Orangeburg Manor

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with the Administrator Stephany Issakhani and explained the reason for the visit. Census: 35 Staff left resident in soiled diapers/clothing - Based on records reviewed, and interviews with staff. Resident (R1) LIC602A states that R1 is slightly incontinent. LPA also reviewed R1’s resident care plan that R1 get’s help with toileting. LPA interviewed staff who stated that they are assigned residents during there work shift that they are responsible for changing. Staff stated that are continuing to ask (Reminders) residents in care to use the restroom are change them. LPA Lund observed no soiled diapers during his visit. LPA Lund reviewed facility job description for Resident Care Technicians which states provide assistance to each residents individual care plan. UnsubstantiatedRead the full finding— CDSS inspection report, December 4, 2025 · control 27-AS-20250905144708

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with the Executive Director Jennifer Whiteley and explained the reason for the visit. Census: 27 Staff did not prevent resident from harming another resident in care- Based on records reviewed, and interviews with staff. Resident (R1) moved into the facility on 08/25/2022 and moved out on 10/5/2024. LPA Lund reviewed Unusual Incident/Injury Report dated 6/17/2024 from the facility. On 6/11/2024 R1 was having an episode of increased agitation and began throwing objects in the community day room. Staff were attempting to redirect R1, when R1 went to Resident (R2) and grabbed R2’s left forearm and caused a skin tear on R2. Both residents were immediately separated by staff. First aid was immediately applied to R2. continiued on additional forms..... UnsubstantiatedRead the full finding— CDSS inspection report, July 17, 2025 · control 27-AS-20250321104709

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Executive Director Jennifer Whiteley and explained the reason for the visit. Census: 28 Staff handles resident roughly causing bruising- LPA Lund reviewed facility records, interviewed staff and residents in care. All staff have had training in Observing, Reporting & Documenting. Staff are to report any bruising to management or any incidents that has happened with a resident in care. Residents interviewed stated they staff have not been mistreated or handled in a rough way by staff. Staff interviewed stated if they were to observe staff mistreating a resident in care, they would notify management immediately. UnsubstantiatedRead the full finding— CDSS inspection report, May 19, 2025 · control 27-AS-20241220081845

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to follow up on a complaint investigation regarding the above allegations. LPA Lund met with Administrator Jennifer Whiteley and explained the reason for the visit. Census: 32 Resident sustained multiple injuries due to lack of care from staff - LPA Lund reviewed facility paperwork, interviewed staff and reporting party. LPA Lund reviewed resident (R1) Physician’s Report (LIC602A) dated 8/8/2024 which stated R1 needed assistance with for bathing, grooming, feeding and toileting needs. LPA Lund reviewed the facility Resident Appraisal (LIC603A) form dated 8/9/2024 states that R1 only needed reminders only for toileting. For bathing and dressing reminders with standby of staff. It was reported to licensing that R1 had multiple falls. SubstantiatedRead the full finding— CDSS inspection report, January 29, 2025 · control 27-AS-20240930172435

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Jeanine Gaona Resident Care Director and explained the reason for the visit. Census: 34 Resident sustained multiple injuries due to lack of care from staff - LPA Lund reviewed facility paperwork, interviewed staff and reporting party information. LPA Lund resident (R1) Physician’s Report (LIC602A) dated 8/8/2024 which stated R1 needed assistance with for bathing, grooming, feeding and toileting needs. The facilities Resident Appraisal dated 8/9/2024 states that R1 only needed reminder only for toileting. For bathing and dressing reminders with stand by of staff. It was reported to licensing that R1 had falls on 8/14/2024, 08/21/2024, 09/04/2024 and 09/15/2024. SubstantiatedRead the full finding— CDSS inspection report, December 26, 2024 · control 27-AS-20240930172435

On 10/01/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Jennifer Whitely and explained the purpose of the visit. The purpose of this visit was to inform the facility and it's representative that a complaint has been filed against it at this time. Current census was 35. A tour of the facility was conducted. A brief interview with FDA Whitely was conducted. LPA conducted a tour of the facility, 4 resident bedrooms, and the kitchen. In bedroom 1, LPA observed 1 small brown cockroach on the side of the wall, 2 behind the resident bed, and 1 in the corner of the room. A interview with 3 staff was conducted and it was learned that they have seen or have reported small brown cockroaches to the maintenance director around 2 weeks ago. Based on the observations made during today's visit, the following deficiencies are being cited on the attached 809D during this visit. If any of the citRead the full finding— CDSS inspection report, October 1, 2024 · control 27-AS-20240930172435

