Nursing HomeInspections

Putnam Nursing & Rehabilitation Center

Nursing home in Holmes, NY

Medicare & Medicaid certified2★ overall (CMS)

Call (845) 878-3241Send a messageMap ↗

Public-record details

Address
404 Ludingtonville Road, Holmes, NY 12531
Phone
(845) 878-3241
Listed under
For-profit
Medicare CCN
335229
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
160
Average residents per day
119
Ownership
For-profit, partnership
Legal business name
Putnam Operation Acquisition I LLC
Chain
Epic Healthcare Management (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335229. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 4, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 1, 2019 to Apr 7, 2025): 2 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 7, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 4, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 4, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Apr 4, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated
Apr 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 4, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Apr 4, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 11, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Dec 19, 2022Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 19, 2022Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,984 in the last three years.

Mar 11, 2025Fine: $9,620
Mar 11, 2025Fine: $10,364

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.75 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
1.49 hours
Total nurse staffing on weekends
2.45 hours
Nursing staff turnover (yearly)
27%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.