Iams was awarded the Medal of Honor for actions while a sergeant in the U.S. Marine Corps. His citation reads:
In company with members of the Fifth, Thirteenth, Twenty-Third Companies and Marine and sailor detachment from the USS Connecticut, Sergeant Iams participated in the attack on Fort Riviere, Haiti, November 17, 1915. Following a concentrated drive, several different detachments of Marines gradually closed in on the old Frenchbastion fort in an effort to cut off all avenues of retreat for the Caco bandits. Approaching a breach in the wall which was the only entrance to the fort, Sergeant Iams unhesitatingly jumped through the breach despite constant fire from the Cacos and engaged the enemy in a desperate hand-to-hand combat until the bastion was captured and Caco resistance neutralized.
"Major Ross L. Iams, USMC". Who's Who in Marine Corps History. History Division, United States Marine Corps. Archived from the original on May 16, 2011. Retrieved September 3, 2007.