For profit - Partnership · 70 certified beds · CMS number 676460
Ignite Medical Resort Webster, LLC, Webster, TX
CMS records 12 health deficiencies at Ignite Medical Resort Webster, LLC in Webster, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 11, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists no fines or payment denials in the last three years.
- 12deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Ignite Medical Resort Webster, LLC as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Ignite Medical Resort Webster, LLC may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Jun 11, 2025. CMS counts 3 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 24, 2026 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
Jun 11, 2025 · Standard inspection
2 deficiencies, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 11, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 11, 2025
Previous cycle: 0 deficiencies (standard inspection May 8, 2024)
Standard inspection May 8, 2024. CMS counts 0 health deficiencies and 0 fire safety deficiencies in this cycle.
No health deficiencies in this cycle.
Earlier cycle: 9 deficiencies (standard inspection Mar 22, 2023)
Standard inspection Mar 22, 2023. CMS counts 9 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 22, 2023 · Standard inspection
9 deficiencies, highest G
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
F742 · Treatment for mental health and trauma
Requirement cited (CMS): 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.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 24, 2023
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 24, 2023
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 4.03 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.71 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.77 h
- Nursing staff turnover
- 35.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Ignite Medical Resort Webster, LLC, copied as published; Texas medians are ours.
Facility details
- Address
- 16130 Galveston Rd, Webster, TX 77598
- Phone
- (832) 426-7030
- County
- Harris
- Accepts
- Medicare
- Ownership
- For profit - Partnership
- Chain (CMS)
- Ignite Medical Resorts
- Certified beds
- 70
- Average residents per day
- 68.4
- In Medicare/Medicaid since
- Jan 25, 2019
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- None
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- Is there an active resident council or family council, and how often does it meet? (F565, cited 1 time)
- What is the home's policy on using physical restraints? (F604, cited 1 time)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
- Can a resident or their family review the baseline care plan during the first few days? (F655, cited 1 time)
Other nursing homes in Webster and the same chain
- Focused Care at Webster
Webster · 34 deficiencies - Regency Village
Webster · 29 deficiencies - Ignite Medical Resort Fort Worth, LLC
Fort Worth · 46 deficiencies - Ignite Medical Resort El Paso, LLC
El Paso · 41 deficiencies - Ignite Medical Resort Round Rock, LLC
Austin · 37 deficiencies - Ignite Medical Resort San Antonio, LLC
San Antonio · 36 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.