Tuscany Gardens

In the surveyor’s words

From the most serious findings on record at Tuscany Gardens, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 4, 2021

  Based on record review, hospital record review staff interview and facility policy and procedure review the facility failed to ensure Resident #78 was free from significant medication errors. Actual Harm occurred on 05/18/21 when Resident #78 was administered medication not prescribed for her but rather prescribed for another resident which resulted in the resident becoming unresponsive. The resident required [MEDICATION(S)] (medication used for the treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident also had [CONDITION(S)] (low blood pressure) which required intravenous (IV) fluids to be administered while she was treated in the hospital for an overdose. Following hospital treatment Resident #78 returned to the facility. […]

• No harm, potential for more than minimal, widespreadF761Jan 30, 2024

  Based on observation, interview, and review of manufacture guidelines the facility failed to remove five expired tuberculin (TB) solution vials from circulation. This had the potential to affect all 108 residents residing in the facility. The facility census was 108. Findings Include: Observation on [DATE] at 1:20 P.M. of unit 400 medication storage refrigerator revealed an opened Aplisol tuberculin (TB) solution vial received from pharmacy on [DATE] with an opened date of [DATE]. Registered Nurse (RN) #212 confirmed the expired opened Aplisol TB solution vial. Observation on [DATE] at 1:30 P.M. of unit 200 medication storage refrigerator revealed an opened Aplisol TB solution vial received from the pharmacy on [DATE] with no opened date. […]

• No harm, potential for more than minimal, widespreadF880Apr 27, 2022

  Based on review of facility infection control logs and infection control documentation, staff training records and interview the facility failed to develop and implement a comprehensive and effective infection control program to timely identify and implement corrective measures when trends and increased numbers of infection were identified to prevent the spread of infection including COVID-19. This had the potential to affect all 105 residents residing in the facility. Findings include Review of the infection control log for November 2021 revealed 34 of the 102 residents in the facility were on antibiotics (33%) during the month. This included 13 residents treated for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF804Jan 10, 2022

  Based on observation and interview, the facility failed to serve food at appropriate temperatures. This affected two residents, Resident #3 and Resident #72, and had the potential to affect all 102 residents in the facility who received food from the kitchen. Findings include: Observation on 01/06/22 at 11:45 A.M. of the lunch service revealed Dietary Supervisor #300 checked the temperatures of the food. The chicken breast was 188 degrees Fahrenheit (F), the mashed sweet potatoes were 200 degrees F, and the green beans were 198 degrees F. Interview 01/06/22 at 12:22 PM with Resident #3 and #72 revealed the facility food does not taste good, and the food was always cold. The surveyor returned to the kitchen and a test tray was requested. Observation on 01/06/22 at 12:30 P.M. […]

• No harm, potential for more than minimal, patternF583Mar 13, 2026

  Based on observations and interview with staff, the facility failed to ensure privacy was maintained during medication administration for Residents #21, #52, #77, #84, #85, and #88. This affected six residents (#21, #52, #77, #84, #85, and #88) of 14 observed for medication administration. Findings Include: 1. Review of the medical record for Resident #85 revealed an admission date of 01/05/26 and diagnoses of diabetes, muscle weakness, cognitive communication deficit, need for assistance with personal care, high blood pressure, constipation, and congestive heart failure. Observation of medication administration on 03/13/26 at 11:35 A.M. revealed Registered Nurse #201 prepared medication at the medication cart outside the room of Resident #85. […]