Concierge: Mike Boland
Patient’s Name: Vincent Anello
Patient’s Age: 81
Admission Date: 11/4/2025
Admitted From: Staten Island University Hospital
Discharge Date: 2/26/2026
Discharged To: Atria ALF Huntington
Length of Stay: 116 Days
Reason for Stay: Communicating Hydrocephalus & Weakness
Details of Experience
Upon admission to St. James Rehabilitation on 11/4/2025, the patient, a proud Army veteran, presented with significant functional limitations following hospitalization for generalized weakness and communicating hydrocephalus.
Initially, he appeared quiet, shy, and somewhat withdrawn, requiring encouragement to engage both physically and socially. At baseline, he required partial to moderate assistance for transfers, including chair-to-bed and toilet transfers, and was only able to ambulate short distances with assistance. His gait was impaired, with decreased step length, narrow base of support, and reduced balance. He demonstrated a high fall risk, evidenced by a Berg Balance Score of 17/56 and a history of multiple falls. Functional mobility was limited, and ambulation on uneven surfaces and stairs was not attempted due to safety concerns.
Throughout his stay, the patient participated in a structured physical therapy program including therapeutic exercises, gait training, neuromuscular re-education, and balance training. Over time, he demonstrated steady physical improvement, progressing from moderate assistance to supervision or touching assistance for most transfers. He advanced in ambulation, eventually walking up to 150 feet with a rolling walker and improved gait pattern, balance, and coordination.
Equally notable was his social and emotional progress. As he became more comfortable, the patient began to open up, displaying a warmer and more engaged personality. He started attending programs hosted by the Therapeutic Recreation Department, including the movie program, occasional live music events, and visits to the facility café, where he socialized with peers and staff. These activities contributed positively to his overall well-being and motivation.
By discharge on 2/25/2026, the patient reached his highest practical level of function. Bed mobility improved to independence for rolling, and transfers were safely performed with supervision. His Berg Balance Score improved to 20/56, reflecting gains in dynamic balance. Although some fall risk remained, he demonstrated the ability to safely navigate his environment with appropriate assistive devices.
The patient was discharged home with recommendations for continued support, including use of a rolling walker for ambulation, a wheelchair for longer distances, and home physical therapy. Overall, he made meaningful functional and personal gains, reflecting both physical recovery and renewed social engagement.
We wish Vincent continued success on his healthcare journey.