Ayers Health and Rehabilitation Center
606 NE 7th St, Trenton, FL 32693 · Gilchrist County · 120 certified beds · avg 103 residents/day · certified since Mar 5, 1982
Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 13, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 10, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 13, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2025 | 5 | 1 | J ▲ |
| 2026 | 9 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,153.
| Date | Type | Amount / length |
|---|---|---|
| Aug 13, 2025 | Fine | $16,153 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.55 | 4.03 | 3.95 | top 15% in Florida; top 22% in the U.S. |
| Registered Nurse hours | 0.89 | 0.76 | 0.69 | top 27% in Florida; top 21% in the U.S. |
| Weekend total nurse staffing | 4.17 | 3.68 | 3.50 | top 13% in Florida; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.53 | 0.48 | bottom 45% in Florida; top 45% in the U.S. |
| Total nursing staff turnover (%) | 46.2 | 41.4 | 45.8 | bottom 38% in Florida; bottom 47% in the U.S. |
| RN turnover (%) | 38.1 | 46.0 | 42.9 | top 35% in Florida; top 44% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.76, weekend 3.56. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Health Services Management, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2000 |
| Baxter, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2012 |
| Baxter, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
| Fisher, Scott | Individual | Corporate Officer | NOT APPLICABLE | 11/01/1990 |
| Fisher, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/1990 |
| Health Services Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/05/2025 |
| Jackson, Brian | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2012 |
| Jackson, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
| National Health Investors, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2012 |
| National Health Investors, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Nhi-Reit of Florida, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2012 |
| Nhi-Reit of Florida, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| Scott, Shelby | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2012 |
| Shatz, Jim | Individual | Corporate Officer | NOT APPLICABLE | 04/06/2021 |
| Shatz, Jim | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/06/2021 |
| White, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2012 |
| White, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Tri-County Nursing Home | 6.8 mi | Trenton, FL | ★★★★★ | 4/5 | |
| Cross City Nursing and Rehabilitation Center | 19.3 mi | Cross City, FL | ★★★★★ | 4/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105401.