Veranda Gardens Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Veranda Gardens Nursing & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF725Oct 12, 2024

  Based on observation, record review, interviews with staff, residents, and a family member, facility document review, and review of the Facility Assessment, the facility failed to ensure designated and consistent staffing was provided on one (500-Hall) of five total halls in the facility to ensure sufficient staff to provide needed care and services to the 13 residents that resided on the 500-Hall. This resulted in Immediate Jeopardy and the potential for serious injury, harm, impairment and/or death, when observations during the survey on 10/07/24 and 10/08/24 revealed times where the residents were left unattended on the 500-Hall with no staff members in the area. […]

• Actual harm, isolatedF689Nov 18, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on medical record review, review of the hospital record, review of the facility investigation, staff interviews, and review of the facility policy, the facility failed to provide adequate assistance while providing a resident incontinence care resulting in an avoidable fall. This resulted in Actual Harm to Resident #13 on 07/26/25 when staff rolled the resident away from them during care, the resident began to shake the side rail, the side rail gave way during care and the resident fell from the bed onto the floor. Resident #13 was subsequently transferred to the hospital for treatment for a head laceration requiring sutures. […]

• Actual harm, isolatedF791Jul 19, 2021

  Based on medical record review, observation and resident and staff interview, the facility failed to ensure a dental referral was completed for Resident #66 who had complaints of oral pain. This resulted in actual harm when staff failed to make a dental referral for Resident #66 and the resident subsequently experienced ongoing complaints of oral pain and a significant weight loss. This affected one resident (#66) of five residents reviewed for dental care. The facility census was 77. Findings include: Review of the medical record review for Resident #66 revealed and admission on 05/18/21. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the admission Minimum Data Set (MDS) assessment dated [DATE] for Resident #66 revealed intact cognition. […]

• No harm, potential for more than minimal, widespreadF572Jan 20, 2026

  Based on record review and staff interviews, the facility failed to review Resident Rights with the residents on an ongoing basis both in writing and orally. This had the potential to affect all residents in the facility. The facility census was 82. Review of Resident Council Minutes for the past twelve months (December 2024 through December 2025) revealed a discussion of resident rights was not on the agenda nor discussed at monthly meetings.Interview on 01/21/26 at 2:08 P.M., Resident #47 stated he had recently received a copy of the Resident Rights document from the local Ombudsman who had come to their January resident council meeting. After reading the document, he began sharing it with other residents including the Resident Council President (Resident #16). […]

• No harm, potential for more than minimal, widespreadF812Jan 20, 2026

  Based on observation, staff interviews and review of the facility policy, the facility failed to ensure food was stored and prepared in a manner to prevent foodborne illness. This had the potential to affect 80 out of 82 residents as the facility identified two Residents (#87 and #09) with a diet order of nothing by mouth. The facility census was 82. Observation of the kitchen's dry storage room on 01/12/26 at 8:50 A.M. with Dietary Supervisor (DS) #235, revealed a bag of baking cocoa with an open date of 07/12/25 and no discard date. Further observation revealed an open bag of egg noodles and penne noodles without a date. […]