Inspection Reports for Avalon Assisted Living at Hillsborough
393 Amwell Rd, Hillsborough Township, NJ 08844, United States, NJ, 08844
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Notice
Deficiencies: 0
Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, legal duties of NJDHSS, and the rights of individuals to access, amend, and restrict their health information.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | Listed as NJDHSS Privacy Officer contact for questions about the notice |
Inspection Report
Life Safety
Census: 97
Capacity: 122
Deficiencies: 1
Feb 5, 2024
Visit Reason
Expansion Survey for application of an additional 25 Assisted Living beds at the facility.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code due to failure to install fire rated glazing in 15 of 15 new fire doors inspected during the survey.
Deficiencies (1)
| Description |
|---|
| Failed to install fire rated glazing in 15 of 15 new fire doors in accordance with the New Jersey Uniform Construction Code. |
Report Facts
Existing Assisted Living beds census: 97
Proposed additional beds: 25
Total beds capacity: 122
Number of fire doors inspected: 15
Inspection Report
Abbreviated Survey
Census: 77
Deficiencies: 2
Feb 9, 2021
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency due to an active COVID-19 outbreak in the facility.
Findings
The facility was found not to be in compliance with New Jersey infection control regulations and CDC recommended practices for COVID-19. Deficiencies included failure to screen residents three times daily during the outbreak phase, and failure to consistently perform hand hygiene and disinfect shared medical equipment before and after resident contact on the Memory Care Unit.
Deficiencies (2)
| Description |
|---|
| Administrator failed to ensure residents were screened three times daily during COVID-19 outbreak as required by NJDOH Executive Directive No. 20-026 and facility policy. |
| Facility staff failed to consistently perform hand hygiene and clean/disinfect shared medical equipment before and after resident contact on the Memory Care Unit, increasing risk of COVID-19 transmission. |
Report Facts
Residents reviewed for screening: 5
Residents reviewed for hand hygiene deficiency: 9
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Interviewed regarding COVID-19 outbreak and screening process. | |
| Certified Nursing Assistant #1 | Observed failing to clean equipment and perform hand hygiene before and after resident contact. | |
| Certified Nursing Assistant #2 | Observed failing to clean equipment and perform hand hygiene before and after resident contact; admitted to mistake. | |
| Licensed Practical Nurse (LPN) | Observed CNAs not cleaning equipment and not addressing the issue immediately. | |
| Director of Nursing (DON) | Confirmed CNAs knew they were supposed to clean equipment between residents. |
Inspection Report
Routine
Census: 71
Deficiencies: 0
Nov 17, 2020
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 applicable infection control regulations and CDC recommended practices for COVID-19.
Report Facts
Census: 71
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