Iroquois Nursing Home Inc
Inspection Findings
F-Tag F0757
F 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
others.During a phone interview on 11/04/2025 at 1:58 PM, Medical Director #20 stated when the Nurse Practitioner and nursing staff reconcile the medications at admission, they ensured the medications have a corresponding diagnosis or indication for use. They did not usually make changes to the medications of residents who come in for short-term rehabilitation. Resident #2 was admitted with the as needed antipsychotic medication. The hospital record stated it was for agitation, so they did not need to ask any more questions as to the reason for use. In the facility, the antipsychotic medication was used for agitation, sleep, psychosis, or behavioral problems that came with dementia which Resident #2 had as a diagnosis.
Resident #2 was on the medication for agitation as needed specifically at nighttime when the resident could not sleep. Even if the resident did not have a diagnosis of insomnia, the medication was used routinely for sleep in the facility. In the evening, residents that were Resident #2's age sundown (a pattern of increased behavior late afternoon to nighttime), they are irritable, agitated, and cannot sleep. If the resident could not sleep at night, the resident could get the quetiapine, and there was nothing wrong with that. Other interventions should be utilized first such as redirection or addressing the resident's needs. However, Resident #2 was older and could not say what they needed out loud. The idea behind an as needed antipsychotic was for comfort for the patient so they could rest and sleep. The reason for the medication was given should be documented by the nurse, as needed medication should not be given without a documented reason.During an interview on 01/29/2026 at 11:37 AM, the Director of Nursing stated interventions for individual resident behaviors were in their care plans. Staff were also trained to reapproach, reattempt, and redirect for dementia residents. Specific resident behaviors were recorded in
the resident's care plan, if they were known. If a resident was actively having behaviors, it should be documented in a behavior note. The Unit Managers were responsible for the behavior care plans with Social Work's assistance. If a resident had known behaviors, there should be a care plan with personalized interventions. The indication for use for an as needed antipsychotic was if the resident was a danger to themselves or others. Other interventions should be utilized prior to the resident receiving an as needed antipsychotic. It was expected that if an as needed antipsychotic was administered, there should be a corresponding nurse's note as to why. 10 New York Codes, Rules and Regulations, 415.12(I)(1)
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IROQUOIS NURSING HOME INC in JAMESVILLE, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JAMESVILLE, NY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from IROQUOIS NURSING HOME INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.