Ayers Nursing Home
801 B Street, Snyder, OK 73566 · Kiowa County · (580) 569-2258
97 certified beds, about 67 residents a day · For profit - Corporation · Medicare and Medicaid since 2011
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375548 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 19, 2024, inspectors cited 6 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
None of its 7 health citations since May 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
38.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
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.
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 7 health citations on file.
July 30, 2026Complaint inspection · 1 citation
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interview, the facility failed to protect a resident from verbal abuse for 1 (#1) of 3 sampled residents reviewed for staff abuse. The DON identified 72 residents resided in the facility.
September 19, 2024Standard inspection · 6 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review and interview, the facility failed to submit payroll based staffing information to CMS as required for the 3rd quarter of 2024. The administrator identified 69 residents resided in the facility.
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure diagnosis of a serious mental illness was reported to the OHCA for a level II PASRR evaluation for two (#3 and #48) of three sampled residents reviewed for PASRR. The DON identified 69 residents resided in the facility.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide assessment and monitoring before and after dialysis treatments, and maintain ongoing communication with the dialysis center for one (#13) of one sampled resident reviewed for dialysis. The DON identified one resident who received dialysis treatments. A Policy for Care of Dialysis Residents in LTC Setting, dated September 2024, read in part, Purpose: To set a policy that will establish guidelines for best practices for End Stage Renal Disease and (ESRD)-Specific Resident care for dialysis residents. Our goal is to efficiently and effectively increase the quality of care of life for ESRD residents. We are focused on promoting resident-centered care, as well as resident and family engagement at the highest level possible.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a medication rate of less than 5%. A total of 31 opportunities were observed during the medication pass with two errors identified. The total medication error rate was 6.45% related to two medications crushed without physician orders to crush the medications for two (#23 and #62) of nine sampled residents reviewed for medications. The administrator identified 69 residents resided in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to have EBP in place for two (#13 and #57) of three sampled residents reviewed for infection prevention and control. The DON identified three residents who required EBP.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview, the facility failed to ensure emergency call systems located near toilets were accessible by a resident lying on the floor in nine of 11 community bathrooms frequently used by residents. The DON stated 69 residents resided in the facility.
July 7, 2023Standard inspection · 0 citations
May 19, 2022Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 5 on September 19, 2024, 4 on May 19, 2022.
Every fire safety citation9 citations
- F Properly provide smoke detection systems in areas open to corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Meet other general requirements that are deficient.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.79 | 3.86 |
| Registered nurses | 0.46 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.44 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 55.5% | 45.8% |
| Registered nurse turnover | 0.0% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 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 3.57 on weekdays and 3.23 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 3.47 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 | 3.47 | 0.46 | 3.57 | 3.23 | 0.0% | 0 of 90 | 67 |
| Oct to Dec 2025 | 3.68 | 0.43 | 3.79 | 3.41 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.60 | 0.42 | 3.65 | 3.45 | 0.0% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.65 | 0.42 | 3.77 | 3.38 | 0.0% | 0 of 91 | 71 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% 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 | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.7 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.7 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.9 | 17.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 3.0 | 1.8 |
Owners and operators
Legal business name: AYERS NURSING HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ayers, Michael | 5% or greater direct ownership interest | Individual | 50% | 05/05/2011 |
| Ayers, Norman | 5% or greater direct ownership interest | Individual | 25% | 02/28/2011 |
| Ayers, Shirlena | 5% or greater direct ownership interest | Individual | 25% | 02/28/2011 |
| Tran, John | Corporate director | Individual | 02/28/2011 | |
| Ayers, Michael | Corporate officer | Individual | 02/28/2011 | |
| Ayers, Norman | Corporate officer | Individual | 02/28/2011 | |
| Ayers, Shirlena | Corporate officer | Individual | 02/28/2011 | |
| Ayers, Michael | Operational/managerial control | Individual | 02/28/2011 | |
| Ayers, Norman | General partnership interest | Individual | 07/01/2011 | |
| Ayers, Shirlena | General partnership interest | Individual | 02/28/2011 | |
| Ayers, Michael | Adp of the SNF | Individual | 02/28/2011 | |
| Ayers, Norman | Adp of the SNF | Individual | 02/28/2011 | |
| Tran, John | Adp of the SNF | Individual | 04/28/2025 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 30, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 September 19, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 19, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 19, 2024: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.23 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- English Village Skilled Nursing and Therapy Altus, 20.4 mi · 4 of 5 stars · 5 citations
- Magnolia Creek Skilled Nursing and Therapy Altus, 20.7 mi · 4 of 5 stars · 17 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. 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: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Ayers Nursing Home's Medicare star rating?
- CMS rates Ayers Nursing Home 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ayers Nursing Home get at its last inspection?
- 6 health deficiencies at the standard inspection on September 19, 2024. The Oklahoma average is 6.4.
- Has Ayers Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Ayers Nursing Home 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 Nursing Home?
- CMS lists 13 owners and managers. Legal business name: AYERS NURSING HOME INC.
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.