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Deficiency Records for The Iroquois Resident Home
A list of the most recent deficiencies for The Iroquois Resident Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Iroquois Resident Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-27 | 2024-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-27 | 2024-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-26 | 2024-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-26 | 2024-07-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-06-26 | 2024-07-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-26 | 2024-07-21 | N |
| 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. | Health | 2024-06-26 | 2024-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-07-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-26 | 2024-07-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-26 | 2024-07-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-06-26 | 2024-07-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-05-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-18 | 2024-05-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-07 | 2023-10-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-04 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-05-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-04 | 2023-05-26 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-04 | 2023-05-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-04 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-04 | 2023-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-07 | 2023-04-21 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-04-22 | 2022-05-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-04-22 | 2022-05-16 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-22 | 2022-05-16 | N |
| Honor 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. | Health | 2022-04-22 | 2022-05-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-22 | 2022-05-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-22 | 2022-05-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-22 | 2022-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-22 | 2022-05-16 | N |
| Post nurse staffing information every day. | Health | 2022-04-22 | 2022-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-05-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-28 | 2022-05-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-28 | 2022-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-28 | 2022-05-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-22 | 2021-12-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-22 | 2021-12-17 | Y |
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