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The Gardens of Trent is a 60-bed assisted living facility at 2915 Brunswick Avenue, New Bern, Craven County, North Carolina. It provides 24-hour staffing, accepts Medicaid, and holds a 3-star state rating with Walk Score 76 indicating high walkability.
Medication administration failures and serious resident supervision breaches define The Gardens’ regulatory record, with substantiated Type A1 violations indicating systemic care failures. Over eight years, the facility averaged 8.4 deficiencies annually, 62 percent above North Carolina’s 5.2-deficiency benchmark. April 2025 complaint investigation substantiated critical findings. The facility failed to administer seizure medication (Depakote) as ordered for Resident #1, resulting in multiple hospitalizations and seizures.
The facility failed to notify Craven County Department of Social Services of incidents resulting in emergency medical evaluation or hospitalization within the required 48 hours.
Resident elopement incidents with supervision failures appear repeatedly across the record. June 2023 complaint investigation substantiated Type A1 violation when a resident with dementia eloped from the facility, with staff failing to respond to audible sounding device for the mag lock switch. The facility failed to provide supervision with dignity and respect to a resident and failed to report abuse allegations within 48 hours for two residents (census 52 of 60 beds). January 2023 complaint investigation documented October 25, 2022 elopement when Resident #1 with dementia reached a restaurant 704 yards away within 10-15 minutes, with doors unlocked for 13-15 hours due to malfunctioning mag locks and failure to hear and respond to audible sounding device (Type B violation).
Physical plant deficiencies spanning multiple inspection cycles reflect deferred maintenance and safety system failures. November 2024 follow-up construction survey found three uncorrected deficiencies: exterior egress paths improperly lit, electrical outlets in East Laundry room lacking ground fault circuit interrupters, and exhaust fans in rooms 45 and 49 non-operational. March 2019 construction survey identified 10 deficiencies including bathroom renovations non-compliant with North Carolina Building Code (shower heads over toilets, non-waterproof walls, missing floor drains), corridor obstructions, seven unsecured portable oxygen cylinders, incomplete fire safety rehearsal records, non-functional emergency lighting and exit signage, portable electric heater, hot water temperatures of 94-96 degrees (below 100-degree minimum), and missing exhaust ventilation.
Clinical care deficiencies span medication administration and nutrition. May 2019 annual survey found detachable shower head fixtures with looped hoses dangling over toilets in Special Care Unit, expired and unlabeled foods, therapeutic diets not served as ordered, incomplete medication administration records, and lack of physician contact for medication clarification. March 2017 annual survey documented medication administration errors with insulin, antipsychotic, pain reliever, laxative, antibiotic, and heart medications; two of three medication aides lacked annual infection control training; two of five staff lacked required 80-hour personal care training; resident neglect resulted in second-degree burns from bed placement near heater. May 2024 annual survey identified one deficiency when four deceased residents’ Estate Administrators failed to receive refunds within 30 days due to corporate accounting staff turnover and lost refund requests.
May 2017 and February 2017 construction surveys documented delayed egress exit door failures with missing signage and non-functional alarms, magnetic locks failing to unlock within 15 seconds or upon fire alarm activation, heat detectors improperly mounted or missing, and fire alarm pull station detached. April 2025 follow-up survey confirmed all previous deficiencies had been corrected. No fines or license suspensions appear in the record.
Families should ask about corrections following the April 2025 seizure medication administration failure, resident supervision, mag lock and alarm systems, and medication administration procedures.
Higher than the North Carolina average: 76.4%In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 67 | 46 | This facility has 46% more total deficiencies than a typical North Carolina nursing home (67 vs. NC avg 46).↑ 46% worse |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 6.1 | 4.2 | This facility has 45% more deficiencies per year than a typical North Carolina nursing home (6.1 vs. NC avg 4.2).↑ 45% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 2.2 | This facility has 18% fewer deficiencies per inspection than a typical North Carolina nursing home (1.8 vs. NC avg 2.2).↓ 18% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 38 | 21 | This facility has 81% more total inspections than a typical North Carolina nursing home (38 vs. NC avg 21).↑ 81% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 31 | 19 | This facility has 63% more inspections with deficiencies than a typical North Carolina nursing home (31 vs. NC avg 19).↑ 63% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 82% | 90% | This facility has 8 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (82% vs. NC avg 90%).↓ 8% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
271.4 miles from city center
Estimated distance in miles from New Bern's city center to The Gardens of Trent's address, calculated via Google Maps.
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The Gardens of Trent is located in New Bern, North Carolina.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 119
Facility
119
NC AVG
76
Rank
#60 / 390 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | - |
13
Facility
13
NC AVG
33
Rank
#432 / 572 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
76
Rank
#180 / 390 | - | - | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106
Facility
106
NC AVG
76
Rank
#80 / 390 | - | - | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ |
25
Facility
25
NC AVG
33
Rank
#346 / 572 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63
Facility
63
NC AVG
76
Rank
#233 / 390 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ |
50
Facility
50
NC AVG
33
Rank
#149 / 572 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
The Gardens of Trent has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NC state health department records, The Gardens of Trent's license number is HAL-025-035.
The Gardens of Trent's occupancy is 87%.
The Gardens of Trent received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
The Gardens of Trent has 60 beds.
Yes — there are 2 photos of The Gardens of Trent in the photo gallery on this page.
The Gardens of Trent is located at 2915 Brunswick Avenue New Bern, NC 28562.
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