Ignite Medical Resort Carondelet LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 336 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (36 vs median 10)
- High staff turnover (68%)
- High RN turnover (56%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in IGNITE MEDICAL RESORTS chain · No penalties on record
What this means for your family
While the facility offers excellent physical therapy and a modern environment, the recurring reports of neglect and communication failures are significant red flags. If you choose this facility, you must be prepared to visit daily to advocate for your loved one, as response times for basic care needs are frequently cited as inadequate.
Google Reviews
Google Reviews
336 reviews on Google“Ignite Medical Resort Carondelet receives polarized feedback, with many reviewers praising the therapy department, modern facility, and specific staff members like Luigi at the front desk. However, a significant number of families report critical failures in communication, slow response times to call lights, and hygiene issues such as persistent odors and poor cleanliness in resident areas. While some patients have excellent recovery experiences, others express deep frustration regarding neglect and lack of professional oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Welcoming and professional front desk/hospitality staff
- Modern, clean, and well-decorated facility
- Responsive to specific dietary and personal requests
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 8 reviewers)
- Difficulty communicating with staff or reaching the facility by phone (mentioned by 6 reviewers)
- Unsanitary conditions including urine odors and clogged toilets (mentioned by 5 reviewers)
- Inadequate staffing levels, particularly on nights and weekends (mentioned by 4 reviewers)
- Poor laundry management and loss of personal belongings (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 210 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has a very active therapy department; how do you integrate those physical and occupational therapy sessions into a resident's daily schedule?
- 2With the facility being quite large, what is your specific protocol for ensuring call lights are answered promptly, especially during evening and weekend shifts?
- 3I see that you are very active in responding to feedback online; what is the best way for family members to communicate directly with nursing staff if they have concerns about their loved one's care?
- 4Can you walk me through your process for tracking and managing personal laundry to ensure that items don't go missing?
- 5Given the importance of a clean environment, could you explain your daily housekeeping schedule and how you handle urgent sanitation needs in resident rooms?
- 6How does your clinical team coordinate with outside physicians to ensure medication management is seamless and accurate for residents?
Personalized based on this facility's data
Key Review Excerpts
“The "B" wing smelled of urine and feces. The water fountain and ice machine did not work. Overall I Would Not recommend this facility for any disabled, sick, or senior patient unless you plan on coming everyday to administer care for them.”
“My dad left here with three skin tears on his rectum due to poor care and not being cleaned properly! If you want your family member to be treated right and not sit in their feces don’t send them here!!!!!”
“The staff at night and weekends is non-existent. During the day, the staff seems to do the bare minimum of care for residents, but always seem to be clustered in groups talking about everything but the patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns of recurring problems across multiple complaint-driven inspections, with families filing 18 reports over 7 surveys. The most persistent issues involve maintaining clean, safe environments, nursing staff adequacy, and medication management. Problems with call systems, food safety, and infection control have repeatedly resurfaced despite corrections, suggesting systemic challenges in maintaining basic care standards and building safety requirements.
Mar 16, 2026Complaint2
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Jan 16, 2026Complaint2
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 13, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Feb 8, 2024Complaint10
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 8, 2024Routine43
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Egress Deficiencies
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Egress Deficiencies
Have exits that are accessible at all times.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Sep 7, 2023Complaint4
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Ownership & Operations
Who Operates This Facility
Ignite Medical Resort Carondelet LLC
for profit
Chain Affiliation
Ignite Medical Resorts
25 facilities nationwide
Chain avg rating: 2.7/5 · Rank 19 of 22 (Worst)
Ownership & Management
Owners
Ignite Carondelet Jv LLC
Owner · Organization
Prestige Worldwide Carondelet LLC
Owner (parent company) · Organization
Gold Pearl, LLC
Owner (parent company) · Organization
Carr, Jared
Owner (parent company)
Gillis, Karen
Owner (parent company)
Gobst, Ryan
Owner (parent company)
Jablonski, Nicole
Owner (parent company)
Mcfarlane, John
Owner (parent company)
Rogers, Dylan
Owner (parent company)
Rose, Marc
Owner (parent company)
Thengil, Mathew
Owner (parent company)
White, Jim
Owner (parent company)
Berger, Aviva
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Israel, Yehudis
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
336 reviews from families & visitors
Official Website
Visit ignitemedicalresorts.com
Medicare data downloads
Original nursing home datasets
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