Some commentary:
In the interest of saving space, I’m removing all self-explanatory abilities (the same sort of which are not included in individual monster descriptions in the MM), as well as type and subtype traits. Thusly, removing “swarm traits” from this guy, thusly removing three unnecessary paragraphs totaling 235 words – it is a good thing.
Also, I believe “includes the creature’s Ability Focus feat” is usually omitted in the MM, so I will do that here too. That will reduce more than you’d think, since it appears three times.

(21 words)
And does the Telepathy ability need to be spelled out? I know it usually works on creatures that have a language rather than creatures with an Intelligence score… thoughts?
I’m not trying to be stingy, but we do have limitations on space so we can’t be overly wordy when it’s not needed.
Rewrote this, based on above comments (I’m going to add the line “are considered to inhabit the host” to the flesh burrow attack, so that it need not be restated on the other attacks):
Discern Lies (Su): Three times per day, as a free action, a nerve swimmer swarm that inhabits a host can use discern lies as the spell (caster level 12th; Will DC 17 negates) on the host. The save DC is Charisma-based.
I know I’ve seen this somewhere before… unless, I was only thinking of this nerve swimmer that is:
Skills: Nerve swimmers make Intimidate checks as though they were Large.
Because of this “climb 20 ft.”: I added these: “Climb +3” and “Nerve swimmers have a +8 racial bonus on Climb checks. A nerve swimmer swarm can always choose to take 10 on Climb checks, even if rushed or threatened.”
How about this for dominate (took a few cues from the vampire):
Domination (Ex): Once per day, a nerve swimmer swarm that inhabits a host can force the host to obey its commands. The host must succeed on a DC 19 Fortitude save or be affected as if by a dominate monster spell (caster level 6th). This control lasts for only 6 rounds at a time. The nerve swimmers control the victim’s body directly instead of the mind; therefore this ability is not mind-affecting. The save DC is Constitution-based.
Should that be a Fortitude save, even if it’s not mind-affecting?
How about this for flesh burrow:
Flesh Burrow (Ex): Any living creature damaged by a nerve swimmer swarm must succeed on a DC 19 Fortitude save or the swarm will burrow into its flesh. A swarm that succeeds on this attack is considered to inhabit its host; it can use its domination, nerve strike, wracking pain and detect lies abilities, but not its distraction or swarm attack.
I want to simplify this part:
It is very difficult to remove nerve swimmers from the host, requiring a Healing spell of 5th level or higher that can cure diseases (such as heal), and even such magic requires a caster level check against a DC of 22 to function against the nerve swimmers. However, nerve swimmers often leave on theirown accord if they feel that they have reached their goal.
And how about a rewrite on these two:
Nerve Strike (Ex): Five times per day, a nerve swimmer swarm that inhabit a host can stop the host from taking any conscious action by absorbing its nerve impulses. The host must succeed on a DC 19 Fortitude save or be affected as if by a hold monster spell (caster level 6th). The nerve swimmers control the victim’s body directly instead of the mind; therefore this ability is not mind-affecting. The victim can attempt a saving throw every round to shake off the effects of the nerve strike. The save DC is Constitution-based.
Wracking Pain (Ex): A nerve swimmer swarm that inhabits a host can cause its host to suffer wracking pain. This ability may be used at will, but requires a swarm to sacrifice two daily uses of either its nerve strike or domination abilities. The host must succeed on a DC 19 Fortitude save or take 2 points of Strength and Dexterity damage. The host must succeed on another DC 19 Fortitude save or take 4 points of Constitution damage (half damage on a successful save). The save DC is Constitution-based.
Wouldn’t this power be a lot more useful if it worked more like the way it does for formians? Is there an ability like the one below in existence somewhere – it seems more like a vulnerability than a defense. Or even more like the hellwasp swarm?
Hive Mind (Ex): Nerve swimmer swarms are linked in a hive mind. Thus, they are treated as a single monster for the purposes of mind-affecting effects.