Inspection Reports for Merion Gardens Assisted Living
315 Merion Ave, Carneys Point, NJ 08069, United States, NJ, 08069
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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, individuals' rights to access and control their information, and NJDHSS's legal duties and procedures for changes to privacy practices.
Report Facts
Effective date: 2011
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director, Office of Legal and Regulatory Compliance | NJDHSS Privacy Officer listed as contact for privacy practices |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 3
Dec 19, 2024
Visit Reason
Complaint investigation triggered by complaint NJ00181478 regarding failure to implement the facility's Resident Elopement policy and failure to notify appropriate staff and authorities in a timely manner.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards due to failure to implement the Resident Elopement policy, resulting in a resident eloping and delayed notification to the Director of Wellness and other staff. This failure posed an immediate threat to residents' health and safety. Additional deficiencies included failure to protect residents' rights and failure to notify the Department of Health of incidents in a timely manner.
Complaint Details
Complaint number NJ00181478 was substantiated. The investigation revealed that the facility failed to implement its Resident Elopement policy and delayed notification to the Director of Wellness and other staff, causing an immediate threat to resident health and safety.
Deficiencies (3)
| Description |
|---|
| Failure to implement the Resident Elopement policy and timely notify the Director of Wellness and other staff about a missing resident. |
| Failure to protect resident rights, including the right to be free from physical and mental abuse and neglect. |
| Failure to notify the Department of Health immediately of a major occurrence or incident involving residents. |
Report Facts
Sample size: 5
Resident census: 36
Date survey completed: Dec 19, 2024
Inspection Report
Routine
Census: 42
Capacity: 64
Deficiencies: 0
Dec 1, 2021
Visit Reason
Standard survey of 64 residential units to assess compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences.
Findings
The facility was found to be in substantial compliance with all applicable standards for licensure of assisted living residences, comprehensive personal care homes, and assisted living programs.
Report Facts
Sample Size: 6
Inspection Report
Follow-Up
Census: 37
Deficiencies: 8
Jan 19, 2021
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 1/19/2021 to assess compliance with New Jersey Administrative Code 8:36 infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found not in compliance with infection control requirements including failure to maintain a complete and updated Covid Outbreak Response Plan, inadequate staff education on COVID-19, failure to develop and implement infection prevention and control policies per CDC and NJDOH guidelines, insufficient COVID-19 testing of residents and staff, failure to maintain social distancing during communal dining, use of disinfectants not confirmed on EPA List N, lack of qualified Infection Preventionist, and inadequate resident screening and contact tracing.
Deficiencies (8)
| Description |
|---|
| Failed to develop and maintain a complete and updated Covid Outbreak Response Plan on the facility's website as required by Executive Directive No. 20-0261. |
| Failed to ensure staff were educated about COVID-19 and infection control topics at least twice a year as required. |
| Failed to develop and implement infection prevention and control program and policies in accordance with CDC and NJDOH guidelines including weekly COVID-19 testing of residents and staff. |
| Failed to ensure social distancing of six feet during communal dining; residents were seated less than six feet apart while unmasked and eating. |
| Used disinfectant wipes without EPA registration numbers and could not confirm they were on EPA List N for use against SARS-CoV-2. |
| Failed to test staff for COVID-19 twice weekly as required by regional positivity rates; only weekly testing was performed. |
| Failed to retain a qualified Infection Preventionist or contract with an infection control service as required by Executive Directive 20-0261. |
| Failed to appropriately screen residents every shift for signs and symptoms of COVID-19 including vital signs such as blood pressure and heart rate, and failed to perform adequate contact tracing for COVID-19 positive staff. |
Report Facts
Census: 37
Sample size: 12
Staff tested COVID-19 positive: 10
Residents reviewed: 5
Staff tested weekly: 6
Distance between residents at dining table: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named as responsible for updating policies and infection preventionist duties; unable to confirm infection control training | |
| Director of Wellness | Responsible for COVID-19 testing of staff; stated staff tested weekly but unaware of required testing frequency based on positivity rates | |
| Administrator | Confirmed lack of contact tracing and infection control certification; provided removal plan | |
| Certified Nursing Assistant | Interviewed regarding dining seating and infection control practices | |
| Licensed Practical Nurse | Interviewed regarding disinfectant wipes used for cleaning | |
| Director of Maintenance | Measured dining table dimensions to confirm social distancing |
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