Ignite Medical Resort El Paso, LLC
3421 Joe Battle Boulevard · El Paso, TX · 79936 · 9155995500
60 certified beds For profit - Corporation Chain: Ignite Medical Resorts
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$67,425 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $67,425 |
Inspection citations (45 in the current record)
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Immediate jeopardy · K March 13, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 6, 2026 · Resident Rights
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Immediate jeopardy · K March 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2026 · Quality of Life and Care
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Immediate jeopardy · K March 13, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 6, 2026 · Pharmacy Service
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Potential for harm · D March 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 6, 2026 · Infection Control
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Potential for harm · D December 17, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 17, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 23, 2026 · Infection Control
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Potential for harm · E December 4, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 19, 2026 · Nursing and Physician Services
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Potential for harm · E December 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 19, 2026 · Pharmacy Service
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Potential for harm · E December 4, 2025 · found via complaint
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.
Corrected January 19, 2026 · Pharmacy Service
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Potential for harm · D December 4, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 4, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 19, 2026 · Environmental
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No harm found · C December 4, 2025 · found via complaint
Post nurse staffing information every day.
Corrected January 19, 2026 · Nursing and Physician Services
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Potential for harm · D December 3, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · F March 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 26, 2024 · Infection Control
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Potential for harm · E June 6, 2024
Ensure each resident receives an accurate assessment.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 6, 2024
Implement 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.
Corrected July 3, 2024 · Pharmacy Service
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Potential for harm · E June 6, 2024
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.
Corrected July 3, 2024 · Pharmacy Service
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Potential for harm · D June 6, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected July 3, 2024 · Administration
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Potential for harm · D June 6, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected July 3, 2024 · Quality of Life and Care
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Potential for harm · E June 6, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2026 | Fine | $67,425 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676428 · certified since October 19, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.