Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avant Rehabilitation And Care Center during CMS and state inspections, most recent first.
Kitchen staff failed to fully clean and air-dry multiple pots and pans before stacking them for storage and future use. Facility policy required all cookware to be washed, sanitized, and completely air dried before being put away, and the DM confirmed the pans were still wet when stacked.
Unassessed Self-Administration of Bedside Medication: A resident with intact cognition was observed using Tinactin spray kept at the bedside and confirmed it had been brought in by a family member. The EMR lacked a physician order, self-administration assessment, interdisciplinary documentation, and care plan evidence for the medication, and the RN, LPN, and DON confirmed the medication should not have been left at the bedside without those requirements.
Quarterly Resident Funds Statements Not Provided: The facility failed to provide written quarterly statements for residents with personal funds accounts within the required timeframe. Review of the signature sheet showed that 10 residents did not receive copies of their quarterly statements, while the remaining residents did. The Administrator stated that a resident signature indicates receipt, and no signature meant the statement was not provided to the resident or resident representative.
Code Status Not Prominently Displayed in EMR: A resident with ESRD on dialysis and intact cognition had an advance directive indicating full code, but the EMR lacked a physician order for code status, the PCC header was blank, and the admission record did not document code status. Staff confirmed the code status should be prominently displayed in the EMR for quick reference, and the facility policy required advance directive information to be displayed prominently in the medical record.
The facility inaccurately coded MDS assessments for two residents. One resident with cerebral infarction, DM, and HTN was coded as receiving both an anticoagulant and an antiplatelet, but the record showed only Plavix, an antiplatelet, with no anticoagulant order. Another resident was coded as having an indwelling urinary catheter, but the resident stated he did not have one and the MDSC confirmed she misread hospital documentation; she also confirmed the first resident did not receive an anticoagulant.
A resident who was cognitively intact and identified as a smoker had smoking safety screening completed, but the care plan had no smoking focus or interventions. Staff confirmed the resident smoked several times a day and that a smoking care plan should have been in place, while facility policy required smoking-related privileges, restrictions, and concerns to be documented in the care plan.
Dirty Oxygen Concentrator Filter: A resident with respiratory failure and emphysema had an order for continuous O2 via NC and weekly cleaning of the oxygen concentrator filter, but surveyors observed the filter to be dirty and coated with dirt and dust. The ADON confirmed the condition of the filter and stated it should be cleaned regularly.
Failure to Document Daily AV Fistula Patency Checks: A resident with ESRD on HD had a left arm AVF, but the MAR/TAR lacked documentation that bruit and thrill checks were completed every shift. The resident was cognitively intact, and staff confirmed the AVF was checked when the resident returned from dialysis, but there was no physician order in place to document the bruit and thrill checks in the EMR.
Daily nurse staffing information was posted in a glassed bulletin board behind the main reception desk, about six feet high, making it unreadable and inaccessible to residents in wheelchairs or with vision problems. Surveyors observed the posting in the same location on multiple days, and the SC and Administrator confirmed it was not posted anywhere else.
Wet Pots and Pans Stored Before Air Drying
Penalty
Summary
Kitchen staff failed to thoroughly clean and air-dry pots and pans before storing them for use. Review of the facility’s policies titled "Pot Washing" and "Wet Nesting" showed that all pots, pans, cookware, and small wares were to be washed, rinsed, sanitized, and allowed to air dry completely before being placed into storage, and that items were not to be wiped dry or stacked while wet. During observation and interview, the Dietary Manager confirmed that multiple pans of different sizes had been cleaned and stacked for use while they were still wet. The pans were found stacked before they had properly air dried, and the Dietary Manager stated that they should have been dry and that putting them away wet increases the risk of contamination.
Unassessed Self-Administration of Bedside Medication
Penalty
Summary
The facility failed to ensure that a resident who self-administered medication was assessed for self-administration, had a physician's order for self-administration, and had the interdisciplinary care planning team involved in the decision. Resident 40 was admitted on 10/07/24 and later readmitted with diagnoses including bilateral osteoarthritis of the knees, muscle weakness, and depression. A quarterly MDS with an ARD of 07/15/25 showed a BIMS score of 15 out of 15, indicating the resident was cognitively intact. During observation on 08/25/25, two cans of Tinactin spray were found on the resident's bedside table, and the resident confirmed using the spray on her feet when they felt itchy and stated it had been brought by her daughter. Review of the EMR showed no physician order for Tinactin, no assessment for self-administration of medications, no documentation of an interdisciplinary meeting about self-administration, and no care plan documentation showing the resident had been assessed for self-administration. RN 2, the Unit Manager/LPN 2, and the DON each confirmed that the medication should not have been left at the bedside without the required assessment and physician order.
Quarterly Resident Funds Statements Not Provided
Penalty
Summary
The facility failed to provide written quarterly statements within 30 days of the end of the quarter to residents and/or resident representatives for residents with personal funds accounts. Based on document review and facility policy review, the business office was responsible for maintaining accounting records of resident funds on deposit with the facility, and the policy stated that individual accounting records are made available through quarterly statements that include the resident’s beginning and ending balance, total deposits and withdrawals, and interest earned. Review of the quarterly statement signature sheet for 04/01/25 through 06/30/25 showed that 10 residents, including R64, R153, R104, R83, R85, R96, R93, R29, R94, and R61, were not provided a copy of their quarterly statements. The remaining 45 residents with personal funds accounts received their quarterly statements for that period. During interview, the Administrator stated that residents sign after receiving their quarterly statements, and if there is no signature on the sheet then the statement was not provided to the resident and there is no record of the statement being given to the resident representative.
Code Status Not Prominently Displayed in EMR
Penalty
Summary
The facility failed to ensure that one resident’s code status was easy to access in the medical record. The resident had an admission and readmission in the EMR, with diagnoses including end stage renal disease requiring dialysis, and a quarterly MDS showed a BIMS score of 13 out of 15, indicating the resident was cognitively intact. Review of the physician orders in the EMR did not show an order for code status, and the PCC header next to code status was blank. The admission record also lacked documentation of code status. The resident’s advance directive provided by the facility indicated a request for full code, and the care plan included a focus for advance directives/code status with an intervention to ensure an attending order regarding code status. During interviews, the Unit Manager/LPN stated staff checked the PCC header first to determine whether a resident was full code or DNR, and if the code status was blank, staff would check the hard chart for a POLST form. The Unit Manager/LPN later confirmed the PCC header should have contained the code status and that it was missing a physician’s order. The DON also confirmed the code status should be prominently displayed in the PCC header for quick reference. The facility policy stated that information about whether a resident has executed an advance directive shall be displayed prominently in the medical record.
Inaccurate MDS Coding for Medications and Urinary Catheter
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents. For one resident with diagnoses including cerebral infarction, diabetes, and hypertension, the quarterly MDS with an assessment reference date of 07/16/25 indicated that he received both an anticoagulant and an antiplatelet medication. However, review of the July 2025 physician orders showed only Plavix 75 mg by mouth daily, which is an antiplatelet medication, and no anticoagulant order was present. For another resident admitted on 06/05/25 with diagnoses of diabetes, hypertension, and difficulty walking, the admission MDS with an assessment reference date of 06/12/25 coded the resident as having an indwelling urinary catheter. During interview, the resident stated he did not have a urinary catheter at present or at admission and reported using a walker to ambulate to the bathroom or using a urinal. The MDS Coordinator stated the resident did not have an indwelling urinary catheter at admission and confirmed she misread hospital documentation and thought the resident had a urinary catheter. The MDS Coordinator also confirmed the first resident did not receive an anticoagulant, only an antiplatelet, and stated an LPN completed that resident's MDS.
