Federal inspection record · CMS data as of October 1, 2026

Trenton Gardens Rehabilitation And Nursing Center

512 Union Street, Trenton, NJ · (609) 393-8622

  • Special Focus Facility

CMS overall rating

Not rated
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Certified beds
215
Residents per day
155
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 15, 1993

3

What inspectors found

47 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 4 50 pts
K 1 100 pts
L 2 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 5 8 pts
F 15 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (7)

  1. J

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

    April 17, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 18, 2026

  2. L

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

    February 6, 2026 · Complaint inspection · Nutrition and Dietary · F812 · Corrected February 7, 2026

  3. J

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

    December 11, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 9, 2026

  4. L

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

    October 14, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 17, 2025

  5. J

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

    July 29, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 16, 2025

  6. K

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

    May 15, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 9, 2025

  7. J

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    May 15, 2025 · Complaint inspection · Resident Assessment and Care Planning · F657 · Corrected June 9, 2025

Everything else, by area of care

Resident Rights8F
  1. F

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

    December 11, 2025 · Standard · F567 · Corrected February 2, 2026

  2. F

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

    December 11, 2025 · Standard · F569 · Corrected February 2, 2026

  3. F

    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.

    December 11, 2025 · Complaint · F584 · Corrected April 9, 2026

  4. D

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

    December 11, 2025 · Standard · F582 · Corrected February 2, 2026

  5. D

    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.

    May 15, 2025 · Complaint · F584 · Corrected June 9, 2025

  6. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    May 15, 2025 · Complaint · F627 · Corrected June 9, 2025

  7. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    April 14, 2022 · Standard · F578 · Corrected May 16, 2022

  8. B

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

    April 14, 2022 · Standard · F582 · Corrected May 16, 2022

Administration6F
  1. F

    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.

    December 11, 2025 · Standard · F838 · Corrected February 2, 2026

  2. F

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

    December 11, 2025 · Standard · F865 · Corrected February 16, 2026

  3. F

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

    December 11, 2025 · Standard · F940 · Corrected February 2, 2026

  4. D

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

    December 11, 2025 · Complaint · F949 · Corrected February 2, 2026

  5. F

    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.

    October 14, 2025 · Complaint · F838 · Corrected October 17, 2025

  6. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    May 15, 2025 · Complaint · F835 · Corrected June 9, 2025

Nutrition and Dietary5F
  1. F

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

    February 6, 2026 · Complaint · F802 · Corrected February 7, 2026

  2. E

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

    May 10, 2024 · Standard · F812 · Corrected June 14, 2024

  3. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 10, 2024 · Standard · F804 · Corrected June 14, 2024

  4. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    April 14, 2022 · Standard · F810 · Corrected May 16, 2022

  5. D

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

    April 14, 2022 · Standard · F812 · Corrected May 16, 2022

Resident Assessment and Care Planning4D
  1. D

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

    April 17, 2026 · Complaint · F842 · Corrected April 18, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 15, 2025 · Complaint · F658 · Corrected June 9, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 14, 2022 · Standard · F656 · Corrected May 16, 2022

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 14, 2022 · Standard · F657 · Corrected May 16, 2022

Environmental4F
  1. D

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

    February 6, 2026 · Complaint · F914 · Corrected February 7, 2026

  2. D

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

    February 6, 2026 · Complaint · F919 · Corrected February 7, 2026

  3. F

    Keep all essential equipment working safely.

    December 11, 2025 · Complaint · F908 · Corrected February 16, 2026

  4. F

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

    December 11, 2025 · Standard · F925 · Corrected April 9, 2026

Nursing and Physician Services3F
  1. F

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

    December 11, 2025 · Complaint · F725 · Corrected February 2, 2026

  2. F

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

    December 11, 2025 · Standard · F730 · Corrected February 2, 2026

  3. F

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

    December 11, 2025 · Standard · F947 · Corrected February 2, 2026

Infection Control3F
  1. F

    Provide and implement an infection prevention and control program.

    December 11, 2025 · Complaint · F880 · Corrected February 16, 2026

  2. E

    Provide and implement an infection prevention and control program.

    May 10, 2024 · Standard · F880 · Corrected June 14, 2024

  3. D

    Ensure staff are vaccinated for COVID-19

    April 14, 2022 · Standard · F888 · Corrected May 16, 2022

Freedom from Abuse, Neglect, and Exploitation3E
  1. D

    Respond appropriately to all alleged violations.

    December 11, 2025 · Standard · F610 · Corrected February 2, 2026

  2. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 15, 2025 · Complaint · F609 · Corrected June 9, 2025

  3. E

    Respond appropriately to all alleged violations.

