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Trenton Gardens Rehabilitation and Nursing Center

All states › New Jersey › Trenton › Trenton Gardens Rehabilitation and Nursing Center

512 Union Street Trenton, NJ 08611 · Mercer County

(609) 393-8622

All 5 nursing homes in Trenton, NJ (5 take Medicaid)

Special Focus Facility Accepts Medicare Accepts Medicaid 215 certified beds For profit

CMS certification number 315324 · See this home on Medicare Care Compare

Special Focus Facility CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Trenton Gardens Rehabilitation and Nursing Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Trenton Gardens Rehabilitation and Nursing Center as of October 2026.

CMS has not given it an overall rating yet. Inspectors issued 47 citations in the last three years. CMS imposed 4 penalties, including $608,071 in fines, in that time. CMS lists it as a Special Focus Facility.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.59 hours per resident per day at Trenton Gardens Rehabilitation and Nursing Center, about the same as the New Jersey median of 3.67 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 11% below its all-week average. 29.9% of nursing staff left within a year (New Jersey median 38.1%).

Nursing care per resident per day 3.59 hours
Below the New Jersey median of 3.67 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.41 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.19 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 29.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 30.8% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds215
Residents per day 155 About 72% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1993
Legal business nameWATERS EDGE CARE AND REHAB CENTER LLC

Paying for care at Trenton Gardens Rehabilitation and Nursing Center: Medicare and Medicaid

Trenton Gardens Rehabilitation and Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Jersey's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 11, 2025 and found 11 deficiencies, plus 15 from complaint inspections in the same period. In total, inspectors issued 47 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 47 citations at Trenton Gardens Rehabilitation and Nursing Center across 8 inspection dates, 24 of them from complaint investigations. 7 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 17, 2026 (complaint inspection). The most common areas cited were resident rights (8) and quality of life and care (7). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level L, February 6, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

April 17, 2026 · 2 citations · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Apr 18, 2026)

February 6, 2026 · 4 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Feb 7, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Complaint inspection · Deficient, Provider has date of correction (Feb 7, 2026)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0914 · Complaint inspection · Deficient, Provider has date of correction (Feb 7, 2026)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Complaint inspection · Deficient, Provider has date of correction (Feb 7, 2026)

December 11, 2025 · 18 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0567 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Feb 2, 2026)

FHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Feb 2, 2026)

FConduct 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Feb 16, 2026)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2026)

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Feb 16, 2026)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Apr 9, 2026)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0940 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Feb 2, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Feb 2, 2026)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0949 · Complaint inspection · Deficient, Provider has date of correction (Feb 2, 2026)

October 14, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Oct 17, 2025)

FConduct 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Complaint inspection · Deficient, Provider has date of correction (Oct 17, 2025)

July 29, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Oct 16, 2025)

May 15, 2025 · 8 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

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

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

May 10, 2024 · 4 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 14, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 14, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 6, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jun 14, 2024)

April 14, 2022 · 8 citations

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0810 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 16, 2022)

DEnsure staff are vaccinated for COVID-19

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0888 · Deficient, Provider has date of correction (May 16, 2022)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (May 16, 2022)

Questions to ask on a tour of Trenton Gardens Rehabilitation and Nursing Center

  1. Inspectors cited the home at the immediate-jeopardy level on February 6, 2026 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on December 11, 2025. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $608,071 in fines.

DateTypeAmount or length
Apr 17, 2026 Fine $102,463
Dec 11, 2025 Fine $170,802
Dec 11, 2025 Payment Denial 76 days of payments denied
Jul 29, 2025 Fine $334,806

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 — — — —
August 2026 — — — —

Location

Hospitals near Trenton Gardens Rehabilitation and Nursing Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Riverside Health and Rehabilitation Center Trenton · 0.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 141 beds · Medicaid
Belle Care Nursing and Rehabilitation Center Trenton · 1.7 mi away ★★☆☆☆ Inspection 1/5 · Staffing 2/5 106 beds · Medicaid
Avant Rehabilitation and Care Center Trenton · 2.7 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 149 beds · Medicaid
Hamilton Grove Healthcare and Rehabilitation Hamilton · 3.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 218 beds · Medicaid
Complete Care at Mercerville Hamilton Township · 4.2 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 114 beds · Medicaid

More nursing homes near Trenton Gardens Rehabilitation and Nursing Center ›   All nursing homes in Trenton ›

Compare Trenton Gardens Rehabilitation and Nursing Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/new-jersey/trenton/trenton-gardens-rehabilitation-and-nursing-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.