Missing Smoking Care Plan for Cognitively Intact Smoker
Penalty
Summary
The facility failed to ensure that a resident assessed as a smoker had a smoking care plan. R7 was admitted on 07/18/24 and readmitted with diagnoses including low white blood cell count, chronic viral hepatitis C, and anemia. The admission MDS with an ARD of 07/01/25 showed a BIMS score of 15 out of 15, indicating the resident was cognitively intact. During interview, R7 confirmed she was a smoker and stated she went out on smoke breaks a couple times a day. The nursing admission/readmission form dated 06/24/25 documented that R7 was a smoker, and the smoking safety evaluation dated 06/24/25 documented cigarette use and safety questions for independent smoking. Review of the care plan showed no focus or interventions for smoking. Staff interviews confirmed the resident smoked and that the care plan lacked a smoking focus: an LPN stated there was no smoking focus or interventions and there should be a care plan, a BA confirmed R7 went to the smoking area three to four times a day, the Unit Manager/LPN confirmed the care plan did not have a smoking focus and should have one, and the DON confirmed that all residents who smoke need a care plan for smoking in place. The facility policy stated smoking-related privileges, restrictions, and concerns shall be noted on the care plan.
Dirty Oxygen Concentrator Filter
Penalty
Summary
The facility failed to clean respiratory equipment for one resident, R56, who was admitted with diagnoses including respiratory failure and emphysema and had a physician order for oxygen at 4 lpm via nasal cannula continuously every shift. The order also directed that the oxygen concentrator filter be cleaned weekly every Saturday. Review of the facility policy titled, Oxygen Administration, dated October 2010, showed it did not address routine cleaning or maintenance of oxygen concentrators, including maintaining a clean filter. During observations on 08/25/25 and 08/28/25, R56's oxygen concentrator filter was observed to be dirty and coated with dirt and dust. During observation and interview on 08/28/25, the ADON confirmed the filter was dirty and coated with dirt and dust and stated the filter should be cleaned regularly.
Failure to Document Daily AV Fistula Patency Checks
Penalty
Summary
The facility failed to ensure that a resident with end stage renal disease receiving hemodialysis had the patency of the left arm AV fistula checked and documented every shift. Review of the resident’s record showed a care plan intervention to check for bruit and thrill every shift and document in the MAR, but the August 2025 MAR and TAR lacked documentation that the AVF was checked for bruit and thrill through the left arm fistula every shift. The TAR did show documentation for checking the AVF site for bleeding or signs and symptoms of infection every shift and notifying the MD of changes every shift. The resident was cognitively intact with a BIMS score of 13 out of 15 and was observed holding out the left arm to point to the shunt used for dialysis treatment. During interviews, an LPN confirmed that the thrill and bruit on any dialysis resident with an AVF should be checked and documented every shift, but stated the resident did not have an order in place to document the thrill and bruit. Another LPN stated the AVF was checked when the resident returned from dialysis and documented on that form, and also confirmed there was no physician order to check the AVF for thrill and bruit. The DON confirmed there should be documentation on any dialysis resident receiving treatments using an AVF to check for bruit and thrill every shift and document in the EMR, not just when the resident returned from dialysis treatment.
Daily Nurse Staffing Posting Not Accessible
Penalty
Summary
The facility failed to ensure that the daily nurse staffing information was posted in a manner that residents and visitors could access it. Upon entrance to the facility, surveyors observed the staffing information posted in a glassed bulletin board behind the main reception desk at the upper left corner, approximately six feet high. Although the posting was current and included all three shifts, it was not readable or accessible for residents in wheelchairs or for residents with vision problems. This same placement was observed on subsequent survey days, and interviews with the Staffing Coordinator and Administrator confirmed that the staffing information had always been posted in that location and was not posted anywhere else in the facility.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Trenton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belle Care Nursing And Rehabilitation Center | 2 mi | ★★★★★ | 18 | 0 |
| Hamilton Grove Healthcare And Rehabilitation, Llc | 2.2 mi | ★★★★★ | 17 | 0 |
| Trenton Gardens Rehabilitation And Nursing Center | 2.7 mi | — | 36 | 4 |
| Clover Meadows Healthcare And Rehabilitation Cente | 2.9 mi | ★★★★★ | 1 | 0 |
| Lawrence Rehab & Hcc/the Meadows At Lawrence | 3.1 mi | ★★★★★ | 13 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.