Putnam Nursing & Rehabilitation Center

Name: Putnam Nursing & Rehabilitation Center
Address: 404 Ludingtonville Road, Holmes, NY, 12531, US
Telephone: 8458783241

404 Ludingtonville Road, Holmes, NY 12531 · Putnam County · 160 certified beds · avg 119 residents/day · certified since Jul 1, 1986

Part of chain: EPIC HEALTHCARE MANAGEMENT (5 facilities, chain avg rating 3.4★)

2/5

Health inspection rating (on-site)

Serious findings on record

$19,984

Fines, last 3 years

2.59

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Mar 11, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 27, 2025 (Past Non-Compliance)

▲ Actual harm, one-off · Apr 7, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 3, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 7, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 4, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 4, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 4, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 4, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 4, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 4, 2025	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Apr 4, 2025	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Apr 4, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 11, 2025	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 19, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 19, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 1, 2019	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Oct 1, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2019	2	0	D
2022	2	0	D
2025	10	2	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $19,984.

Date	Type	Amount / length
Mar 11, 2025	Fine	$9,620
Mar 11, 2025	Fine	$10,364

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.59	3.58	3.95	bottom 5% in New York; bottom 5% in the U.S.
Registered Nurse hours	0.36	0.68	0.69	bottom 9% in New York; bottom 16% in the U.S.
Weekend total nurse staffing	2.31	3.13	3.50	bottom 6% in New York; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.48	0.48	bottom 17% in New York; bottom 14% in the U.S.
Total nursing staff turnover (%)	27.3	40.3	45.8	top 20% in New York; top 10% in the U.S.
RN turnover (%)	25.0	39.8	42.9	top 19% in New York; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.75, RN 0.38, weekend 2.45. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
Jozefovic, Herbert	Individual	5% or Greater Direct Ownership Interest	50%	07/19/2011
Neuman, Mark	Individual	5% or Greater Direct Ownership Interest	50%	07/19/2011
Feminella, Danielle	Individual	Operational/Managerial Control	NOT APPLICABLE	07/19/2011
Jozefovic, Herbert	Individual	Corporate Officer	NOT APPLICABLE	07/19/2011
Kaye, Deena	Individual	W-2 Managing Employee	NOT APPLICABLE	07/22/2014
Neuman, Mark	Individual	Corporate Officer	NOT APPLICABLE	07/19/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Putnam Ridge	6.0 mi	Brewster, NY	★☆☆☆☆	1/5
The Grand Rehabilitation and Nursing at Pawling	6.8 mi	Pawling, NY	★★☆☆☆	2/5
The Paramount at Somers Rehab and Nursing Center	11.1 mi	Somers, NY	★★☆☆☆	1/5	abuse
Waterview Hills Rehabilitation and Nursing Center	11.3 mi	Purdy Station, NY	★★★★☆	3/5
Salem Hills Rehabilitation and Nursing Center	11.3 mi	Purdys, NY	★★★★☆	3/5
Taconic Rehabilitation and Nursing at Hopewell	11.9 mi	Fishkill, NY	★★★☆☆	2/5
Havencare at Filosa	11.9 mi	Danbury, CT	★★★★★	5/5
Havencare at Hancock Hall	12.1 mi	Danbury, CT	★★★★★	5/5
Autumn Lake Healthcare at Glen Hill	12.4 mi	Danbury, CT	★★★★☆	3/5
Civita Care Center at Danbury	13.0 mi	Danbury, CT	★★☆☆☆	2/5	abuse
Saint John Paul II Center	13.2 mi	Danbury, CT	★★☆☆☆	2/5	abuse
Bethel Health Care Center	14.5 mi	Bethel, CT	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Holmes →

Facility data as of CMS processing date 2026-08-01. CCN 335229.

The Care File

Visit checklist — Putnam Nursing & Rehabilitation Center

404 Ludingtonville Road, Holmes, NY 12531 · 8458783241

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $19,984

Most serious findings on record:

▲ Mar 11, 2025 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Apr 7, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335229 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)