Nursing Home Alerts

Putnam Nursing & Rehabilitation Center

404 Ludingtonville Road, Holmes, NY 12531

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Putnam Nursing & Rehabilitation Center is a nursing home in Holmes, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(845) 878-3241
Last standard health inspection
April 4, 2025 (1 year ago)
Certified beds
160
Residents per day, on average
118.1
Ownership type
For profit - Partnership
Legal business name
Putnam Operation Acquisition I LLC
Chain
Epic Healthcare Management
Takes part in
Medicare and Medicaid

Fewer health citations than the New York average (14 vs 21).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  2. CMS update of July 29, 2026

    • Staffing

      Total nurse staffing reported to CMS went from 3.1 to 2.7 hours per resident per day.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

  5. CMS update of November 20, 2025

    • Fine

      CMS changed the fine from March 11, 2025 from $30,745 to $10,364.

  6. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  7. CMS update of June 25, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  8. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  9. 1 citation

    Health inspection on April 7, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    68 of 592 New York homes (11%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 3, 2025.

      CMS has cited this home for F0689 2 times since 2019.

    See this home on CMS Care Compare

  10. 8 citations

    Health inspection on April 4, 2025

    CMS lists this as a standard inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2025.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 1, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on June 1, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on June 1, 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 1, 2025.

    • Citation F0727. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 1, 2025.

    • Citation F0868. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on June 1, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 1, 2025.

      CMS has cited this home for F0880 2 times since 2022.

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  11. 3 citations

    Fire safety inspection on April 4, 2025

    CMS lists this as a standard inspection.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on June 4, 2025.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on June 4, 2025.

    • Citation K0353. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 4, 2025.

      CMS has cited this home for K0353 2 times since 2019.

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  12. 1 citation

    Health inspection on March 11, 2025

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    50 of 592 New York homes (8%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0600. Severity J: immediate jeopardy, isolated.

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

      CMS lists it as corrected on February 27, 2025.

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  13. Fine

    March 11, 2025 (1 year ago)

    CMS fine of $10,364 on March 11, 2025.

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  14. Fine

    March 11, 2025 (1 year ago)

    CMS fine of $9,620 on March 11, 2025.

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  15. CMS update of July 31, 2024

    • Staffing

      Total nurse staffing reported to CMS went from 3.6 to 2.8 hours per resident per day.

  16. 2 citations

    Health inspection on December 19, 2022

    CMS lists this as a standard inspection.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 11, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 11, 2023.

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  17. 3 citations

    Fire safety inspection on December 19, 2022

    CMS lists this as a standard inspection.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on February 7, 2023.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on February 13, 2023.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on December 21, 2022.

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  18. 2 citations

    Health inspection on October 1, 2019

    CMS lists this as a standard inspection.

    • Citation F0676. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 25, 2019.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 25, 2019.

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  19. 7 citations

    Fire safety inspection on October 1, 2019

    CMS lists this as a standard inspection.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0225. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0224. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on December 20, 2019.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on December 20, 2019.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Putnam Nursing & Rehabilitation Center last inspected?

CMS lists April 4, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Putnam Nursing & Rehabilitation Center have?

CMS lists 14 health citations since October 1, 2019. CMS also calls these deficiencies.

Has Putnam Nursing & Rehabilitation Center been fined?

CMS lists 2 fines in the past three years, $19,984 in total.

What is the CMS star rating of Putnam Nursing & Rehabilitation Center?

Its CMS overall star rating is 3 of 5.

Is Putnam Nursing & Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.