Health inspection·June 2, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview and resident interview,the facility failed to protect the resident from abuse by staff. This affected one (Resident #54) of four resident records reviewed for abuse. The census was 105. Findings include: Review of Resident #54's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, morbid obesity, major depression, peripheral vascular disease, anxiety, reduced mobility and anxiety. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed her cognition was intact. She required set up or clean up assistance with oral hygiene, she is dependent for toileting, and requires substantial/maximal assistance for shower/bathing, dressing, personal hygiene and turning and repositioning. She is always incontinent of urine and frequently incontinent of bowel. Review of the plan of care she experiences alteration in mood and/or behavior as evidenced by resident has diagnoses of depression feeling bad about self or feeling like a failure, Feeling down/depressed/hopeless, feeling tired or having little energy, feels lonely or isolated, having difficulty concentrating, poor appetite or overeating, showing little interest/pleasure in doing things. Review of the Self Reported Incidents's revealed no reports of abuse. On 5/6/2025 at 10:53 A.M. revealed a progress note that revealed the nurse along with Certified Nurses Aide (CNA) were assisting resident into a sitting position from a lying position in order to utilize sit-to-stand machine. CNA took a hold of residents left hand and skin tear occurred due to residents fragile skin. The nurse immediately assessed residents pain level, resident denied any pain or discomfort upon questioning. The area was measured at 2.5 centimeters (cm) x 0.5 cm. Area was cleansed with normal saline, patted dry and steri-strips were applied and secured with a cover dressing. Intervention; Encourage resident use of geri-sleeves. Treatment in place; top of left hand: Cleanse Skin Tear with Normal Saline, pat dry with gauze. Apply primary dressing: Cover dressing. Allow steri-strips to fall off naturally. Change daily and as needed. Wound nurse to assess on Sunday. Nurse Practioner and daughter was made aware of the same. Review of a statement by CNA #205 revealed on 05/11/25 revealed CNA #10 dropped Resident #54 from the hoyer into the shower chair from at least one foot in the air. CNA #205 told CNA #10 you can't do that and the CNA #10 said sorry, I hope you didn't hurt yourself. Also Resident #54 was was (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 366353 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 366353 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tuscany Gardens 7400 Hazelton Etna Road SW Pataskala, OH 43062 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)