Iroquois Resident Home, The

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 7, 2023

  Based on interview and record review, the facility failed to adequately supervise a cognitively impaired resident and maintain a bed alarm in proper working condition. This failure resulted in R1 sustaining Thoracic-10 and Lumbar-2 (spinal) fractures. The facility also failed to utilize the Physician Ordered full mechanical lift to provide a safe transfer for a R3, resulting in a fall. R1 and R3 are two of three residents reviewed for falls on the sample list of six. Findings include: 1. R1's Physician Order Sheet (POS) dated 4/7/23 documents the following diagnoses: Altered Mental Status, Long Term Current Use of Aspirin, Repeated Falls, Unspecified Dementia Unspecified Severity, Osteoporosis and Anxiety. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to maintain the dishwashing machine in a manner to sanitize the meal service dish and service wares. This failure effects all 32 residents residing in the facility. Findings include:On 8/11/26 at 9:23 AM, V11 Dietary Manager, stated the facility dishwashing machine utilized the chemical sanitizer chlorine.On 8/11/26 at 9:23 AM, V11 and V12, Dietary Aide, tested the chlorine level inside the dishwashing machine with a facility test strip. The test strip turned a faint gray color, and as compared to the scale on the test strip container, indicated a chlorine level of approximately 10 parts per million (PPM) of chlorine. […]

• No harm, potential for more than minimal, widespreadF882Jun 26, 2024

  Based on observation, interview and record review the facility failed to employ an Infection Preventionist. This failure has the potential to affect all 27 residents residing in facility. Findings include: The facility Daily Midnight Census dated 6/24/24 documents 27 residents residing in the facility. Observations were made during Annual Licensure and Certification survey from 6/24/24/-6/26/26 with no Infection Preventionist onsite. On 6/25/24 at 12:45 PM V2 Director of Nurses (DON) stated the facility does not currently have an Infection Preventionist (IP). V2 DON stated the previous IP left the facility a month ago. V2 stated V2 is planning on signing up for the IP class but has not yet. […]

• No harm, potential for more than minimal, widespreadF725May 4, 2023

  Based on interview and record review, the facility failed to ensure the facility was sufficiently staffed to meet the needs of the residents. This failure affects five residents (R5, R14, R20, R23, R28) on the sample list of 21. This failure has the potential to affect all 28 residents residing in the facility. Findings include: The facility's Resident Council Meeting Minutes documents the following nursing concerns: 4/19/22 residents would like more Certified Nursing Assistants (CNA's) on evening shift. On 5/19/22 residents would like more CNA's. 6/16/22 one resident stated was not getting their bath today because not enough staff. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2023

  Based on observation, record review, and interview, the facility failed to ensure the dishwashing machine was operating in a manner to sanitize residents food service dishes, wares, and utensils. This failure has the potential to affect all 28 residents residing in the facility. Findings include: On 5/3/23 at 9:06 am, V12, Dietary Aide, stated, The dishwasher is a high temp (temperature) machine, I check it every morning. V12 then placed a facility digital thermometer onto a dishwashing rack and ran the rack through a cycle in the dishwasher. The thermometer displayed the maximum temperature during the dishwashing cycle of 144 degrees Fahrenheit (F). […]