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegation. LPA Lund met with Executive Director Jennifer Whiteley and explained the reason for the visit. Census:39 Licensee does not ensure the facility is in good repair at all times - LPA Lund reviewed facility records, interviewed staff, and residents in care. Based on records review the facility had repairs done to the kitchen on 11/30/2023, 12/11/2023, 12/21/2023, 1/4/2024, 2/6/2024 & 3/9/2024. Staff interviewed stated that it didn’t affect the residents’ meals. Residents interviewed stated that they were not affected bye the kitchen repairs that meals were on time and sufficient. UnsubstantiatedRead the full finding— CDSS inspection report, April 3, 2024 · control 27-AS-20231212084116

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund met with Resident Care Director Jeanine Gaona and explained the reason for the visit. Resident's dietary needs are not being met- Based on facility records reviewed, interviews with staff, residents & LPA Lund observation. Facility records show the residents do not have dietary needs for sugar free coffee creamer and residents have the right to choose what type of creamer they would like in moderation. The facility does offer both sugar free & regular (Sugar) creamer. Staff make the coffee and ask residents what type of creamer if needed. LPA Lund interviewed Resident Care Director Jeanine Gaona who stated that “None of the Residents Dietary Communication Notification forms state what type of creamer they have to have. Staff try to persuade the residents who have diabetes to have sugar free creamer, but it is still residents’ choice.” UnsubstantiatedRead the full finding— CDSS inspection report, August 7, 2023 · control 27-AS-20230328140424

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund met with Resident Care Coordinator Andrea Eldridge and explained the reason for the visit. Facility staff are not adhering to COVID protocols- Based on records review and interviews conducted with staff. The facility turned in an infection control policies plan to Community Care Licensing (CCL). The infection control policies plan followed the requirements for CCL. Facility staff were trained in proper infection control polices. LPA Lund toured the physical plant and observed that the covid related cases have all cleared. LPA observed there is a sufficient number of PPEs during this visit. Based on interviews with staff, records review and observation. The lack of evidence or preponderance of evidence standards has not been met; therefore, the above allegation(s) is found to be UNSUBSTANTIATED. UnsubstantiatedRead the full finding— CDSS inspection report, April 20, 2023 · control 27-AS-20230110122320

On 4/5/2023 Licensing Program Analyst (LPA) Jason Lund arrived unannounced to deliver a complaint investigation finding. LPA Lund met with Excutive Director Alma Whitted and explained the reason for the visit. Resident sustained a serious injury due to inadequate staff supervision: Resident (R1) eloped from the facility and sustained serious injuries. Based on a review of video footage, on 01/21/2023 at approximately 3:46 pm, R1 exited the facility. Staff (S1) heard the door alarm and turned it off without confirming whether a resident had exited the building. At approximately 3: 53 pm, R1 exited the courtyard gate and eloped from the facility. Staff (S2) stated that S2 heard the gate alarm and responded but did not see anyone outside. At approximately 6:30 pm, Staff (S3) was informed R1 was in the hospital and that is when facility staff realized R1 had eloped. SubstantiatedRead the full finding— CDSS inspection report, April 5, 2023 · control 27-AS-20230127114428

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund was met with Resident Care Coordinator Andrea Eldridge and explained the reason for the visit. Staff retaining resident who requires a higher level of care- Based on facility records reviewed, interviews with staff and witness. Facility records (Unusual Incident/Injury Report LIC 624) dated 2/26/2022 the facility reported that Resident (R1) was sent to the Emergency Room (ER) for evaluation and was discharged on 3/1/2022 with a diagnosis of cellulitis’s, dermatitis with skin changes. When R1 was discharged and returned back to the facility with Lifeguard Home Health services. The services included a Registered Nurse and Physical Therapist to help R1 twice a week. R1 was with Lifeguard Home Health from 3/1/2022 through 9/27/2022 and Lifeguard Hospice from 9/27/2022 through 10/4/2022 when R1 was discharged from the facility. R1’s Power of Attorney (POA), Resident Care CoordinatoRead the full finding— CDSS inspection report, January 12, 2023 · control 27-AS-20220824135553