Inspection Reports for Orangeburg Memory Care

An unannounced complaint investigation was conducted in response to allegations that staff did not prevent a resident from harming another resident and did not provide adequate supervision resulting in falls.

Based on records reviewed and interviews with staff, the allegations that staff failed to prevent harm between residents and failed to provide adequate supervision resulting in falls were both deemed unsubstantiated due to insufficient evidence to prove the alleged violations.

The complaint investigation addressed two allegations: 1) staff did not prevent resident from harming another resident, and 2) staff did not provide adequate supervision resulting in falls. Both allegations were found to be unsubstantiated after review of incident reports, interviews, and facility records.

An unannounced complaint investigation was conducted regarding multiple allegations including rough handling of residents causing bruising, failure to ensure residents take medication, improper cleaning of the facility, residents not being able to eat or drink in the evening after dinner, and staff forcing residents to get up and dressed at 5 AM.

After reviewing facility records, interviewing staff and residents, and observing the facility, all allegations were found to be unsubstantiated due to lack of sufficient evidence to prove the violations occurred.

The complaint investigation was triggered by allegations received on 12/20/2024. The investigation found all allegations unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The visit was an unannounced one-year annual/required inspection conducted by Licensing Program Analyst Jason Lund to evaluate compliance with licensing requirements.

The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was current and compliant. Medications and toxins were securely stored. Staff and resident files reviewed were in compliance. No deficiencies were observed or cited during this visit.

An unannounced complaint investigation visit was conducted in response to allegations that a resident sustained multiple injuries due to lack of care from staff.

The investigation found that the resident sustained multiple injuries due to lack of care from staff, including failure to update needs and services plans and failure to report falls and hospital visits to licensing. The allegation was substantiated.

The complaint was substantiated based on evidence that the resident sustained multiple injuries due to lack of care from staff. The facility failed to update the resident's needs and services plan and did not report falls or hospital visits to licensing. A civil penalty assessment is pending.

The visit was an unannounced case management visit to investigate a complaint regarding resident R1 who had multiple falls, including an incident on 09/18/2024 that resulted in injuries and a hospital visit which was not reported to licensing.

The facility failed to report the falls and hospital visit for resident R1 and did not submit an Unusual Incident/Injury Report (LIC624) for the fall on 09/18/2024. Deficiencies and an immediate civil penalty were issued for repeat violations.

The complaint investigation was regarding resident R1 who had multiple falls. On 09/18/2024, R1 was transported to the Emergency Room with head and neck injuries. The facility failed to report the falls and hospital visit to licensing and did not complete the required Unusual Incident/Injury Report.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident sustained multiple injuries due to lack of care from staff and that staff did not ensure that resident's hygiene needs were met.

The investigation substantiated that a resident sustained multiple injuries due to lack of care from staff, including failure to meet the resident's needs as identified in the pre-admission appraisal and failure to report falls and hospital visits. The allegation regarding unmet hygiene needs was found to be unsubstantiated after review of records, staff, and resident interviews.

The complaint was substantiated regarding multiple injuries sustained by a resident due to lack of care from staff. The allegation that staff did not ensure the resident's hygiene needs were met was unsubstantiated.

The visit was an unannounced complaint investigation conducted due to a complaint received on 2024-09-30 alleging that staff did not keep the facility free of cockroaches.

During the visit, the Licensing Program Analyst observed multiple small brown cockroaches in a resident bedroom and learned from staff interviews that cockroaches had been seen and reported previously. The facility was found not to be free of cockroaches, posing potential health, safety, and personal rights risks.

The complaint was substantiated. The allegation was that staff did not keep the facility free of cockroaches. The investigation confirmed the presence of cockroaches and staff reports of sightings.

Licensing Program Analyst Jason Lund arrived unannounced to conduct a Case Management visit and met with the Executive Director to explain the reason for the visit.

