Trenton Gardens Rehabilitation and Nursing Center
512 Union Street · Trenton, NJ · 08611 · 6093938622
215 certified beds For profit - Limited Liability company
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $416,260 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$416,260 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 2 · $416,260 |
Inspection citations (49 in the current record)
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Immediate jeopardy · J April 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 18, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · L February 6, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 7, 2026 · Nutrition and Dietary
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Potential for harm · F February 6, 2026 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected February 7, 2026 · Nutrition and Dietary
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Potential for harm · D February 6, 2026 · found via complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected February 7, 2026 · Environmental
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Potential for harm · D February 6, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 7, 2026 · Environmental
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Immediate jeopardy · J December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2026 · Quality of Life and Care
-
Potential for harm · F December 11, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · F December 11, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D December 11, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D December 11, 2025
Respond appropriately to all alleged violations.
Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 11, 2025
Observe each nurse aide's job performance and give regular training.
Corrected February 2, 2026 · Nursing and Physician Services
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Potential for harm · D December 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · F December 11, 2025
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.
Corrected February 2, 2026 · Administration
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Potential for harm · F December 11, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 16, 2026 · Administration
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Potential for harm · F December 11, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 9, 2026 · Environmental
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Potential for harm · F December 11, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 2, 2026 · Administration
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Potential for harm · F December 11, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected February 2, 2026 · Nursing and Physician Services
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Potential for harm · F December 11, 2025 · found via complaint
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.
Corrected April 9, 2026 · Resident Rights
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Potential for harm · E December 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · F December 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 2, 2026 · Nursing and Physician Services
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Potential for harm · F December 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 16, 2026 · Infection Control
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Potential for harm · F December 11, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected February 16, 2026 · Environmental
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Potential for harm · D December 11, 2025 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected February 2, 2026 · Administration
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Immediate jeopardy · L October 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 17, 2026 | Fine | $157,360 |
| December 11, 2025 | Fine | $258,900 |
| December 11, 2025 | Payment Denial | 76 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315324 · certified since June 15, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.