Nursing home in Holmes, Putnam County
Putnam Nursing & Rehabilitation Center
404 Ludingtonville Road, Holmes, NY 12531 · (845) 878-3241
2 federal penalties on record · $19,984 in fines
1 immediate jeopardy citation
Putnam Nursing & Rehabilitation Center is a 160-bed for-profit nursing home in Holmes, Putnam County. By certified beds, it is the largest of the 2 Medicare- and Medicaid-certified nursing homes in Putnam County. Medicare rates it 2 out of 5 stars overall (2 for health inspections, 2 for staffing and 4 for quality measures). That overall rating is above the Putnam County average of 1.5 stars. Inspectors issued 14 health citations across 5 inspections in the current federal reporting period, including 1 at the immediate jeopardy level. Federal regulators have imposed 2 fines totaling $19,984 in the past three years. Residents receive about 2.7 hours of total nursing care per day on average, and nursing staff turnover is 27%.
Medicare star ratings
Overall Medicare rating
2 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
2 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
2 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
4 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 2.75
- RN hours per resident per day
- 0.38
- Nursing staff turnover
- 27.3%
- RN turnover
- 25.0%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 404 Ludingtonville Road, Holmes, NY 12531
- County
- Putnam
- Phone
- (845) 878-3241
- Certified beds
- 160
- Average residents per day
- 119
- Ownership type
- For profit - Partnership
- Legal business name
- Putnam Operation Acquisition I LLC
- Chain affiliation
- Epic Healthcare Management (5 facilities)
- In Medicare/Medicaid since
- 1986
- CMS Certification Number (CCN)
- 335229
- Most recent standard inspection
- April 4, 2025
Location and getting there
Putnam Nursing & Rehabilitation Center is located at 404 Ludingtonville Road in Holmes, Putnam County, in the Hudson Valley (ZIP 12531). Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 5
- Total health citations
- 14
- Serious citations (harm or immediate jeopardy)
- 2
- Immediate jeopardy citations
- 1
Serious citations
Citations where inspectors found actual harm to a resident or immediate jeopardy to resident health or safety; most recent April 7, 2025.
| Date | Federal tag | What inspectors cited | Severity | Complaint? |
|---|---|---|---|---|
| April 7, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | Actual harm (isolated) | Yes |
| March 11, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | Immediate jeopardy (isolated) | Yes |
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| April 7, 2025 | Complaint investigation | 1 | Actual harm (isolated) | View CMS report |
| April 4, 2025 | Standard health inspection | 8 | Potential for harm (pattern) | View CMS report |
| March 11, 2025 | Complaint investigation | 1 | Immediate jeopardy (isolated) | View CMS report |
| December 19, 2022 | Standard health inspection | 2 | Potential for harm (isolated) | View CMS report |
| October 1, 2019 | Standard health inspection | 2 | Potential for harm (isolated) | View CMS report |
Understanding these citations
Inspectors cited this facility for serious deficiencies involving abuse, neglect or failure to investigate; accident hazards, supervision or falls. These guides from Leitner Warywoda PLLC, the New York law firm that sponsors this site, explain what these problems look like and what families can do:
Federal penalties
- Federal penalties
- 2
- Fines
- 2
- Total fines
- $19,984
- Payment denials
- 0
- Most recent penalty
- March 11, 2025
| Date | Penalty | Amount / Duration |
|---|---|---|
| March 11, 2025 | Civil money penalty | $9,620 |
| March 11, 2025 | Civil money penalty | $10,364 |
Penalty data last updated September 1, 2026.
Complaints to the New York State Department of Health
- Complaints received
- 35
- Complaints per 100 beds
- 28.6
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 8
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Herbert Jozefovic | Direct owner (5% or greater) — 50% (since 07/19/2011) |
| Mark Neuman | Direct owner (5% or greater) — 50% (since 07/19/2011) |
| Deena Kaye | Managing employee (since 07/22/2014) |
| Herbert Jozefovic | Corporate officer (since 07/19/2011) |
| Mark Neuman | Corporate officer (since 07/19/2011) |
| Danielle Feminella | Operational/managerial control (since 07/19/2011) |
Official reports and records
These links open official and independent records for CCN 335229. Read several inspections, not only the most recent, to see whether problems repeat.