Inspection Reports for
Verrazano Nursing and Post-Acute Center
100 Castleton Avenue, Staten Island, NY, 10301
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
The abbreviated survey was conducted to assess the facility's compliance with timely reporting requirements for suspected abuse, neglect, or theft, following an allegation made by Resident #3.
Findings
The facility failed to ensure that all alleged violations involving abuse were reported immediately or within the required timeframe to the appropriate authorities. Specifically, an allegation of abuse by Resident #3 on 08/15/2024 was not reported to the Director of Nursing, Administrator, or the New York State Department of Health as required.
Deficiencies (1)
Failure to timely report suspected abuse allegations involving Resident #3 to the Administrator, Director of Nursing, and State authorities as required by policy and regulation.
Report Facts
Residents Affected: 3
Dates of nursing notes review: 08/01/2024 to 08/16/2024
Dates of incident reports review: 08/01/2024 to 08/30/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Supervisor #1 | Named in failure to report abuse allegation involving Resident #3 | |
| Medical Doctor #1 | Medical Doctor | Named in failure to report abuse allegation involving Resident #3 |
| Director of Nursing | Director of Nursing | Interviewed regarding unawareness and investigation of abuse allegation |
| Administrator | Administrator | Interviewed regarding responsibility for reporting abuse allegations |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
One isolated Level 2 deficiency related to reporting of alleged violations, corrected as of June 9, 2025.
Findings
One isolated Level 2 deficiency related to reporting of alleged violations, corrected as of June 9, 2025.
Deficiencies (1)
R9-10-803.J — Reporting of alleged violations
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Mar 19, 2025
Visit Reason
The inspection was conducted as a recertification survey from 03/12/2025 to 03/19/2025 to assess compliance with regulatory requirements for Verrazano Nursing and Post-Acute Center.
Findings
The facility failed to develop comprehensive care plans for specific resident needs including diuretic use, dialysis, and hospice care for 3 sampled residents. Additionally, the facility did not ensure that residents were offered or educated on Pneumococcal, Influenza, and COVID-19 immunizations, with documentation lacking for multiple residents. The Director of Nursing acknowledged responsibility for immunization monitoring and cited personnel transitions as a cause for deficiencies.
Deficiencies (3)
Failure to develop and implement a complete care plan that meets all the resident's needs, with measurable timetables and actions, specifically for diuretic use, dialysis, and hospice care.
Failure to develop and implement policies and procedures for flu and pneumonia vaccinations, including offering and educating residents.
Failure to educate residents and staff on COVID-19 vaccination, offer the vaccine to eligible residents and staff after education, and properly document vaccination status.
Report Facts
Residents sampled: 26
Residents with care plan deficiencies: 3
Residents with immunization deficiencies: 5
Dialysis frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #3 | Registered Nurse | Interviewed regarding care plan development and review for Resident #28 |
| Registered Nurse #4 | Registered Nurse | Interviewed regarding dialysis care plan for Resident #79 and hospice care for Resident #93 |
| Director of Nursing | Director of Nursing | Interviewed regarding responsibilities for care plan development and immunization monitoring |
| Infection Preventionist | Infection Preventionist | Interviewed regarding immunization monitoring responsibilities |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Mar 19, 2025
Visit Reason
Multiple Level 2 deficiencies in standard health citations including Covid-19 immunization, care plan development, and immunizations; and Level 2 deficiencies in life safety code including hand rub dispensers, means of egress, and sprinkler system installation, all corrected by April 25, 2025.
Findings
Multiple Level 2 deficiencies in standard health citations including Covid-19 immunization, care plan development, and immunizations; and Level 2 deficiencies in life safety code including hand rub dispensers, means of egress, and sprinkler system installation, all corrected by April 25, 2025.
Deficiencies (1)
Covid-19 immunization; Develop/implement comprehensive care plan; Influenza and pneumococcal immunizations; Alcohol based hand rub dispenser (abhr); Means of egress - general; Sprinkler system - installation
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Jun 4, 2024
Visit Reason
The visit was conducted as an abbreviated survey to investigate an incident of alleged physical abuse involving a resident and a Certified Nursing Assistant.
Findings
The facility failed to ensure a resident's right to be free from physical abuse by staff. Video evidence showed a Certified Nursing Assistant slapped a resident on the back of the neck after the resident threw water on the staff member. The facility investigated, reported the incident to law enforcement, and removed the staff member from the schedule.
Deficiencies (1)
Failure to protect a resident from physical abuse by nursing home staff, evidenced by a Certified Nursing Assistant slapping a resident.
