Nursing homeActiveSpecial Focus Facility candidate · what this means

Ignite Medical Resort El Paso, LLC

3421 Joe Battle Boulevard, El Paso, TX 79936915599550060 certified beds · 51 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
40
1363
Penalties · 3 yrs
$67,425
1 fine
Last survey
2026-03-13
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-13Complaint023CMS-2567 (Care Compare)
2025-12-17Complaint030CMS-2567 (Care Compare)
2025-12-04Complaint150CMS-2567 (Care Compare)
2025-12-03Complaint010CMS-2567 (Care Compare)
2025-07-31Standard050CMS-2567 (Care Compare)
2025-03-27Complaint020CMS-2567 (Care Compare)
2024-07-19Complaint010CMS-2567 (Care Compare)
2024-06-06Standard080CMS-2567 (Care Compare)
2023-09-13Complaint010CMS-2567 (Care Compare)
2023-04-14Standard080CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-13Complaint survey · 5 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-04-06Record 676428-20260313-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-04-06Record 676428-20260313-F684
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-04-06Record 676428-20260313-F760
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 676428-20260313-F609
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 676428-20260313-F880
2025-12-17Complaint survey · 3 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-23Record 676428-20251217-F550
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-23Record 676428-20251217-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-23Record 676428-20251217-F880
2025-12-04Complaint survey · 6 deficienciesOfficial report
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 676428-20251204-F725
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 676428-20251204-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 676428-20251204-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 676428-20251204-F842
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 676428-20251204-F919
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-01-19Record 676428-20251204-F732
2025-12-03Complaint survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-17Record 676428-20251203-F656
2025-07-31Standard survey · 5 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 676428-20250731-F558
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 676428-20250731-F689
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 676428-20250731-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 676428-20250731-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 676428-20250731-F880
2025-03-27Complaint survey · 2 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 676428-20250327-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 676428-20250327-F842
2024-07-19Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 676428-20240719-F880
2024-06-06Standard survey · 8 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F656
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F694
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F770
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 676428-20240606-F880
2023-09-13Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 676428-20230913-F684
2023-04-14Standard survey · 8 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F578
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F655
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F694
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-10Record 676428-20230414-F812

Penalties & enforcement

DateActionAmountSource
2026-03-13Civil money penalty$67,425CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.75
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.24
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.84
Facility
Texas
National
Texas 2.98 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
21.0%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
26.2%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.2%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
4.8%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
23.4%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Ab Investment Trust U/A/D 1/3/23
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Ignite El Paso Jv, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Prestige Worldwide El Paso, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Fields, Timothy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ignite Medical Resort El Paso, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ignite Team Partners LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ab Investment Trust U/A/D 1/3/23
Organization
ADP OF THE SNFNOT APPLICABLE
Berger Fam Tr Ua 06252014
Organization
ADP OF THE SNFNOT APPLICABLE
Blue Pearl Financial LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Carr, Barry
Individual
ADP OF THE SNFNOT APPLICABLE
Fields, Timothy
Individual
ADP OF THE SNFNOT APPLICABLE
Flores, Claudia
Individual
ADP OF THE SNFNOT APPLICABLE
Gold Pearl, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite El Paso Jv, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite El Paso Property, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite Medical Resort El Paso, LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ignite Medical Resort El Paso, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite Post Acute Solutions LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite Team Partners LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ignite-Villa Holdco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Israel Family Investment Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Israel Investment Tr
Organization
ADP OF THE SNFNOT APPLICABLE
Israel, Benjamin
Individual
ADP OF THE SNFNOT APPLICABLE
Panneerselvam, Ezhil
Individual
ADP OF THE SNFNOT APPLICABLE
Prestige Worldwide El Paso, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Stern Family Investment Tr
Organization
ADP OF THE SNFNOT APPLICABLE
Stern, Todd
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Part of a chain
Ignite Medical Resorts22 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for El Paso.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Center at Zaragoza, LLC
El Paso
1.1 mi2026-06-020230
Avir at Tierra Este
El Paso
2.5 mi2026-05-181543
Edgemere Estates
El Paso
2.9 mi2025-12-161464
El Paso Health & Rehabilitation Center
El Paso
3.4 mi2025-08-070400
Pebble Creek Nursing Center
El Paso
3.7 mi2026-05-221434
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01