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Brynwood Health and Rehabilitation Center

1656 South Jefferson Street, Monticello, FL 32344 · Jefferson County · (850) 997-1800

97 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 2002

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106045 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 8 health citations since August 2023 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 3.49 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.

36.4% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
2C
March 19, 2026Standard inspection · 0 citations
December 12, 2024Standard inspection · 3 citations
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to maintain the laundry areas in a clean and sanitary manner.
  2. 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) January 9, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure medications were stored in a secure manner for 2 of 20 residents reviewed (Resident #37 and #16). The facility also failed to ensure medications were locked in a secure manner during 2 of 5 medication administration observation times. The facility also failed to properly dispose of medications during 2 of 5 medication observation times.
  3. 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) January 9, 2025
    Inspectors wroteBased on observations, interviews, and policy review the facility failed to ensure infection control standards were maintained during 2 of 5 medication administration observations.
January 17, 2024Complaint inspection · 3 citations
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on observations, resident and staff interviews, and record review the facility failed to provide sufficient nursing staff to ensure residents received required assistance in a timely manner during an outbreak when 32 of the 88 residents at the facility had been placed on isolation precautions after testing positive for COVID-19 (Coronavirus Disease 2019).
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on observations, interview, and policy review, the facility failed to maintain oxygen tubing and humidifiers in safe operating condition for 1 of 1 sampled resident (#11).
  3. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 16, 2024
    Inspectors wroteBased on observation, interview with residents and staff, and review of immunization records, the facility failed to offer provide education and offer COVID 19 vaccines in a timely manner for 5 of 5 sampled residents. (Residents #9, #10, #11, #12, and #13)
August 24, 2023Standard inspection · 2 citations
  1. C
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide a Notice of Transfer Discharge for 3 of 3 residents reviewed for Transfer Discharge Notices. (Residents #53, #77 and #94)
  2. C
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on record review, interview, and facility policy, the facility failed to provide a Bed Hold Notice Form to 5 of 5 residents reviewed for discharge/transfer to acute care (Resident #30, #53, #77, #94 and #196).

Fire safety inspections

9 fire safety citations on file: 1 on March 19, 2026, 8 on August 24, 2023.

Every fire safety citation9 citations
  1. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 19, 2026 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 24, 2023 · Corrected (the home has a date of correction)
  3. D
    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.
    K 222 · August 24, 2023 · Corrected (the home has a date of correction)
  4. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 24, 2023 · Corrected (the home has a date of correction)
  5. D
    Provide properly protected cooking facilities.
    K 324 · August 24, 2023 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 24, 2023 · Corrected (the home has a date of correction)
  7. D
    Have simulated fire drills held at unexpected times.
    K 712 · August 24, 2023 · Corrected (the home has a date of correction)
  8. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 24, 2023 · Corrected (the home has a date of correction)
  9. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 24, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.493.823.86
Registered nurses0.420.730.69
All nursing staff on weekends3.213.493.42
Nurse aides2.11
Licensed practical nurses0.96
Nursing staff turnover (share who left in a year)36.4%41.4%45.8%
Registered nurse turnover37.5%46.0%42.9%
Administrators who leftnot reported

CMS expects 3.20 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 3.61 on weekdays and 3.21 on weekends, 11% 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 3.60 in April to June 2025 to 3.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.490.423.613.21 0.0%0 of 9090
Oct to Dec 20253.600.433.733.27 0.0%0 of 9286
Jul to Sep 20253.440.363.563.13 0.0%0 of 9290
Apr to Jun 20253.600.423.733.26 0.0%0 of 9189
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.48.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.30.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.12.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.19.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.84.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.88.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.026.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.09.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.11.8

Owners and operators

Legal business name: BRYNWOOD OPERATIONS LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Fenelus, RhodW-2 managing employeeIndividual11/03/2020
Gorelick, BatyaCorporate officerIndividual05/01/2021

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 12, 2024: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 12, 2024: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 12, 2024: "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."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on January 17, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Florida average of 3.49.

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Common questions

What is Brynwood Health and Rehabilitation Center's Medicare star rating?
CMS rates Brynwood Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Brynwood Health and Rehabilitation Center get at its last inspection?
0 health deficiencies at the standard inspection on March 19, 2026. The Florida average is 7.1.
Has Brynwood Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Brynwood 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 Brynwood Health and Rehabilitation Center?
CMS lists 2 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: BRYNWOOD OPERATIONS LLC.

Sources

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