Report Facts
Residents Affected: 1
Date of Incident: May 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Staff member who slapped the resident and was removed from the schedule. |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Reported the yelling incident and provided statements about the event. |
| Director of Nursing | Director of Nursing | Conducted investigation, reviewed video footage, and concluded abuse occurred. |
| Administrator | Administrator | Called law enforcement and acknowledged the abuse incident. |
| Registered Nurse Supervisor #1 | Registered Nurse Supervisor | Informed of the incident and participated in the investigation. |
| Registered Nurse Supervisor #2 | Registered Nurse Supervisor | Assessed the resident after the incident and confirmed no visible injury. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jun 4, 2024
Visit Reason
One isolated Level 2 deficiency related to being free from abuse and neglect, corrected as of July 29, 2024.
Findings
One isolated Level 2 deficiency related to being free from abuse and neglect, corrected as of July 29, 2024.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Abbreviated Survey
Deficiencies: 6
Date: Apr 16, 2024
Visit Reason
The inspection was conducted as an Abbreviated Survey to evaluate compliance with regulatory requirements related to abuse reporting, investigation, care planning, pre-admission screening, discharge planning, and pressure ulcer care.
Findings
The facility failed to timely report and thoroughly investigate alleged abuse incidents, did not complete required pre-admission screening for mental disorders, failed to develop comprehensive care plans related to abuse and discharge planning, and did not provide appropriate pressure ulcer care resulting in actual harm to a resident.
Deficiencies (6)
Failed to timely report results of investigations of alleged abuse to the State Survey Agency within 5 working days.
Failed to thoroughly investigate alleged abuse, including not obtaining statements from staff witnesses.
Did not develop a comprehensive person-centered care plan related to abuse for residents following an allegation.
Did not complete required Level II Pre-admission Screening and Resident Review for a resident with serious mental illness prior to admission.
Did not develop an effective discharge care plan focused on resident's discharge goals and preparation.
Failed to provide appropriate pressure ulcer care and prevention, resulting in development and worsening of a Stage 4 pressure ulcer with infection.
Report Facts
Residents reviewed for abuse: 4
Residents sampled for PASRR: 3
Residents reviewed for pressure ulcers: 3
Pressure ulcer size: 7
Pressure ulcer depth: 3.5
Pressure ulcer size follow-up: 8
Pressure ulcer depth follow-up: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Responsible for abuse investigation and reporting; interviewed during survey | |
| Administrator | Stated responsibility for abuse reporting and investigation oversight | |
| Director of Social Services | Conducted interviews related to abuse allegations and discharge planning | |
| Registered Nurse #1 | Nursing Supervisor | Responsible for initiating care plans for pressure ulcer prevention |
| Registered Nurse #2 | Identified pressure ulcer and notified physician | |
| Physician #1 | Attending physician managing pressure ulcer treatment | |
| Physician #2 | Wound Care Consultant | Provided wound care recommendations for pressure ulcer |
| Director of Admissions | Responsible for reviewing pre-admission screening documentation | |
| Assistant Social Worker | Responsible for discharge care planning |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Apr 16, 2024
Visit Reason
Multiple isolated Level 2 deficiencies related to care plan, discharge planning, PASARR screening, reporting of alleged violations, and a Level 3 deficiency for treatment/services to prevent/heal pressure ulcers, all corrected by June 12, 2024.
Findings
Multiple isolated Level 2 deficiencies related to care plan, discharge planning, PASARR screening, reporting of alleged violations, and a Level 3 deficiency for treatment/services to prevent/heal pressure ulcers, all corrected by June 12, 2024.
Deficiencies (1)
Develop/implement comprehensive care plan; Discharge planning process; Pasarr screening for md & id; Reporting of alleged violations; Requirements before submitting a request for; Treatment/svcs to prevent/heal pressure ulcer
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Mar 11, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 20, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 12, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 6, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 8, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 2, 2024
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 26, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 18, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 11, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 20, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 13, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 6, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 30, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 23, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 17, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 10, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 2, 2023
Visit Reason
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Findings
One Level 2 deficiency related to reporting to the national health safety network, widespread scope, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jan 30, 2023
Visit Reason
The inspection was a Recertification survey conducted from 01/22/2023 through 01/30/2023 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to review and revise comprehensive care plans after assessments for several residents, inadequate treatment for limited range of motion, insufficient pain management for a resident with metastatic cancer, nursing staffing shortages impacting resident care and medication administration, significant medication errors for multiple residents, and improper food storage practices in the kitchen.
Deficiencies (6)
Failure to review and revise comprehensive care plans after each assessment for Residents #28, #45, and #50.
Resident #45 with limited range of motion did not receive appropriate treatment and services to prevent further decline; splint device was not used as recommended.
Resident #44 did not receive adequate pain management; frequent breakthrough pain was reported without reassessment or standing pain medication orders.
Insufficient nursing staffing on multiple units leading to deficits in medication administration and resident care.
Residents #82, #86, and #69 were not administered medications in accordance with physician orders, with multiple missed doses documented.