The facility is working with the public guardianship to obtain conservatorship for a resident (R1) following a 30-day notice. The facility will keep the Licensing Program Analyst updated on any changes. An exit interview was conducted and the report was left.

The visit was an unannounced annual/required inspection conducted by the Licensing Program Analyst to evaluate compliance with facility regulations.

The facility was found to be clean, odor-free, and in good repair with sufficient furniture, lighting, and food supplies. Fire safety equipment was current and medications and toxins were securely stored. Staff and resident files reviewed were in compliance. No deficiencies were observed or cited during this visit.

The visit was an unannounced proof of correction (POC) inspection to verify that previously cited deficiencies from 04/03/2024 had been corrected.

Proper proof of correction documentation was received for the previously cited deficiency, and no new deficiencies were observed or cited during this visit.

Unannounced complaint investigation visit conducted in response to an allegation that the licensee does not ensure the facility is in good repair at all times.

The investigation included review of facility records, staff and resident interviews. Repairs were documented on multiple dates and residents reported no impact on meals. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint allegation was unsubstantiated. Although the allegation may have happened or is valid, there was not sufficient evidence to prove the violation occurred.

The visit was an unannounced case management inspection triggered by an unusual incident report stating that a resident eloped from the facility on 2024-03-23, despite being documented as unable to leave unassisted.

The facility was found deficient for failing to ensure resident supervision, resulting in a resident eloping from the facility. This deficiency posed an immediate health and safety risk and was cited as a repeat violation with an immediate civil penalty issued.

The complaint was substantiated based on the investigation of the unusual incident report regarding resident elopement. Immediate civil penalty was issued for repeat violation.

The visit was an unannounced proof of correction (POC) inspection to verify the facility's correction of two previously cited deficiencies related to case management visits dated 7/5/2023.

The Licensing Program Analyst reviewed documentation for the two deficiency plans of correction and conducted an exit interview. The report indicates the visit was completed with no further findings noted.

An unannounced complaint investigation was conducted in response to an allegation that a resident's dietary needs were not being met.

Based on facility records, staff and resident interviews, and observation, it was unclear if the resident's dietary needs were unmet; therefore, the allegation was deemed unsubstantiated.

The complaint alleged that a resident's dietary needs were not being met. The investigation found that residents have the choice of sugar free or regular creamer, and staff encourage but do not require sugar free creamer for diabetic residents. The allegation was unsubstantiated due to lack of preponderance of evidence.

The Non-Compliance Conference (NCC) was conducted to discuss the high volume of deficiencies and the facility's inability to remain in substantial compliance with regulations over the past 12 months.

No deficiencies were cited during this visit. The facility was advised on future non-compliance consequences and agreed to implement corrective actions including additional dementia training, quality assurance checks, monitoring improvements, and resident safety measures.

Unannounced case management visit to evaluate deficiencies related to fire safety and compliance with regulations following reports from the Modesto Fire Department.

The facility was found to have multiple fire safety violations including unapproved locking/latching devices on sliding glass doors of eight residents' rooms, obstructing emergency exits and posing immediate health and safety risks. Civil penalties were issued.

Unannounced case management visit conducted due to an unusual incident report of a resident eloping from the facility.

The facility was found deficient for failing to ensure resident supervision, resulting in a resident eloping. An immediate civil penalty was issued for this repeat violation.

The visit was an unannounced case management inspection triggered by an unusual incident report regarding a resident who eloped from the facility.

The facility was found deficient for failing to ensure resident supervision, resulting in a resident eloping from the facility. An immediate civil penalty was issued for this repeat violation.

The visit was an unannounced proof of correction (POC) inspection to verify compliance with previously identified issues.

The Licensing Program Analyst received training meeting records for case management dated the day of the visit and conducted an exit interview with the facility representative.

An unannounced complaint investigation was conducted in response to allegations that facility staff were not adhering to COVID protocols and that residents' needs were not being met due to insufficient staffing.

