Iroquois Nursing Home Inc

In the surveyor’s words

From the most serious findings on record at Iroquois Nursing Home Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 10, 2021

  Based on observation, record review, and interview during the abbreviated survey (NY 093) conducted on 6/10/21, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 6 residents (Resident #1) reviewed. Specifically, on 6/1/21, Resident #1, a cognitively impaired resident, identified as at risk for elopement following exit-seeking behaviors exhibited following admission, was able to leave the facility undetected by staff through a second-story window, fell approximately 10-12 feet, and was found on the ground outside of the facility by a staff member exiting the building. The resident exhibited wandering behaviors and had made a statement that they would exit the building through a window. […]

• Actual harm, isolatedF600Oct 13, 2022

  Based on observation, record review, and interview during the abbreviated survey (NY 302) the facility failed to ensure residents were free from abuse and neglect for 1 of 3 residents (Resident #1) reviewed. Specifically, CNA #1 was observed in a video grabbing Resident #1 by the arm, pulling the resident roughly from behind with both arms and ignoring the resident while they sat on the floor for 10 minutes. This resulted in actual harm of mental anguish that was not immediate jeopardy to Resident #1 who became weepy and inconsolable when the incident was discussed. Findings include: The undated facility Abuse Policy documented all residents would be free from abuse. […]

• No harm, potential for more than minimal, patternF584Aug 20, 2024

  Based on observation, record review, and interview during the recertification survey conducted 8/14/2024 -8/20/2024, the facility did not ensure a safe, clean, comfortable, and homelike environment for 1 of 4 resident floors (Unit 1) reviewed. Specifically, Unit 1 had multiple unclean and damaged wheelchairs, positioning chairs, and positioning devices. Findings include: The facility policy, Devices and Equipment, dated 3/2028 documented all resident devices and equipment, to include wheelchairs and walkers, would be maintained on a schedule. Defective or worn devices would be repaired or replaced. The undated facility policy, Work Orders, documented all staff were responsible for submitting work orders in the electronic system and then it was to be forwarded to the maintenance director. […]

• No harm, potential for more than minimal, isolatedF644Jun 2, 2026

  Based on record review and interviews (iQIES intake 2971099) the facility failed to ensure that residents with newly evident or possible serious mental disorders, intellectual disabilities, or related conditions were referred for a Level II Preadmission Screening and Resident Review (ensures that individuals who have a mental disorder or intellectual disabilities were not inappropriately placed in nursing homes for long term care; a Level II Preadmission Screening and Resident Review identifies the specialized services required by the resident) for one (1) of one (1) residents (Resident #140) reviewed. […]

• No harm, potential for more than minimal, isolatedF686Jun 2, 2026

  Based on observations, record review, and interviews, the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection and prevent new ulcers from developing for one (1) of five (5) residents (Resident #10) reviewed. Specifically Resident #10's treatment to the pressure ulcer on their back was not administered as ordered. Findings include:The undated facility policy Skin Care Program, documented after signs of pressure, skin breakdown, edema, or changes to the skin were noticed, staff reported findings to the unit/clinical manager. Then the manager initiated treatment measures and notified physician of any new or worsening pressure areas. […]