Verrazano Nursing and Post-Acute Center

In the surveyor’s words

From the most serious findings on record at Verrazano Nursing and Post-Acute Center, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 16, 2024

  Based on interviews and record review during an Abbreviated Survey (Complaint # NY00314677), the facility failed to ensure that each resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable. This was evident in 1 (Resident #2) of 3 residents reviewed for pressure ulcers (ulcers which occur on the skin surface due to prolonged pressure). Specifically, Resident #2, who was at mild risk for developing a pressure ulcer, was identified with a pressure ulcer on the sacrum (a bone located on the lower back) on 03/28/2023. The resident's pressure ulcer was not promptly assessed, and treatment was not started until 04/07/2023. […]

• Actual harm, isolatedF689Jan 30, 2023

  Based on observation, record review, and interview conducted during the recertification and abbreviated survey (NY00309172) the facility did not ensure each resident received adequate supervision to prevent accidents for 1 (Resident #109) of 3 residents reviewed for wandering and elopement. Specifically, Resident #109, a resident with moderately impaired cognition and a wander alert device (a device that alerts staff when the resident is exiting the building), exited the facility without staff knowledge on 1/23/23 between 3:00 PM and 4:15 PM. The resident was found by the police on 1/24/23 at 7:07 AM and admitted to the hospital with Hypothermia (low body temperature), Altered Mental Status (a change in mental function), and a Urinary Tract Infection (UTI). […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2023

  Based on observation, interviews, and record review conducted during the Recertification survey from 1/22/23 to 1/30/23, the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was evident during Kitchen observation. Specifically, frozen food items were stored undated and with opened packaging. The findings are: The facility's policy titled Food Storage last reviewed 10/22 documented that leftover food is stored in a dated, covered containers, wrapped carefully and securely. Frozen meat, poultry and fish should be covered, labeled, and dated. On 1/22/23 at 9:51 AM, Kitchen observation was conducted with the Food Service Director (FSD) present. […]

• No harm, potential for more than minimal, patternF883Mar 19, 2025

  Based on record review and interviews during the Recertification Survey conducted from 03/12/2025 to 03/19/2025, the facility did not ensure that each resident was offered the Pneumococcal and Influenza immunizations. This was observed in 5 of 5 residents (Residents #11, #23, #57, #84, #93) sampled for Immunizations out of a total of 26 sampled residents. Specifically, there was no documented evidence that Resident #23 was offered or educated on the Influenza immunization, and there was no documented evidence that residents #11, #23, #57, #84, and #93 were offered or educated on the Pneumococcal immunization. […]

• No harm, potential for more than minimal, patternF887Mar 19, 2025

  Based on observation, record review and interviews conducted during the Recertification Survey from 03/12/2025 to 03/19/2025, the facility did not ensure that each resident was offered the COVID-19 immunization. This was observed in 5 of 5 residents (Residents #11, #23, #57, #84, #93) sampled for Immunizations out of a total of 26 sampled residents. Specifically, there was no documentation related to the screening, administration or declination, and education on the COVID-19 immunizations for Residents #11, #23, #57, #84, and #93. The findings include: The facility policy titled COVID-19 Vaccination Administration for Residents last reviewed 10/14/2024 documented that the facility will provide all residents and representatives with education regarding the COVID-19 vaccination. […]