Nursing home
Putnam Nursing & Rehabilitation Center
404 Ludingtonville Road, Holmes, NY 12531 · Map
For profit - Partnership · Part of Epic Healthcare Management (5 facilities) · 160 certified beds
Putnam Nursing & Rehabilitation Center is a Medicare-certified nursing home in Holmes, New York. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.12 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Apr 4, 2025 cited 10 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $19,984In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Putnam Nursing & Rehabilitation Center compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.12 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.68 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | 30.1% | 40.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 7, 2025 inspection was corrected by June 3, 2025
Penalties in CMS records: 2 fines totaling $19,984, 2 total penalties.
What inspectors found at Putnam Nursing & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 4, 2025 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Apr 4, 2025 · Full report (PDF) - Immediate jeopardy
Protect 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 Deficiencies · Mar 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 2022 - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 19, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 404 Ludingtonville Road
Holmes, NY 12531 - CMS certification #
- 335229
- Ownership
- For profit - Partnership
- Certified beds
- 160
- Avg residents/day
- 106.5
- Provider type
- Medicare and Medicaid
- First certified
- 1986-07-01
- Chain
- Epic Healthcare Management (5 facilities)
- Setting
- Urban
Part of Epic Healthcare Management
Epic Healthcare Management operates 5 nursing facilities across the United States. View all Epic Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Putnam Nursing & Rehabilitation Center using Google Maps.
Other public records
- Website says Pets allowed
- Staff pay 1 federal wage case with violations found, since 2006
Full public records, with dates and sources
Care and services
From the community’s website
What Putnam Nursing & Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Pets allowed.
Pet-Friendly Facility
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 3, 2006 to Feb 2, 2008. Violations found: Overtime. Back wages: $16,617 owed to 49 employees. Employer as DOL recorded it: Putnam Nursing & Rehabilitation Center. Case 1505739.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Putnam Hospital Center, Carmel. 7.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Putnam Ridge, Brewster. 6.0 miles away, straight line.
- Nearest home health agency office
- Western Connecticut Home Care Inc, Danbury. 10.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Community Pharmacy. 5.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12531 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Celia Dill Dialysis Center, Carmel, 7.6 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Fishkill Dialysis Center, Fishkill, 12.0 miles away, straight line (CMS rating 4 of 5 stars)
Davita Danbury Dialysis, Danbury, 13.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 12531.
Hudson Valley Hospice, office in Poughkeepsie, 21.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Syed Moin, MD, Newburgh. 18.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Putnam Nursing & Rehabilitation Center a good nursing home?
CMS gives Putnam Nursing & