Trenton, NJ

Trenton Gardens Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with Special Focus status with $499,537 in total fines with 21 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

512 Union Street, Trenton, NJ

(609) 393-8622

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

215

Certified beds

Average residents

169

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-06-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.77

Licensed practical nurse staffing

Aide hours / resident day

2.01

Nurse aide staffing

Weekend hours

2.82

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.6	2.1 1.5 pts worse	1.9 1.7 pts worse	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.1 0.5 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	93.0% 6.7 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	97.2% About the same	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	2.4% 0.8 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	2.3%	11.4% 9.1 pts better	11.4% 9.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	5.0%	4.6% 0.4 pts worse	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.1%	19.0% 2.9 pts better	19.6% 3.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	17.8%	13.5% 4.3 pts worse	16.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	6.3%	9.8% 3.5 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	9.0%	9.7% 0.7 pts better	14.9% 5.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.1%	0.7% 0.6 pts better	1.0% 0.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.5%	0.8% 0.7 pts worse	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	5.2%	15.9% 10.7 pts better	19.8% 14.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.2%	6.0% 0.2 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	78.7% 16 pts better	81.7% 13 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	7.8%	8.2% 0.4 pts better	12.0% 4.2 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.2% 2.2 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.0%	80.1% 9.9 pts better	79.7% 10.3 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.9%	25.4% 12.5 pts worse	23.9% 14 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-10 · Fire 2024-05-10

22 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-04-14 · Fire 2022-04-14

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-11-27 · Fire 2019-11-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-10

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-10

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2022-04-14

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-04-14

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-04-14

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-04-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-04-14

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2022-05-16

Inspection history

Recent health citations

G · Actual harm 2025-12-11

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2025-12-11

F584 · Resident Rights Deficiencies

Health

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.

Not marked corrected

F · Potential for more than minimal harm 2025-12-11

F725 · Nursing and Physician Services Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2025-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

F · Potential for more than minimal harm 2025-12-11

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Not marked corrected

E · Potential for more than minimal harm 2025-12-11

F677 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

F949 · Administration Deficiencies

Health

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

Not marked corrected

L · Immediate jeopardy 2025-10-14

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-10-14

F838 · Administration Deficiencies

Health

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 2025-10-17

J · Immediate jeopardy 2025-07-29

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-16

L · Immediate jeopardy 2025-05-15

F835 · Administration Deficiencies

Health

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

Corrected 2025-06-09

K · Immediate jeopardy 2025-05-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-09

K · Immediate jeopardy 2025-05-15

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-09

J · Immediate jeopardy 2025-05-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-09

E · Potential for more than minimal harm 2025-05-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-05-15

F584 · Resident Rights Deficiencies

Health

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 2025-06-09

D · Potential for more than minimal harm 2025-05-15

F627 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-05-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-09

E · Potential for more than minimal harm 2024-05-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-10

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-05-10

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2023-06-14

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-06-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-08-15

J · Immediate jeopardy 2023-03-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-06