What is Ayers Health and Rehabilitation Center's Medicare star rating?

CMS rates Ayers Health and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Ayers Health and Rehabilitation Center get at its last inspection?

9 health deficiencies at the standard inspection on July 10, 2026. The Florida average is 7.1.

Does Ayers Health and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Ayers Health and Rehabilitation Center?

CMS lists 17 owners and managers, and links the home to Health Services Management. Legal business name: AYERS HEALTH & REHABILITATION CENTER, LLC.

Ayers Health and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on July 10, 2026, inspectors cited 9 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 17 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated August 13, 2025.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

46.2% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Health Services Management, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

311/23

403/25

108/25

907/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

16D

Potential for minimal harm

July 10, 2026Standard inspection · 9 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on observation, interview, and record review the facility failed to provide an accurate assessment for 3 (Resident #22, #44, and #109) of 7 residents reviewed for respiratory services.
D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on interview and record review the facility failed to update the State of Florida Agency of Health Care Administration Preadmission Screening and Resident Review (PASRR) for 1 (Resident #22) of 4 residents reviewed for behavioral services.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive care plan for 1 (Resident #22) of 4 residents reviewed for behavioral services.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 1 residents reviewed (Resident #113) by failing to provide timely post-procedure wound care following a dermatology procedure and by failing to implement physician-ordered aspiration precautions.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on observation, interview and record review the facility failed to follow standards of care for oxygen use when failing to provide accurate oxygen flow rate and change tubing weekly for 2 (Resident #5 and #6) of 7 residents reviewed for respiratory services.
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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on observation, interview, and record review the facility failed to follow professional standards of practice leaving on attended medication in 1 of 4 hallways and in dinning room area and expired medication in 1 of 5 medication carts.
D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on record review and interview, the facility failed to ensure physician-ordered laboratory services were provided for 1 of 1 residents reviewed for laboratory monitoring (Resident #13).
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on record review and interview, the facility failed to ensure 3 out of 4 Residents (Resident #3, #118 and #120) reviewed for discharge had a discharge order in their medical record.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2026

Inspectors wroteBased on observation, interview, and record review the facility failed to follow infection control standards for hand hygiene for 2 of 5 medication administration observations and failed to follow infection control standards for storage of tubing and nebulizer treatment pieces for 3 (Resident #2, #45, and #121) of 7 residents reviewed for respiratory services.

August 13, 2025Complaint inspection · 1 citation

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from accidents and hazards by failing to ensure wound cleanser containing chemicals were secure when not in use for 1 (Resident #1) of 5 residents with wound care needs. On August 3 and 4, 2025, [Brand Name] Wound Care Cleanser was observed unattended in Resident #1's room at different times by three staff members. The wound cleanser was not removed. Resident #1 consumed the wound cleanser, complained of burning to his mouth and stomach resulting in Resident #1 being transferred to a higher level of care. The facility failed to ensure residents were free from accidents and hazards by failing to ensure wound cleanser containing chemicals were secure when not in use led to the determination of Immediate Jeopardy at a scope and severity of isolated, (J). [...]

March 6, 2025Standard inspection · 4 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025

Inspectors wroteBased on record review and interview, the facility failed to ensure the minimum data set (MDS) was completed accurately for 1 of 3 residents, Resident #104 reviewed for hospitalization.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025

Inspectors wroteBased on record review and interview, the facility failed to develop for implementation a comprehensive care plan to meet the needs for respiratory care services for 2 of 7 residents, Residents #50 and #33, reviewed for respiratory care services.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen was administered as ordered by the physician for 1 of 7 residents, Resident #89
D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2025

Inspectors wroteBased on interview, observation, and record review the facility failed to enusre physician supervision of medical care for 1 of 7 residents, Resident #50, reviewed for respiratory care.

November 9, 2023Standard inspection · 3 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2023

Inspectors wroteBased on record review and interview the facility failed to ensure the minimum data set (MDS) was completed accurately for 1 of 3 residents, Resident #104, reviewed for discharge.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2023

Inspectors wroteBased on record review and interview the facility failed to develop and implement a comprehensive care plan to meet the needs for urinary tract infections for 1 of 3 residents, Resident #80.
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 1, 2023

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the necessary care and services to maintain urine flow into a catheter bag was provided and failed to ensure proper infection control techniques for 1 of 2 residents, Resident #87, reviewed for urinary catheter care.

Fire safety inspections

3 fire safety citations on file: 2 on July 10, 2026, 1 on March 6, 2025.

