Inspection Reports for Arden Courts (cherry Hill)

2700 Chapel Avenue, Cherry Hill, NJ, 08002

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Inspection Report Summary

The most recent inspection on November 19, 2025, did not identify any deficiencies and focused on informing individuals about privacy practices. Earlier inspections showed a mixed pattern, with several complaint investigations finding the facility in substantial compliance, but some inspections cited deficiencies related to medication administration, resident care plan updates, controlled substance documentation, staff training, and fire safety. Notable issues included incomplete personnel records, expired medications, and lapses in hand hygiene, with no enforcement actions or fines listed in the available reports. Most complaint investigations were unsubstantiated or found substantial compliance, though some prior complaints led to citations for documentation and safety concerns. The facility’s inspection history shows some improvement over time, with the most recent report free of deficiencies after earlier mixed results.

Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

56% better than New Jersey average
New Jersey average: 5.2 deficiencies/year

Deficiencies per year

12 9 6 3 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 49 residents

Based on a July 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

36 42 48 54 60 Dec 2020 Sep 2022 May 2023 Jan 2024 Jul 2024

Notice

Deficiencies: 0 Date: Nov 19, 2025

Visit Reason
This document serves to inform individuals about the privacy practices of the New Jersey Department of Health and Senior Services, including how their medical information may be used and disclosed, and their rights related to this information.

Findings
The notice details the types of information covered, the circumstances under which health information may be used or disclosed, the rights of individuals to access and control their information, and the department's legal duties to protect privacy.

Report Facts
Effective date: 2011

Employees mentioned
NameTitleContext
Devon L. GrafDirectorNJDHSS Privacy Officer named as contact for privacy practices

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 0 Date: Jul 9, 2024

Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ 00174407.

Complaint Details
Complaint number NJ 00174407 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs based on this complaint survey.

Report Facts
Sample size: 3

Inspection Report

Complaint Investigation
Census: 48 Deficiencies: 9 Date: Jun 5, 2024

Visit Reason
The inspection was a standard and complaint investigation survey triggered by multiple complaints (NJ00159272, NJ00159570, NJ168647, NJ169504, NJ00173454) to assess compliance with New Jersey Administrative Code 8:36 for Assisted Living Residences.

Complaint Details
The inspection was complaint-driven based on multiple complaint numbers: NJ00159272, NJ00159570, NJ168647, NJ169504, NJ00173454.
Findings
The facility was found not in substantial compliance with standards, with deficiencies including failure to provide required staff in-service training, incomplete personnel records for several employees, failure to revise resident care plans after incidents, medication administration and documentation errors, failure to account for controlled substances properly, presence of expired medications, lack of annual electrician inspection, fire safety deficiencies, and inadequate hand hygiene practices by staff.

Deficiencies (9)
Failure to provide documented evidence that 10 of 10 employees received required annual in-service training on Assisted Living Concepts, Resident Rights, Infection Control, Abuse and Neglect, Dementia Training, Emergency Training, and Pain Management.
Failure to maintain complete personnel records for 4 of 10 employees reviewed, including missing orientation documentation, job descriptions, and background checks.
Failure to revise the General Service Plan (GSP) after incidents for 2 of 11 residents reviewed.
Failure to document medication administration according to prescriber's orders for 2 of 11 residents reviewed.
Failure to account for, reconcile, and consistently document controlled substances between shifts, with multiple missing signatures on narcotic count sheets.
Failure to remove and destroy expired medications from medication carts.
Failure to ensure an electrician conducted an annual inspection of the facility's electrical system and provide a satisfactory written statement.
Failure to keep building and grounds free from fire hazards, including remote annunciator panel not in constantly attended location, lack of semiannual kitchen exhaust hood cleaning, lack of semiannual fire alarm system inspection, and failure to conduct quarterly fire drills on each shift.
Failure of staff to perform proper hand hygiene techniques according to CDC guidelines and facility policy, observed in 2 of 10 staff members.
Report Facts
Census: 48 Sample size: 11 Number of employees without documented in-service training: 10 Number of employees with incomplete personnel records: 4 Number of residents with care plan deficiencies: 2 Number of residents with medication documentation errors: 2 Number of months with missing narcotic count sheets: 1

Inspection Report

Abbreviated Survey
Census: 52 Deficiencies: 0 Date: Jan 26, 2024

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency on 1/26/2024 to assess compliance with New Jersey Administrative Code 8:36 Infection Control Regulations and CDC recommended practices.

Findings
The facility was found to be in compliance with the applicable infection control regulations and CDC recommended practices to prepare for COVID-19.

Report Facts
Sample Size: 3

Inspection Report

Complaint Investigation
Census: 42 Deficiencies: 0 Date: Jun 2, 2023

Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ00164536.

Complaint Details
Complaint number NJ00164536 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.

Report Facts
Sample Size: 4

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 0 Date: May 6, 2023

Visit Reason
The inspection was conducted as a complaint investigation based on complaint number NJ163072.

Complaint Details
Complaint number NJ163072 was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with New Jersey Administrative Code, Chapter 8:36, Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.

Report Facts
Sample size: 17

Inspection Report

Routine
Census: 47 Deficiencies: 0 Date: Nov 9, 2022

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.

Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards and CDC recommended practices for COVID-19 preparation.

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 5 Date: Sep 20, 2022

Visit Reason
Complaint investigation triggered by complaints NJ00157845, NJ00157861, NJ00146372 regarding compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.

Complaint Details
Complaint investigation for complaints NJ00157845, NJ00157861, NJ00146372. Substantiation status not explicitly stated.
Findings
The facility was found not in compliance with multiple standards including failure to perform and document resident assessments after changes in condition, failure to develop and revise resident service plans for safety, inaccurate medication administration documentation for multiple residents, and failure to maintain proper controlled substance inventory documentation.

Deficiencies (5)
Failure to ensure Registered Nurse completed assessment after change in condition requiring emergency treatment for Resident #6.
Failure to develop, implement, and revise General Service Plans for Residents #2, #4, and #6 to ensure safety and reduce risk.
Failure to accurately document medication administration for 8 of 9 residents including Residents #1, #2, #3, #4, #6, #7, #8, and #9.
Failure to consistently document shift-to-shift controlled substance counts for all medication carts.
Failure to document change of condition requiring emergency treatment in Resident #6's medical record.
Report Facts
Residents with medication documentation issues: 8 Residents reviewed for service plan deficiencies: 3 Census: 49 Missing shift signatures: 23 Missing shift signatures: 18 Missing shift signatures: 27 Missing shift signatures: 32

Inspection Report

Routine
Census: 41 Deficiencies: 0 Date: Jan 8, 2021

Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices for COVID-19 preparation.

Findings
The facility was found to be in compliance with the infection control regulations and CDC recommended practices to prepare for COVID-19.

Inspection Report

Abbreviated Survey
Census: 41 Deficiencies: 0 Date: Dec 29, 2020

Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.

Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.

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