Food safety violations in the kitchen including undated frozen food items and opened packaging not properly stored.
Report Facts
Medication administration opportunities missed: 7
Medication administration opportunities missed: 7
Medication administration opportunities missed: 1
Medication administration opportunities missed: 2
Medication administration opportunities missed: 1
Medication administration opportunities missed: 1
Medication administration opportunities missed: 1
Medication administration opportunities missed: 1
Medication administration opportunities missed: 6
Medication administration opportunities missed: 7
Medication administration opportunities missed: 7
Medication administration opportunities missed: 1
Medication administration opportunities missed: 6
Medication administration opportunities missed: 6
Scheduled LPN shifts not worked and not replaced: 61
Medication administrations of Hydromorphone 8 mg q6 hrs PRN: 14
Medication administrations of Hydromorphone 8 mg q4 hrs PRN: 105
Frozen Kosher beef pot roast packages: 5
Frozen Kosher chicken legs packages: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Mentioned in relation to Resident #28 care refusal and behavior |
| CNA #2 | Certified Nursing Assistant | Mentioned in relation to Resident #28 care refusal |
| RNS #4 | Registered Nurse Supervisor | Mentioned in relation to discontinuation of splint order for Resident #45 |
| LPN #2 | Licensed Practical Nurse | Interviewed about Resident #45 splint use |
| CNA #3 | Certified Nursing Assistant | Interviewed about Resident #45 splint use |
| LPN #6 | Licensed Practical Nurse | Interviewed about pain management for Resident #44 and medication administration |
| RNUM #3 | Registered Nurse Unit Manager | Interviewed about pain management for Resident #44 |
| Attending Physician | Physician | Interviewed about pain management for Resident #44 |
| DNS | Director of Nursing | Interviewed about staffing shortages and care plan reviews |
| CNA #14 | Certified Nursing Assistant | Interviewed about staffing shortages |
| LPN #4 | Licensed Practical Nurse | Interviewed about staffing shortages and medication administration |
| CNA #7 | Certified Nursing Assistant | Reported no nurse on unit on 1/8/23 and medication concerns |
| RNS #1 | Registered Nurse Supervisor | Interviewed about medication administration and staffing |
| Food Service Director | Food Service Director | Present during kitchen observation of food storage |
| Dietary Aide | Dietary Aide | Interviewed about frozen food labeling and storage |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 30, 2023
Visit Reason
Multiple Level 2 and Level 3 deficiencies related to care plan timing, food sanitation, accident hazards, mobility, alleged violation investigation, pain management, medication errors, nursing staff sufficiency, and life safety code issues including electrical systems, emergency program, fire alarm, and sprinkler systems, all corrected by March and April 2023.
Findings
Multiple Level 2 and Level 3 deficiencies related to care plan timing, food sanitation, accident hazards, mobility, alleged violation investigation, pain management, medication errors, nursing staff sufficiency, and life safety code issues including electrical systems, emergency program, fire alarm, and sprinkler systems, all corrected by March and April 2023.
Deficiencies (1)
Care plan timing and revision; Food procurement,store/prepare/serve-sanitary; Free of accident hazards/supervision/devices; Increase/prevent decrease in rom/mobility; Investigate/prevent/correct alleged violation; Pain management; Residents are free of significant med errors; Sufficient nursing staff; Electrical systems - essential electric syste; Establishment of the emergency program (ep); Fire alarm system - testing and maintenance; Sprinkler system - installation; Sprinkler system - maintenance and testing; Subdivision of building spaces - smoke barrie
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 27, 2023
Visit Reason
Two isolated Level 2 deficiencies related to notification of changes and reporting of alleged violations, corrected as of February 14, 2023.
Findings
Two isolated Level 2 deficiencies related to notification of changes and reporting of alleged violations, corrected as of February 14, 2023.
Deficiencies (1)
Notify of changes (injury/decline/room, etc. ); Reporting of alleged violations
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 5, 2022
Visit Reason
Two isolated Level 2 deficiencies related to behavioral health services and resident records, corrected as of October 1, 2022.
Findings
Two isolated Level 2 deficiencies related to behavioral health services and resident records, corrected as of October 1, 2022.
Deficiencies (1)
Behavioral health services; Resident records - identifiable information
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 3, 2022
Visit Reason
Two isolated Level 2 deficiencies related to reporting of reasonable suspicion of a crime and right to be free from physical restraints, corrected as of June 14, 2022.
Findings
Two isolated Level 2 deficiencies related to reporting of reasonable suspicion of a crime and right to be free from physical restraints, corrected as of June 14, 2022.
Deficiencies (1)
Reporting of reasonable suspicion of a crime; Right to be free from physical restraints
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 13, 2020
Visit Reason
Annual inspection survey of Verrazano Nursing and Post-Acute Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
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