For the most part, I enjoyed my stay at the Tuscany. The rooms are spacious and comfortable, the food and drink available are good, and it's mostly quiet.
It is in the flight path of LAS, and you can hear the planes go overhead in the room, but it's not that huge a problem, as there seem to be few night flights.
Having a $14 resort fee wouldn't be bad if it included wifi in the room (another $15 a day). Granted, there is free wifi in the lobby area. But, when you're tired, and your room is at the other end of the resort, you don't feel like treking across the resort.
Since it is off the strip, cab service on busy nights can be iffy. Last night was a big fight night, so while waiting in line for a cab for almost an hour, 3 cabs arrived, all drop offs from the airport. If the resort had a shuttle for the airport and drop off on the strip (even if they only dropped off at one of the major casinos which are about a mile away) it would have been better...
This review is the subjective opinion of a TripAdvisor member and not of TripAdvisor LLC.