Every fire safety citation3 citations

F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 10, 2026 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 10, 2026 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · March 6, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
August 13, 2025	Fine	$16,153

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Florida	United States
All nursing staff (RN, LPN and aides)	3.88	3.82	3.86
Registered nurses	0.76	0.73	0.69
All nursing staff on weekends	3.56	3.49	3.42
Nurse aides	2.36
Licensed practical nurses	0.75
Nursing staff turnover (share who left in a year)	46.2%	41.4%	45.8%
Registered nurse turnover	38.1%	46.0%	42.9%
Administrators who left	1

CMS expects 3.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.01 on weekdays and 3.56 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.88 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.88	0.76	4.01	3.56	8.5%	0 of 90	103
Oct to Dec 2025	3.90	0.81	4.04	3.56	6.6%	0 of 92	103
Jul to Sep 2025	3.90	0.82	4.02	3.61	3.5%	0 of 92	102
Apr to Jun 2025	3.87	0.78	3.98	3.59	4.0%	0 of 91	104
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Florida, Jan to Mar 2026	3.76	0.70	3.90	3.44	1.1%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Florida	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	13.6	8.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.3	0.3	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.7	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.5	2.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.4	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.6	9.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.1	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	1.1	8.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	33.4	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.5	9.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.5	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.1	1.8

Owners and operators

Legal business name: AYERS HEALTH & REHABILITATION CENTER, LLC. CMS links this home to Health Services Management, a group of 16 nursing homes averaging 3.2 stars overall.

Name	Role	Type	Share	Since
Health Services Management, Inc.	5% or greater direct ownership interest	Organization	100%	10/01/2000
National Health Investors, Inc.	5% or greater mortgage interest	Organization		01/01/2012
Nhi-Reit of Florida, LLC	5% or greater mortgage interest	Organization		01/01/2012
Baxter, Kevin	Corporate officer	Individual		04/02/2012
Fisher, Scott	Corporate officer	Individual		11/01/1990
Jackson, Brian	Corporate officer	Individual		04/02/2012
Shatz, Jim	Corporate officer	Individual		04/06/2021
White, Joshua	Corporate officer	Individual		04/02/2012
Baxter, Kevin	Operational/managerial control	Individual		04/01/2012
Fisher, Scott	Operational/managerial control	Individual		11/01/1990
Jackson, Brian	Operational/managerial control	Individual		04/01/2012
Shatz, Jim	Operational/managerial control	Individual		04/06/2021
White, Joshua	Operational/managerial control	Individual		04/01/2012
Health Services Management, Inc.	Adp of the SNF	Organization		04/05/2025
National Health Investors, Inc.	Adp of the SNF	Organization		01/01/2012
Nhi-Reit of Florida, LLC	Adp of the SNF	Organization		01/01/2012
Scott, Shelby	Adp of the SNF	Individual		04/02/2012

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 10, 2026: "Ensure each resident receives an accurate assessment."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 10, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 10, 2026: "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."
Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on July 10, 2026: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Tri-County Nursing Home
Trenton, 6.8 mi · 5 of 5 stars · 6 citations
Cross City Nursing and Rehabilitation Center
Cross City, 19.3 mi · 5 of 5 stars · 11 citations
Terrace Healthcare & Rehabilitation Center
Gainesville, 21.9 mi · 5 of 5 stars · 16 citations
Cedar Crest at North Florida
Gainesville, 24 mi · 1 of 5 stars · 38 citations
Magnolia Ridge Health and Rehabilitation Center
Gainesville, 24.5 mi · 4 of 5 stars · 27 citations
Palm Garden of Gainesville
Gainesville, 24.5 mi · 4 of 5 stars · 26 citations
Plaza Health and Rehab
Gainesville, 25 mi · 5 of 5 stars · 15 citations

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.

Common questions

What is Ayers Health and Rehabilitation Center's Medicare star rating?: CMS rates Ayers Health and Rehabilitation Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ayers Health and Rehabilitation Center get at its last inspection?: 9 health deficiencies at the standard inspection on July 10, 2026. The Florida average is 7.1.
Has Ayers Health and Rehabilitation Center been fined?: Yes. CMS lists 1 fine totaling $16,153 in the last three years.
Does Ayers Health and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Ayers Health and Rehabilitation Center?: CMS lists 17 owners and managers, and links the home to Health Services Management. Legal business name: AYERS HEALTH & REHABILITATION CENTER, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.