The investigation found that the facility had appropriate infection control policies and sufficient PPE, and staffing levels were adequate with the use of a staffing agency. Both allegations were found to be unsubstantiated due to lack of evidence.

The complaint investigation was unsubstantiated. Allegations included non-adherence to COVID protocols and insufficient staffing to meet residents' needs. Evidence did not support these claims.

The inspection was an unannounced annual/required visit to evaluate the facility's compliance with regulations.

The facility was found to be in substantial compliance with no deficiencies observed or cited. The environment was clean, odor-free, and in good repair with adequate safety measures and supplies.

The inspection visit was an unannounced complaint investigation triggered by an allegation that a resident sustained a serious injury due to inadequate staff supervision.

The investigation found that Resident R1 eloped from the facility and sustained serious injuries. Staff failed to follow elopement procedures and did not ensure adequate supervision, resulting in substantiated allegations and cited deficiencies.

The complaint was substantiated. Resident R1 eloped from the facility on 01/21/2023 and sustained multiple serious injuries. Staff admitted to failing to follow elopement procedures. The allegation was found valid based on the preponderance of evidence.

An unannounced complaint investigation was conducted based on allegations that staff retained a resident who requires a higher level of care, did not seek medical attention for the resident in a timely manner, and were not following protocols to prevent the spread of illness.

The investigation found that the facility provided in-home support and hospice services to the resident and sought medical attention as needed. The resident's Power of Attorney, Resident Care Coordinator, and hospice agreed that the resident required a higher level of care. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff retaining a resident needing higher level of care, failure to seek timely medical attention, and not following illness prevention protocols. The facility records and interviews supported that medical care was sought and protocols were followed.

The visit was a required, unannounced one-year post licensing and annual inspection to evaluate the facility's compliance with regulations.

The facility was observed to be clean, odor-free, in good repair, and compliant with safety and medication storage regulations. No deficiencies were cited during this visit, and the facility was found to be in substantial compliance.

The visit was a post licensing and annual required visit conducted by Licensing Program Analyst Jason Lund to evaluate the facility's compliance with regulations.

The facility was observed to be clean, odor-free, and in good repair with sufficient furniture, lighting, and safety equipment. No deficiencies were observed or cited, and the facility was found to be in substantial compliance on the date of the visit.

Unannounced proof of correction (POC) visit to verify correction of a previously cited deficiency related to a complaint received on 12/17/2021.

No deficiencies were observed or cited during this visit. The facility was found to be in substantial compliance on the date of the visit.

The visit was related to a complaint deficiency received on 12/17/2021. Administrator Alma Whitted acknowledged understanding the regulation and submitted a corrective email. The complaint deficiency was addressed and no further deficiencies were cited.

The inspection was an unannounced complaint investigation regarding allegations that the facility refused to accept a resident back with COVID.

The investigation substantiated the allegation that the facility refused to accept resident R1 back from the hospital after discharge on 12/17/2021, violating eviction procedures and posing a potential health and safety risk to residents.

The complaint was substantiated based on evidence that the facility refused to accept resident R1 back after hospital discharge, violating eviction procedures.

An unannounced complaint investigation visit was conducted in response to allegations that a resident sustained a fracture while in care, facility staff did not seek medical attention in a timely manner, did not accept resident back from a hospital stay, and did not allow the resident to have visitors.

The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews showed the resident was taken to the Emergency Room the same day for shortness of breath and dizziness, had a contusion possibly from a mechanical fall, and visitors were allowed in designated areas with COVID-19 visitation restrictions. No deficiencies were cited.

The complaint was unsubstantiated based on interviews, record reviews, and documentation. Allegations included resident fracture, delayed medical attention, refusal to accept resident back from hospital, and denial of visitors. The facility was found to have complied with medical and visitation protocols.

The inspection was a prelicensing visit conducted to evaluate the facility for licensing approval.

The facility was inspected indoors and outdoors, found clean and in good repair with adequate safety measures. Medication errors were observed but were technical in nature and an advisory was given.