · Tag F0656 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-07-11

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-03-22 · Tag F0565 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Honor the resident's right to organize and participate in resident/family groups in the facility.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-03-22 · Tag F0609 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-03-22 · Tag F0693 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-03-22 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-03-22 · Tag F0759 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Ensure medication error rates are not 5 percent or greater.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-03-22 · Tag F0842 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-03-22 · Tag F0921 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-03-24

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works