Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correctionFor-profit
Ayers Health and Rehabilitation Center
606 Ne 7Th St, Trenton, FL 32693
(352) 463-7101 · Health Services Management
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 86.0% | Latest inspection | 2026-07-10 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 1 of 5
Health-inspection score
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 87.3 points
Total nurse staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 3.88 hours/day
RN staffing
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 0.76 hours/day
Staff turnover
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 46.2%
Latest health deficiencies
County comparison unavailable — fewer than 5 reporting facilities or missing measure
Facility: 10 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | Unavailable | 3 of 5 |
| Health-inspection score | 87.3 points | Unavailable | 38.5 points |
| Total nurse staffing | 3.88 hours/day | Unavailable | 3.63 hours/day |
| RN staffing | 0.76 hours/day | Unavailable | 0.62 hours/day |
| Staff turnover | 46.2% | Unavailable | 41.8% |
| Latest health deficiencies | 10 deficiencies | Unavailable | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-07-10
10 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correctionTag 0656 · Severity D
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 · Deficient, Provider has no plan of correctionTag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correctionTag 0761 · Severity D
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 · Deficient, Provider has no plan of correctionTag 0773 · Severity D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Deficient, Provider has no plan of correctionTag 0842 · Severity D
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 · Deficient, Provider has no plan of correctionTag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has no plan of correction2025-03-06
4 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-25Tag 0656 · Severity D
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 · Deficient, Provider has date of correction 2025-03-25Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-25Tag 0710 · Severity D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-03-252023-11-09
3 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-12-01Tag 0656 · Severity D
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 · Deficient, Provider has date of correction 2023-12-01Tag 0690 · Severity D
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 · Deficient, Provider has date of correction 2023-12-01Staffing composition
2.36 hours/dayNurse aide
0.75 hours/dayLPN
0.76 hours/dayRN
- Total staffing
- 3.88 hours/day
- County median
- Unavailable
- Florida median
- 3.63 hours/day
- Weekend total
- 3.56 hours/day
- Staff turnover
- 46.2%
- RN turnover
- 38.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.5 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: Unavailable20250101-20251231
Emergency-department visits
0.9 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: Unavailable20250101-20251231
Falls with major injury
7.5%worseFlorida: 2.2% · County: Unavailable2025Q2-2026Q1
Pressure ulcers
2.1%betterFlorida: 4.2% · County: Unavailable2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: Unavailable2025Q2-2026Q1
Antipsychotic medication use
1.1%betterFlorida: 7.0% · County: Unavailable2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Gilchrist County
- Certified beds
- 120
- Average daily residents
- 103.2
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1982-03-05
- CCN
- 105401
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.36427 |
| Lpn hours | 0.75398 |
| Rn hours | 0.76042 |
| Reported total hours | 3.87868 |
| Weekend total hours | 3.55769 |
| Weekend rn hours | 0.41962 |
| Adjusted total hours | 4.54586 |
| Total turnover percent | 46.2 |
| Rn turnover percent | 38.1 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$16,153.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-08-13 | Fine | $16,153.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
3Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| HEALTH SERVICES MANAGEMENT, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NATIONAL HEALTH INVESTORS, INC. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAXTER, KEVIN | CORPORATE OFFICER | NOT APPLICABLE |
| FISHER, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| JACKSON, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| SHATZ, JIM | CORPORATE OFFICER | NOT APPLICABLE |
| WHITE, JOSHUA | CORPORATE OFFICER | NOT APPLICABLE |
| BAXTER, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FISHER, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHATZ, JIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WHITE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HEALTH SERVICES MANAGEMENT, INC. | ADP OF THE SNF | NOT APPLICABLE |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| SCOTT, SHELBY | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology