Trenton Gardens Rehabilitation and Nursing Center
Nursing Home Facility
512 Union Street, Trenton, NJ 08611

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
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
Show 18 more
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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.
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Could cause more than minimal harm, widespread
Resident Rights
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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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.
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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.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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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.
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Could cause more than minimal harm, widespread
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Environmental
Keep all essential equipment working safely.
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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.
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Could cause more than minimal harm, widespread
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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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.
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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.
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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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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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.
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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.
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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.
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.
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
Resident & family reviews
No one has shared a review of Trenton Gardens Rehabilitation and Nursing Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.