1796: The County of Salem acquired "the Tavern property" on Salem-Woodstown Road opposite the intersection of today's Sharptown-County Home Road. The 1-1/2 story frame tavern was enlarged with a wing to accommodate women.

1808: A brick almshouse was built on the site.

1845: The Almshouse burned on February 1st. A new almshouse was built on the foundation of the previous in the Greek Revival style.

1870: An Insane Asylum addition was built to the right of Almshouse in the Italianate style.

Residents who were able farmed the land surrounding the Almshouse to produce food for the inhabitants. There is a paupers' cemetery nearby.

1927: The stream in front of the Almshouse was dammed to create a pond for fire provention.

1951: Alterations and improvements brought the Almshouse into compliance with then-current requirements for institutional care. The name was changed to the Salem County Home.

1970: The name was changed to Lakeview Home of Salem County.

1973: The building was used as office and workshop space for county departments and a private rehabilition facility.

January 1995: The buildings housed the County Superintendent of Schools, Audio-Visual Aids Commission, Office on Aging, and the Rutgers Cooperative Extension office. The county Freeholders planned to move these offices to the former Salem County Jail on Market Street in Salem. The Almshouse and Asylum buildings may be demolished but, at a minimum, abandonment will mean faster deterioration. No plans have been considered for possible future use of the complex.

Spring 1996: Salem County Almshouse/Insane Asylum was listed on Preservation New Jersey's 10 Most Endangered Sites List as the earliest of three surviving historic social services institutions in NJ.