nursing home in Trenton, FL
Ayers Health and Rehabilitation Center
606 NE 7th St, Trenton, FL 32693 · (352) 463-7101
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ayers Health and Rehabilitation Center at a glance
Ayers Health and Rehabilitation Center is a 120-bed for-profit nursing home in Trenton, Florida (Gilchrist County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Florida average of 3.3.
Residents receive about 3.9 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 10, 2026) found 9 health citations. The Florida average is 7.1.
Federal regulators fined it 1 time in the past three years, totaling $16,153.
Nursing staff turnover is 46.2% per year (state average 41.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Health Services Management
- Medicare-certified since
- March 5, 1982
- Resident/family council
- None
- County
- Gilchrist County
- CMS Certification Number
- 105401
Ratings
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.88 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.76 hrs | 0.73 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.31 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.49 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 46.2% | 41.4% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 38.1% | 46% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 7 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 49.8 | 63 | 80.6 | Better |
Penalties
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,153 | $24,361 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 122 | 107 | |
| Average residents per day | 103 | 109 | 86 | |
| Occupancy | 86% | 88.9% | 80.9% |
Long-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.5% | 2.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 1.1% | 8.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.6% | 8.7% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 17.5% | 9.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.6% | 5.5% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.1% | 4.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.9% | 14.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.6% | 10.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 99.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Florida avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.4% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.1% | 94.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 95.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 10, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 27, 2026 |
| July 10, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 27, 2026 |
| July 10, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 27, 2026 |
| July 10, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 27, 2026 |
| August 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected August 22, 2025 |
| March 6, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 21, 2025 |
| March 6, 2025 Standard | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Tag F0710 | D Potential harm, isolated | Corrected March 25, 2025 |
| March 6, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 25, 2025 |
| March 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 25, 2025 |
| March 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 25, 2025 |
| November 9, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 1, 2023 |
| November 9, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,153 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 13, 2025 | Fine | $16,153 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HEALTH SERVICES MANAGEMENT, INC. Organization | 5% or greater direct ownership interest | 100% | 10/01/2000 |
| NATIONAL HEALTH INVESTORS, INC. Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2012 |
| NHI-REIT OF FLORIDA, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2012 |
| HEALTH SERVICES MANAGEMENT, INC. Organization | adp of the snf | NOT APPLICABLE | 04/05/2025 |
| NATIONAL HEALTH INVESTORS, INC. Organization | adp of the snf | 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 |
| BAXTER, KEVIN Individual | corporate officer | NOT APPLICABLE | 04/02/2012 |
| FISHER, SCOTT Individual | corporate officer | NOT APPLICABLE | 11/01/1990 |
| JACKSON, BRIAN Individual | corporate officer | NOT APPLICABLE | 04/02/2012 |
| SHATZ, JIM Individual | corporate officer | NOT APPLICABLE | 04/06/2021 |
| WHITE, JOSHUA Individual | corporate officer | NOT APPLICABLE | 04/02/2012 |
| BAXTER, KEVIN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2012 |
| FISHER, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 11/01/1990 |
| JACKSON, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2012 |
| SHATZ, JIM Individual | operational/managerial control | NOT APPLICABLE | 04/06/2021 |
| WHITE, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2012 |
Other nursing homes near Ayers Health and Rehabilitation Center
Tri-County Nursing Home
7280 SW State Rd 26, Trenton, FL 32693 · 6.8 mi
Non-profit · 81 beds
- CMS high performer
★★★★★5Much above averageCross City Nursing and Rehabilitation Center
583 NE 351 Hwy, Cross City, FL 32628 · 19.3 mi
For-profit · 60 beds · Part of Maximus Healthcare Group
★★★★★5Much above averageTerrace Healthcare & Rehabilitation Center
7207 SW 24th Ave, Gainesville, FL 32608 · 21.9 mi
For-profit · 138 beds · Part of Gold Fl Trust II
★★★★★5Much above averageCedar Crest at North Florida
6700 NW 10th Place, Gainesville, FL 32605 · 24 mi
For-profit · 120 beds
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageMagnolia Ridge Health and Rehabilitation Center
6517 NW 39th Avenue, Gainesville, FL 32606 · 24.5 mi
For-profit · 223 beds
★★★★★4Above averagePalm Garden of Gainesville
227 SW 62nd Blvd, Gainesville, FL 32607 · 24.5 mi
For-profit · 150 beds · Part of Palm Garden Health and Rehabilitation
★★★★★4Above average
Frequently asked questions
What is Ayers Health and Rehabilitation Center's rating?
Ayers Health and Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Florida nursing homes is 3.3 stars.
How many inspection citations did Ayers Health and Rehabilitation Center receive?
Its most recent standard health inspection found 9 citations, compared with a Florida average of 7.1. Every citation is listed on this page with its severity.
Does Ayers Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ayers Health and Rehabilitation Center?
It is for profit - corporation and part of Health Services Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ayers Health and Rehabilitation Center and how do I contact it?
Ayers Health and Rehabilitation Center is at 606 NE 7th St, Trenton, FL 32693. Phone: (352) 463-7101.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.