When a surveyor interviewed CNA #2 on October 23, she described how the system is supposed to work.
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The resident, identified in inspection records only as Resident L, had passed black tarry stool the evening of September 24, 2025.
The complaint inspection, completed October 24, 2025, centered on a single category of failure: training.
Federal inspectors documented the failure on October 23, 2025, after reviewing the medical records of a resident identified only as Resident 5.
When a registered nurse identified in the report as RN-B was interviewed on October 22, she acknowledged the gap directly.
The incident happened on October 11, 2025.
The incident happened on the evening of October 16, 2025.
The resident, identified in inspection records only as R1, had been telling staff she was falling.
He wasn't wrong to expect more.
The inspection, conducted October 23, 2025, stemmed from a complaint.
Federal inspectors visited the Lakeland facility on October 23, 2025, following a complaint.
Immediate jeopardy means inspectors determined the problem had caused, or was likely to cause, serious injury, harm, or death to residents.