Ayers Health and Rehabilitation Center — nursing home in Trenton, FL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 107.6 CMS, MDS-derived
CMS Certification Number: 105401
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 5, 1982
Ownership type: For profit - Corporation
Operator (legal business name): Ayers Health & Rehabilitation Center, LLC
CMS chain: Health Services Management 16 facilities
Phone: (352) 463-7101
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 10, 2026

Citations

20

17 health · 3 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E1	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$16,153

Payment denials

0

Latest

Aug 13, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 105401
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Mar 5, 1982
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 10, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 10, 2026	Health	Health Standard	9	Potential harm	—	Open →
Aug 13, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Mar 6, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 6, 2025	Health	Health Standard	4	Potential harm	—	Open →
Nov 9, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 9, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 13, 2025	Civil money penalty (fine)	$16,153	—	105401\|Fine\|135408

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E1	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 10, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2026
Jul 10, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 27, 2026
Jul 10, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0773	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jul 10, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 27, 2026
Aug 13, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Aug 22, 2025	Complaint
Mar 6, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 21, 2025
Mar 6, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2025
Mar 6, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2025
Mar 6, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2025
Mar 6, 2025	F-0710	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 25, 2025
Nov 9, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 1, 2023
Nov 9, 2023	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 1, 2023
Nov 9, 2023	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 1, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresstate 4.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.73

State avg 3.86US avg 3.90

Registered nurse (RN)0.67

State avg 0.73US avg 0.69

Licensed practical nurse0.74

State avg 0.80US avg 0.86

Nurse aide2.32

State avg 2.33US avg 2.35

Weekend total nurse3.44

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.47 (case-mix index 1.17).

Staff turnover

Total nursing staff turnover50.5%

State avg 41.5%US avg 45.3%

Registered nurse turnover36.8%

State avg 46.1%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 10, 2026
Cycle 1 health score: 36
Total weighted score: 49.75

Operating entity

Ayers Health & Rehabilitation Center, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Health Services Management

16 facilities in 2 states. CMS chain ID 257.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.1

Ownership disclosures

Disclosures

17

Organizations

3

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Health Services Management, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2000

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Health Services Management, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2000
Kevin Baxter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2012
Scott Fisher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 1990
Brian Jackson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2012
Jim Shatz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 6, 2021
Joshua White	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2012
Kevin Baxter	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 2, 2012
Scott Fisher	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 1990
Brian Jackson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 2, 2012
Jim Shatz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 6, 2021
Joshua White	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 2, 2012
National Health Investors, Inc	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2012
Nhi-Reit of Florida, LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jan 1, 2012
Health Services Management, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 5, 2025
National Health Investors, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2012
Nhi-Reit of Florida, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2012
Shelby Scott	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 2, 2012

Same chain in Florida

All 15 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Brooksville Healthcare Center 1114 Chatman Blvd, Brooksville, FL 34601 CCN 105297	180	May 21, 2026	274 IJ	—
Heather Hill Healthcare Center 6630 Kentucky Ave, New Port Richey, FL 34653 CCN 105343	105	May 20, 2026	311 harm	—
Royal Oak Nursing Center 37300 Royal Oak Lane, Dade City, FL 33525 CCN 105385	120	Feb 2, 2026	26	—
Bear Creek Nursing Center 8041 State Rd 52, Hudson, FL 34667 CCN 105393	120	Jul 25, 2026	292 IJ	$34k
Cypress Cove Care Center 700 SE Dr Martin Luther Jr Ave, Crystal River, FL 34429 CCN 105437	120	Apr 30, 2026	10	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 606 NE 7th St, Trenton, FL 32693
ZIP: 32693
County: Gilchrist County FIPS 12041
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Tri-County Nursing Home 7280 SW State Rd 26, Trenton, FL 32693 CCN 105770	10.9 km	81		Apr 9, 2026	10	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	105401	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	105401	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 105401

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction