Health inspection·December 12, 2024

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on medical record review, resident interview, and staff interview, the facility failed to ensure residents were provided with necessary transportation to attend outside appointments as scheduled. This affected one (Resident #150) of three residents reviewed for transportation to outside appointments. The facility census was 112 residents. Residents Affected - Few Findings include: Review of the medical record for Resident #150 revealed an admission date of 09/17/20 and a readmission date of 11/30/22 with diagnoses including unspecified injury at T2-T6 level of thoracic spinal cord, morbid obesity due to excess calories, bipolar disorder, anxiety disorder, paraplegia, unspecified mood (affective) disorder, and depression. Review of the care plan for Resident #150 initiated 11/30/22 revealed the care plan did not address the resident's need for transportation to outside appointments. Review of the Minimum Data Set (MDS) assessment for Resident #150 dated 10/09/24 revealed the resident had intact cognition and required staff assistance with activities of daily living (ADLs). Interview on 12/12/24 at 4:23 P.M. with Resident #150 confirmed she had missed several scheduled outside medical appointments with different physicians due to the facility not making arrangements for needed transportation to the appointments. The resident stated she was supposed to receive Botox injections in her legs every three months to treat leg spasms. Resident #150 stated she last received the injections on 06/12/24. The resident missed her scheduled appointment in September 2024 due to the facility not being able to secure bariatric transportation. Resident #150 stated her neurologist had ordered outpatient neurological rehabilitation for the resident back in June or July 2024. The resident had not been able to attend any scheduled therapy appointments due to not having transportation. Resident #150 stated the outpatient rehabilitation facility dropped her as a patient due to excessively missing appointments. Resident #150 also reported she had missed two scheduled gynecologist appointments as well due to not having transportation. Resident #150 stated her legs hurt badly because she hadn't had the Botox injections. Interview on 12/12/24 at 4:37 P.M. with Scheduler #455 confirmed Resident #150 had missed multiple scheduled outside medical appointments due to not being able to secure needed transportation for the resident. Interview on 12/12/24 at 4:45 P.M. with the Administrator confirmed Resident #150 had missed multiple scheduled outside medical appointments due to not being able to secure the transportation needed for the resident. The Administrator stated he had been trying to find another provider who was able Page 1 of 2 366353 366353 12/12/2024 Tuscany Gardens 7400 Hazelton Etna Road SW Pataskala, OH 43062

F 0558 Level of Harm - Minimal harm or potential for actual harm to accommodate Resident #150's need for bariatric transportation as well as the ability to provide additional people to assist the resident but had not been able to find a provider yet. A facility policy was requested at the time of the survey. The Director of Nursing (DON) confirmed the facility did not have a policy that addressed providing transportation for outside appointments when needed. Residents Affected - Few This deficiency represents noncompliance investigated under Complaint Number OH00160217. 366353 Page 2 of 2