    May 15, 2025 · Complaint · F610 · Corrected June 9, 2025

Quality of Life and Care2E
  1. E

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

    December 11, 2025 · Complaint · F677 · Corrected February 2, 2026

  2. D

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

    May 10, 2024 · Standard · F689 · Corrected June 6, 2024

Pharmacy Service2D
  1. D

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

    December 11, 2025 · Standard · F755 · Corrected February 2, 2026

  2. D

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

    April 14, 2022 · Standard · F755 · Corrected May 16, 2022

Inspection history

  1. 2025-12-11

    26 health deficiencies · 10 fire-safety deficiencies

    Top issue: Administration (5 deficiencies)

  2. 2024-05-10

    13 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2022-04-14

    8 health deficiencies · 5 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 35 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 35 min

New Jersey average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 30% of nursing staff and 31% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$608,071 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-17Fine$102,463
2025-12-11Fine$170,802
2025-12-11Payment Denial · 76 day denial$0
2025-07-29Fine$334,806

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse2.51.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better100.0%93.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts better100.0%96.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same2.3%2.3%3.2%
Percentage of long-stay residents who have depressive symptoms7.7 pts better4.8%12.5%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts worse5.2%4.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better18.1%18.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.4 pts better12.5%12.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.8 pts better3.5%7.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better7.2%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.2%0.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts better5.3%15.2%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better4.6%5.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21 pts better100.0%79.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts worse11.9%8.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse2.9%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better95.8%79.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts worse29.3%24.1%23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Abramczyk, Jacob5% Or Greater Direct Ownership Interest · Individual48%4 facilities
Abramczyk, Naftoli5% Or Greater Direct Ownership Interest · Individual18%4 facilities
Shapiro, Bradley5% Or Greater Direct Ownership Interest · Individual18%2 facilities
Abramczyk, Joseph5% Or Greater Direct Ownership Interest · Individual15%3 facilities
Abramczyk, JacobOperational/Managerial Control · Individual0%4 facilities
Abramczyk, JacobAdp Of The SNF · Individual0%4 facilities
Abramczyk, JosephAdp Of The SNF · Individual0%3 facilities
Abramczyk, MachlaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%5 facilities
Abramczyk, NaftoliOperational/Managerial Control · Individual0%4 facilities
Abramczyk, NaftoliAdp Of The SNF · Individual0%4 facilities
Abramczyk, SolomonIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%7 facilities
Finn, MaryOperational/Managerial Control · Individual0%1 facilities
Finn, MaryAdp Of The SNF · Individual0%1 facilities
Friedman, BentzlonOperational/Managerial Control · Individual0%1 facilities
Friedman, BentzlonAdp Of The SNF · Individual0%1 facilities
Martin Friedman Cpa PcAdp Of The SNF · Organization0%13 facilities
Patel, ShodhanOperational/Managerial Control · Individual0%1 facilities
Patel, ShodhanAdp Of The SNF · Individual0%1 facilities
Shapiro, Sima5% Or Greater Indirect Ownership Interest · Individual0%4 facilities
Shapiro, SimaAdp Of The SNF · Individual0%4 facilities
Ttyy LLCAdp Of The SNF · Organization0%2 facilities
Waters Edge Propco LccAdp Of The SNF · Organization0%1 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Install an approved automatic sprinkler system.

    December 11, 2025 · K351 · Corrected February 5, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 11, 2025 · K353 · Corrected February 13, 2026

  3. F

    Have an enclosure around a vertical opening shaft.

    May 10, 2024 · K311 · Corrected June 14, 2024

  4. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 10, 2024 · K321 · Corrected June 14, 2024

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 10, 2024 · K353 · Corrected June 14, 2024

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 14, 2022 · K321 · Corrected May 16, 2022

  7. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 14, 2022 · K355 · Corrected May 16, 2022

Gas, Vacuum, and Electrical Systems6F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    December 11, 2025 · K914 · Corrected February 5, 2026

  2. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    December 11, 2025 · K916 · Corrected February 10, 2026

  3. F

    Ensure proper usage of power strips and extension cords.

    December 11, 2025 · K920 · Corrected February 5, 2026

  4. F

    Ensure that testing and maintenance of electrical equipment is performed.

    December 11, 2025 · K921 · Corrected February 6, 2026

  5. F

    Have proper medical gas storage and administration areas.

    December 11, 2025 · K923 · Corrected February 5, 2026

  6. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    May 10, 2024 · K914 · Corrected June 14, 2024

Services4F
  1. F

    Have elevators that firefighters can control in the event of a fire.

    December 11, 2025 · K531 · Corrected February 26, 2026

  2. F

    Install properly constructed and protected linen or trash chutes.

    December 11, 2025 · K541 · Corrected March 6, 2026

  3. F

    Have properly installed electrical wiring and gas equipment.

    May 10, 2024 · K511 · Corrected June 14, 2024

  4. E

    Install properly constructed and protected linen or trash chutes.

    April 14, 2022 · K541 · Corrected May 16, 2022

Miscellaneous2F
  1. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    December 11, 2025 · K761 · Corrected February 26, 2026

  2. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 10, 2024 · K761 · Corrected June 14, 2024

Egress2E
  1. E

    Install proper backup exit lighting.

    April 14, 2022 · K281 · Corrected May 16, 2022

  2. E

    Install emergency lighting that can last at least 1 1/2 hours.

    April 14, 2022 · K291 · Corrected May 16, 2022

·

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    Worst citation, 3 yrs
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    Nursing / resident / day
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  3. Avant Rehabilitation And Care Center

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    Worst citation, 3 yrs
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