Clarksville’s newest Italian restaurant, Casa D’Italia Ristorante, received a devastating score of 59 from the health department in its third week of being open to the public. Hands were not washed, dishes were not sanitized, sausage and ground beef items were cooked 3 hours in advance and sitting out at 76 degrees, meatballs were under temperature, pasta was pre-cooked and held at 48 degrees, and dozens of other violations. Fifteen pounds of food was embargoed from being served.