The Haven of Tuscola: Resident Lost 9 Lbs in 6 Days - IL
The 5 percent weight loss in less than a week came to light during a complaint inspection on August 26. What inspectors found at the center of it was not a complex medical mystery. The facility uses an electronic system to track residents' dietary needs and generate daily meal tickets. The dietary manager, identified in inspection records as V14, told inspectors she could not produce any documentation showing the resident, identified as R1, had been entered into that system after admission. No entry. No meal tickets. No record that food had been delivered to her at all.
The Director of Nursing, identified as V2, acknowledged the obvious during an interview that morning. If R1 missed meals, the Director of Nursing said, it could have led to her weight loss.
That was the finding: actual harm, affecting at least one resident, documented under federal tag F0692, which covers a nursing home's obligation to ensure residents receive the nutrition their bodies require.
The dietary manager's account is what makes this difficult to set aside. She did not say the records were lost or that the system had malfunctioned. She said she could not provide documentation showing R1 had been entered into the system upon admission. The gap she described is not a paperwork problem. It is the gap between a person arriving at a facility and that facility knowing she needs to eat.
Admission to a nursing home is supposed to trigger a chain of actions, assessments, care plans, and in this case, a simple entry into a computer that tells kitchen staff to send a tray. R1's admission weight was recorded on August 6. The weight taken six days later, on August 12, showed she had lost nine pounds. The inspection report does not describe what R1's condition was, whether she complained of hunger, whether anyone noticed she wasn't eating, or whether she had an underlying illness that contributed to the loss. What it describes is a facility that, when asked to show it had been feeding her, could not.
A 5 percent weight loss in six days is not a gradual decline. In an elderly person, that kind of drop in that short a window carries real consequences, dehydration, muscle loss, weakened immunity, increased fall risk. The Director of Nursing did not dispute what it meant. She confirmed it.
The Haven of Tuscola is a nursing facility at 1203 Egyptian Trail in Tuscola, a small city in central Illinois. The inspection was completed August 26, 2025, and the deficiency was rated at the level of actual harm.
The inspection report does not say whether R1 recovered the weight. It does not say whether she was still a resident when inspectors arrived, or what her condition was on August 26. It records her admission weight, her weight six days later, and the dietary manager's inability to account for what happened in between.
Nine pounds in six days. No documentation that she was ever in the system. The Director of Nursing, when pressed, agreed on what missing meals would have meant.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Haven of Tuscola from 2025-08-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 5, 2026 · Our methodology
THE HAVEN OF TUSCOLA in TUSCOLA, IL was cited for violations during a health inspection on August 26, 2025.
The 5 percent weight loss in less than a week came to light during a complaint inspection on August 26.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.