The Haven of Tuscola

In the surveyor’s words

From the most serious findings on record at The Haven of Tuscola, in the surveyor’s own words.

• Actual harm, isolatedF697Jul 31, 2026

  Based on observation, interview and record review, the facility failed to ensure pain medication supply was available for administration for two residents (R1 and R2), failed to clarify a physician order for a pain medication dose for one resident (R2), and failed to initiate a care plan for pain triggered on a Care Area Assessment (CAA) for one resident (R2). These failures affected two (R1 and R2) of three residents reviewed for pain on the sample list of three residents. This failure resulted in R1, going without needed Morphine narcotic pain medications, during end-of-life (Hospice) comfort focused care, for greater than 24 hours.This failure resulted in R2 going without Lidocaine (topical numbing agent, for nerve ending) patch for pain, continually for five days which prevented R2's… […]

• Actual harm, isolatedF760Jul 31, 2026

  Based on observation, interview and record review the facility failed to obtain physician ordered medications in a timely manner, which resulted in significant medication errors due to repeated, missed administration of medication. These failures affected two (R1 and R2) of three residents reviewed for medication on the sample list of three residents.This failure resulted in R1, going without needed Morphine narcotic pain medications, during end-of-life (Hospice) comfort focused care, for greater than 24 hours.This failure resulted in R2 going without Lidocaine (topical numbing agent, for nerve ending) patch, for pain, continually for five days which prevented R2's ability to sleep comfortably and going without Mirabegron Urinary Antispasmodic medication for seven days, which increased… […]

• Actual harm, isolatedF684May 20, 2026

  Based on observation, interview, and record review the facility failed to follow physician's orders and develop/implement a care plan and interventions for treatment and monitoring of Congestive Heart Failure (CHF) for two of two residents (R7, R8) reviewed for hospitalizations in the sample list of 40. These failures resulted in R7 and R8 being hospitalized with CHF exacerbation. Findings include: 1.) R7's Hospital History and Physical dated 1/15/26 documents R7 was recently diagnosed with Respiratory Syncytial Virus and reported having nonproductive cough for about a week with wheezing and shortness of breath for the past two days. R7's chest x-ray showed cardiomegaly, pulmonary vascular congestion, and possible pulmonary edema. […]

• Actual harm, isolatedF689Feb 4, 2026

  Based on observation, interview, and record review the facility failed to utilize footrests when transporting a dependent resident in a wheelchair resulting in entrapment of lower extremities in front wheels and the staff member transporting the resident failed to report the incident resulting in a two day delay of care for one (R1) of three residents reviewed for accidents in a sample of three residents. This failure caused R1 to suffer a fractured left tibia. Findings Include:R1's Care Plan, updated on 12/17/25, lists the following diagnoses: Congestive Heart Failure, Chronic Kidney Disease Stage III, Paroxysmal Atrial Fibrillation, Lymphedema and Chronic Venous Insufficiency of the lower extremities, unsteady gait, muscle wasting, and difficulty walking.R1's Minimum Data Set (MDS) dated… […]

• Actual harm, isolatedF692Aug 26, 2025

  Based on observation, interview, and record review the facility failed to ensure that each resident's nutritional and hydration status was maintained for two (R1, R3) of three residents reviewed for weight loss. Findings include:The facility's Passing Meal Trays undated policy provided by the facility documents that nursing will be responsible for delivering all trays to residents whether the resident is eating in the dining room or in the resident room. Nursing will advise Food Service of residents not eating in their usual location. The facility's Meal Schedule undated policy provided by the facility documents that three meals will be served daily at similar times as served in the community. […]