Gilchrist County, Florida · Nursing home
Ayers Health and Rehabilitation Center
2 of 5 overall from CMS
606 NE 7th St, Trenton, FL 32693
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.88 hours Above the state average of 3.82
- Nursing staff who left in a year 46.2% Above the state average of 41.4%
- Health citations, last 3 inspection cycles 17 1 at the harm level or above
- Fines in 3 years $16,153 1 fine
- Certified beds in use 86.0% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Ayers Health and Rehabilitation Center is a 120-bed nursing home in Trenton, Florida (Gilchrist County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.88 nurse staffing hours per resident per day, above the Florida average of 3.82. CMS lists 1 fine totaling $16,153 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 103.2
- Certified since
- 1982 (44 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Health Services Management (16 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Ayers Health and Rehabilitation Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $16,153 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 9 health deficiencies in the latest inspection cycle (the standard inspection on Jul 10, 2026 plus complaint and infection-control inspections); the Florida average is 7.1. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 46.2%, above the Florida average of 41.4%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Florida average 3.3
- Health inspections 2 of 5 Florida average 2.9
- Staffing 4 of 5 Florida average 3.3
- Quality measures 4 of 5 Florida average 4.2
The vertical line marks the Florida average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.88 h Florida average 3.82
- Nurse aides 2.36 h Florida average 2.31
- Licensed practical nurses 0.75 h Florida average 0.78
- Registered nurses 0.76 h Florida average 0.73
- All staff, weekends 3.56 h Florida average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Florida average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.2%
- Florida average41.4%
- Registered nurse turnover38.1%
- Florida average46.0%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Florida and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% | 8.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.6% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.1% | 4.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 7.5% | 2.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 98.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.5% | 9.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.9% | 14.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 99.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.1% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.6% | 10.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 1.1% | 8.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.54 | 2.13 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.92 | 1.15 | 1.78 |
Short-stay residents
| Measure | This home | Florida | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% | 95.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% | 94.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.4% | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% | 9.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 17 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 13, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 10, 2026 | 9 | 2 |
| Mar 6, 2025 | 5 | 1 |
| Nov 9, 2023 | 3 | 0 |
Florida homes averaged 7.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (17)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 27, 2026)
Show 12 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 27, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 25, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 25, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 25, 2025)
-
DPotential for more than minimal harm, isolated
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 25, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 1, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Dec 1, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Dec 1, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 13, 2025 | Fine | $16,153 |
Florida homes averaged 0.8 fines and $24,361 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Florida
- Size225 of 694 by certified beds
- Florida average residents per day108.9
- ChainHealth Services Management
- Chain average overall rating3.2 of 5
- Resident or family councilNone
- Homes in Gilchrist County2
Common questions
What is the CMS star rating for Ayers Health and Rehabilitation Center?
Ayers Health and Rehabilitation Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 4.
How many beds does Ayers Health and Rehabilitation Center have?
Ayers Health and Rehabilitation Center has 120 certified beds. It averages 103.2 residents per day, about 86.0% of its certified beds.
How much nursing care do residents get at Ayers Health and Rehabilitation Center?
The home reports 3.88 hours of nurse staffing per resident per day, including 0.76 hours from registered nurses. The Florida average is 3.82 hours and 0.73 hours from registered nurses.
Has Ayers Health and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $16,153 in the past three years.
Does Ayers Health and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Tri-County Nursing Home 81beds 94.0%in use 3.84nurse hours a day
- 5 of 5 Cross City Nursing and Rehabilitation Center 60beds 87.0%in use 3.94nurse hours a day
- 5 of 5 Terrace Healthcare & Rehabilitation Center 138beds 95.9%in use 3.55nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Gilchrist County
Who to call in Florida
These offices serve residents of every nursing home in Florida.
- Long-term care ombudsman Florida Long-Term Care Ombudsman Program 1-888-831-0404 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Administration Unit 1-888-419-3456 The state agency that inspects nursing homes.
Florida staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 105401. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.