A case in St. Cloud, Florida is raising serious concerns about trust and oversight in home-based medical care, particularly for families caring for loved ones who cannot speak or physically defend themselves.
Authorities say a 24-year-old home health nurse has been arrested and charged with a felony after investigators reviewed home surveillance footage that allegedly showed the mistreatment of an 18-year-old disabled woman. The victim is non-verbal and has been diagnosed with cerebral palsy, according to police.
The arrest followed concerns raised by the victim’s mother, who noticed unexplained marks on her daughter’s face earlier this month.
How the Situation Came to Light

The victim’s mother said she first became alarmed when she saw red cuts and scrapes on her daughter’s face. Because her daughter cannot speak or move independently, the mother relied on visual cues and behavior changes to understand what might be wrong.
Concerned that the injuries did not have a clear explanation, she reviewed the family’s home surveillance footage. What she reportedly saw prompted her to immediately contact law enforcement.
Police later confirmed that the footage played a central role in the investigation and in the decision to seek an arrest warrant.
Arrest and Charges
The nurse, identified by authorities as Nia Ayers, was arrested on May 7 after turning herself in to the St. Cloud Police Department. She is charged with aggravated assault of a disabled person, a felony offense under Florida law.
Investigators say the charge reflects the victim’s extreme vulnerability and inability to protect herself or report harm.
At the time of reporting, Ayers was being held at the Osceola County jail without bond. A future court date had not yet been publicly listed.
What Police Say They Observed

According to police statements and the arrest warrant, an officer who reviewed the footage described the actions captured on camera as severe and intentional.
To avoid repeating disturbing descriptions, officials have emphasized that the video allegedly shows repeated acts that caused distress and physical harm to the victim. Investigators consider the footage strong enough evidence to support the felony charge.
Police have not released the video publicly, citing the privacy and dignity of the victim.
Trust Inside the Home
One of the most troubling aspects of the case is the length of time the nurse had worked with the family. According to the victim’s mother, Ayers had been providing care in the home for more than a year.
That detail has intensified concerns that potential abuse may not have been isolated to a single incident. Police have said they are continuing to review additional surveillance footage to determine whether there were earlier episodes of mistreatment.
For families who rely on in-home caregivers, the case highlights how much trust is placed in professionals who work behind closed doors, often without immediate supervision.
Statements From Authorities
St. Cloud Police Chief Douglas Goerke said the allegations were deeply disturbing and emphasized that the investigation remains ongoing.
He also noted that, if additional evidence is uncovered, further charges could be filed. Authorities are actively encouraging anyone with information related to Ayers’ caregiving work to come forward.
Police believe there may be other families who interacted with Ayers through home healthcare agencies and want to ensure that any additional concerns are reported.
Employment and Licensing Background

According to police, Ayers worked for two different healthcare companies, both of which have been notified of the arrest.
State records indicate she has been licensed as a practical nurse since 2021. Authorities said there were no prior documented complaints or disciplinary actions connected to her license before this case.
Officials cautioned that licensing systems typically rely on formal reports, meaning issues may go undetected if families do not have clear evidence or feel uncertain about reporting concerns.
Ongoing Investigation
Police have not ruled out the possibility of additional victims. Investigators are continuing to review available footage and are asking anyone who believes a family member may have been affected to contact the St. Cloud Police Department and request the Criminal Investigations Unit.
Authorities stress that reporting concerns, even if they seem minor, can be critical in cases involving vulnerable individuals who cannot speak for themselves.
A Broader Conversation About Home Care Safety
While the case remains in the early stages of the legal process, it has already sparked broader discussion about safeguards in home healthcare settings.
Home-based care is often chosen to provide comfort, stability, and familiarity for people with complex medical needs. However, the privacy that makes home care appealing can also limit oversight if something goes wrong.
Experts frequently emphasize the importance of clear communication between families and care agencies, regular check-ins, and paying close attention to unexplained physical or behavioral changes.
For families caring for non-verbal or physically disabled loved ones, vigilance often becomes the first and most important line of protection.
What Comes Next
As the case proceeds, prosecutors will determine how to move forward based on the available evidence. Ayers is presumed innocent unless and until proven guilty in court.
For the victim’s family, the focus remains on safety, accountability, and ensuring that what they discovered does not happen to anyone else.
The investigation is ongoing.
