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Nursing Home Investigative

Ignite Medical Resort Fort Worth, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

6301 Oakmont Blvd, Fort Worth, TX 7613270 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 372 Google reviews

5
4
3
2
1
Ignite Medical Resort Fort Worth, LLC Nursing Home in Fort Worth, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (11 vs median 8.0)
  • High staff turnover (56%)
  • High RN turnover (67%)

Below average in Texas · Meets national RN staffing standard · Above average staffing · Below chain average · $155,085 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as the clinical teams are frequently cited as top-tier. However, families must remain active advocates for their loved ones, specifically monitoring medication schedules and ensuring call lights are being answered promptly, as these are the facility's primary documented weaknesses.

Google Reviews

Google Reviews

372 reviews on Google
Families considering Ignite Medical Resort will find a facility highly praised for its exceptional physical and occupational therapy teams and its modern, hotel-like cleanliness. However, there are significant, recurring reports of delayed medication administration, slow response times to call lights, and inconsistent food quality. While many patients experience warm, professional care, others have reported serious lapses in basic hygiene and communication from management.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean7.0ActivitiesN/AMeds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Clean, modern, and hotel-like facility
  • Professional and compassionate nursing staff
  • Efficient and easy check-in process

Concerns

  • Slow response times to call lights and patient needs (mentioned by 6 reviewers)
  • Delays in medication administration (mentioned by 4 reviewers)
  • Inconsistent food quality and temperature (mentioned by 5 reviewers)
  • Issues with cleanliness and hygiene maintenance (mentioned by 3 reviewers)
  • Poor communication from administration/management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.22024(35)4.42025(134)3.72026(50)

Distribution · 219 analyzed

5
156
4
19
3
7
2
2
1
35
11 reviews posted between Jan 26, 2026Jan 31, 2026 · average 3.5
11 reviews posted between Mar 24, 2025Mar 25, 2025 · 11 were 5-star

How They Respond to Reviews

97%response rate
Generic

The owner relies heavily on repetitive, templated phrases for positive reviews, often using the same 'Hello there, thank you; we appreciate your feedback!' script. For negative reviews, the pattern shifts to a consistent attempt to move the conversation offline by providing a specific phone number.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy teams here; could you tell us more about how they work with residents to meet their mobility goals?
  • 2Since the facility has such a modern, hotel-like atmosphere, what kind of daily social activities or group outings are planned to help residents enjoy the space?
  • 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time throughout the day?
  • 4What is the protocol for responding to call lights, and how do you ensure staff can attend to resident needs promptly even during busy shifts?
  • 5We noticed the management is very responsive to feedback; how does the administration communicate important updates or changes in care to the families?
  • 6In the event of a medical emergency after hours, what specific steps are taken to ensure a resident receives immediate care?

Personalized based on this facility's data


Key Review Excerpts

The therapy department is great, they are instrumental in ensuring successful outcomes. Chrissy, the NP is wonderful. Danette and Tonya are truly amazing and always go above and beyond each and every time!

Rehab patient's family · 2025★★★★★

It looks like a nice hotel more than a nursing facilitym It's a modern looking skilled nursing and long term care facility and has an incredible therapy area as well as various other amenitites.

Frequent visitor · 2025★★★★★

My mother was there after a hip and elbow fracture . If she wouldn't have had family with her to advocate for her, it would have been a disaster! It took over 3 hrs for a nurse to even do an intake for her

Rehab patient's family · 2026☆☆☆☆
Source: 372 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.98hrs
OK
Registered nurses for medical care
Total Nursing
3.96hrs
96%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 3 measures

Medicare Rating
5/ 5
Better Than Avg

2

measures

Worse Than Avg

1

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
81.8%
TX
89.2%
Tarrant
91.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.6%
Worse than Avg
Here
79.6%
US
79.7%
TX
88.0%
Tarrant
89.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Tarrant
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
7penalties
Well above state avg (9.1)
32 complaint-triggered
$155,085 in fines

This facility has concerning patterns with 31 complaint-triggered deficiencies from families reporting problems, particularly around pain management, infection control, and wound care. Recurring issues include inadequate pain management (multiple violations), poor pressure ulcer treatment, infection control failures, and problems with respiratory care and medication labeling. While all deficiencies show correction dates, the persistent complaints about basic care quality, including abuse prevention failures, suggest ongoing systemic problems that families should carefully consider before choosing this facility.

Feb 12, 2026Routine
13
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0901Potential for harm · WidespreadCorrected

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

0761Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 7, 2026Complaint
1
0698Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Dec 8, 2025Complaint
3
0761Potential for harm · PatternCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jul 10, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 31, 2025Complaint
4
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

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.

Feb 5, 2025Complaint
3
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Feb 7, 2026

$19,115

Fine

May 31, 2025

$19,120

Payment Denial

May 31, 2025

27-day denial

Fine

Sep 4, 2024

$12,048

Fine

Jun 28, 2024

$80,760

Fine

Oct 24, 2023

$14,518

Fine

Sep 18, 2023

$9,524

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ignite Medical Resort Fort Worth, LLC

Organization Type

for profit

Administrator

JOHN NORRIS

Chain Affiliation

Chain Name

Ignite Medical Resorts

Chain Size

25 facilities nationwide

Chain avg rating: 2.7/5 · Rank 5 of 7

Ownership & Management

Owners

Ignite Fort Worth Jv LLC

Owner · Organization

Ignite-Villa Holdco LLC

Owner · Organization

Prestige Worldwide Fort Worth, LLC

Owner · Organization

Berger Fam Tr Ua 06252014

Owner (parent company) · Organization

Blue Pearl Financial LLC

Owner (parent company) · Organization

Gold Pearl, LLC

Owner (parent company) · Organization

Ignite Post Acute Solutions LLC

Owner (parent company) · Organization

Israel Family Investment Trust

Owner (parent company) · Organization

Israel Investment Tr

Owner (parent company) · Organization

Stern Family Investment Tr

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)

Rose, Marc

Owner (parent company)

Shearer, Rachel

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

Berger, MenachemManaging Control - Governing BodyCarr, BarryManaging Control - Governing BodyFields, TimothyManaging Control - Governing BodyIsrael, BenjaminManaging Control - Governing BodyStern, ToddManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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