Putnam Nursing & Rehabilitation Center

404 Ludingtonville Road · Holmes, NY · 12531 · 8458783241

160 certified beds For profit - Partnership Chain: Epic Healthcare Management

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 78
Staffing 20% 60
Federal penalties 15% 60
Trend 10% 63
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.083.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.86≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)2 · $19,984

Inspection citations (14 in the current record)

  • Actual harm · G April 7, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 3, 2025 · Quality of Life and Care

  • Potential for harm · E April 4, 2025

    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.

    Corrected June 1, 2025 · Resident Rights

  • Potential for harm · D April 4, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 4, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · E April 4, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D April 4, 2025

    Have 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.

    Corrected June 1, 2025 · Nursing and Physician Services

  • Potential for harm · E April 4, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 1, 2025 · Nutrition and Dietary

  • Potential for harm · D April 4, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected June 1, 2025 · Administration

  • Potential for harm · D April 4, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 1, 2025 · Infection Control

  • Immediate jeopardy · J March 11, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 19, 2022

    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.

    Corrected January 11, 2023 · Pharmacy Service

  • Potential for harm · D December 19, 2022

    Provide and implement an infection prevention and control program.

    Corrected January 11, 2023 · Infection Control

  • Potential for harm · D October 1, 2019

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected November 25, 2019 · Quality of Life and Care

  • Potential for harm · D October 1, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 25, 2019 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
March 11, 2025Fine$9,620
March 11, 2025Fine$10,364

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335229 · certified since July 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.