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Trenton Gardens Rehabilitation and Nursing Center

Nursing Home Facility

512 Union Street, Trenton, NJ 08611

Nursing Home Care Senior Living
Trenton Gardens Rehabilitation and Nursing Center

Water’s Edge is an acknowledged leader in providing quality healthcare to the elderly and frail, disabled, and individuals who require living assistance and medical supervision.

With 215 beds, Trenton Gardens Rehabilitation and Nursing Center is one of the larger communities in the area, senior care communities in Trenton average about 150 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 75% of its licensed beds. That is below the Trenton average of roughly 86%.

Residents receive about 3.3 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 36%.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 47 problems at Trenton Gardens Rehabilitation and Nursing Center. 7 findings involved harm to a resident, including 7 that put residents in immediate danger. 24 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $325,922. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected April 2026, after a complaint. Corrected by April 18, 2026.

  • Put residents in immediate danger, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected February 2026, after a complaint. Corrected by February 7, 2026.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2025, after a complaint. Corrected by April 9, 2026.

  • Put residents in immediate danger, widespread Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected October 2025, after a complaint. Corrected by October 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected April 2026, after a complaint. Corrected by April 18, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Inspected February 2026, after a complaint. Corrected by February 7, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Inspected February 2026, after a complaint. Corrected by February 7, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected February 2026, after a complaint. Corrected by February 7, 2026.

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  • Could cause more than minimal harm, widespread Resident Rights

    Honor the resident's right to manage his or her financial affairs.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Resident Rights

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected December 2025, after a complaint. Corrected by April 9, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected December 2025, after a complaint. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected December 2025. Corrected by February 16, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025, after a complaint. Corrected by February 16, 2026.

  • Could cause more than minimal harm, widespread Environmental

    Keep all essential equipment working safely.

    Inspected December 2025, after a complaint. Corrected by February 16, 2026.

  • Could cause more than minimal harm, widespread Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected December 2025. Corrected by April 9, 2026.

  • Could cause more than minimal harm, widespread Administration

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected December 2025, after a complaint. Corrected by February 2, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected December 2025. Corrected by February 2, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Inspected December 2025, after a complaint. Corrected by February 2, 2026.

  • Could cause more than minimal harm, widespread Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Inspected October 2025, after a complaint. Corrected by October 17, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Trenton Gardens Rehabilitation and Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 215
  • Occupancy 75%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 36%
  • Last health inspection December 2025

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