Ayers Health And Rehabilitation Center
AYERS HEALTH AND REHABILITATION CENTER in TRENTON, FL — inspection on August 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
completed the following steps to remove the immediate jeopardy. On August 5, 2025 the facility held a Quality Assurance and Performance Improvement (QAPI) meeting and completed a root cause analysis (RCA) related to the unsecured chemical (wound cleanser) in Resident #1's room.
The RCA yielded that an unidentified staff member failed to follow the facility policy and left the unsecured wound cleanser in Resident #1's room accessible to Resident #1. On August 5, 2025 immediate education was overseen by the Director of Nursing and completed with 143 of 145 staff members regarding proper storage and/or removal of unsafe substances from Resident's rooms. On August 5, 2025 immediate education was overseen by the Director of Nursing and completed with 31 nursing staff (12 Registered Nurses and 14 Licensed Practical Nurses) regarding proper use and storage of treatment cleansers or any other items deemed harmful or hazardous. On August 5, 2025 education overseen by the Director of Nursing was completed with nursing staff to include room rounds with shift change report to ensure resident safety related to wound cleanser and or biologicals unattended or in reach of residents.On August 13, 2025, a review of facility audits documented an initial audit overseen by the Director of Nursing of all residents' rooms for unsecured hazardous and potentially hazardous products was completed on August 5, 2025.On August 13, 2025, a review of facility audits completed by Unit Managers through August 6, 2025 documented Unit Managers were auditing each room daily to verify there were no biologicals found in the residents' rooms.On August 13, 2025, a review of facility training records documented a total of 31 nursing staff members (including 12 Registered Nurses and 14 Licensed Practical Nurses) were forwarded electronic training overseen by the Director of Nursing on August 5, 2025 related to the standard of not leaving any type of medication or treatment at residents' bedsides unsupervised.During staff interviews conducted August 11, 2025 through August 13, 2025, 1 Minimum Data Set Registered Nurse, 7 Registered Nurses, 14 Certified Nursing Assistants, 1 Assistant Director of Nursing, 4 Licensed Practical Nurses, 1 Maintenance Director, 1 Social Worker, 1 Housekeeping Director and 2 dietary aides all verified receiving education and verbalized understanding of the importance of securing potentially hazardous substances and not leaving potentially hazardous substances in residents' rooms or leaving the potentially hazardous substances accessible to residents.
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