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.

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.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 64
Federal penalties 15% 16
Trend 10% 18
Context 5% 0

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-day3.383.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year31%median 45%
Fines (3-yr window)2 · $416,260

Inspection citations (49 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D December 11, 2025

    Respond appropriately to all alleged violations.

    Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · F December 11, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected February 16, 2026 · Environmental

  • 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

  • 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

DateTypeAmount / length
April 17, 2026Fine$157,360
December 11, 2025Fine$258,900
December 11, 2025Payment Denial76 days

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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.