The 2021 pre‑licensing visit on 26 April 2021, conducted by Licensing Program Analyst Albert Johnson, confirmed that Orangeburg Manor met all fire, sanitation, and accessibility requirements. The review of the medication room revealed technical medication errors, which were logged and an incident report was filed. No other deficiencies were cited, and the facility was cleared for 80 non‑ambulatory clients, including 10 bedridden residents. The report emphasized that the facility had adequate lighting, proper furnishings, grab bars, non‑skid mats, and functional smoke and carbon‑monoxide detectors, and that all records and emergency plans were posted.

In the annual visits conducted in 2022 and 2023, the facility consistently achieved substantial compliance. The 1 April 2022 unannounced visit (LPA Jason Lund) found the single‑story building in good repair, with private and shared rooms, non‑skid bathrooms, sufficient food supplies, and locked medication storage. No deficiencies were cited during the post‑licensing and proof‑of‑correction visits that same day, and the 20 April 2023 inspection mirrored these findings, noting clean, odor‑free conditions and appropriate safety equipment. During each visit, the LPA reviewed a sample of staff and resident files and found no regulatory violations.

The exception occurred during the 5 June 2023 case‑management visit, when an elopement incident on 17 May 2023 was identified. The resident, who is documented in a LIC 602 as prohibited from leaving the facility unassisted, had escaped, triggering a repeat‑violation deficiency and an immediate civil penalty. The LPA noted that the facility’s policies on resident movement had been reviewed, and a plan of correction was generated.

Overall, Orangeburg Manor demonstrates a strong record of compliance with fire safety, sanitation, and medication management standards, with the sole recent lapse relating to a resident elopement. The facility’s administrative staff—initially Administrator Marie Arbios, later Administrator Alma Whitted, and Resident Care Coordinator Andrea Eldridge—have consistently engaged with the Department to address deficiencies and maintain regulatory adherence.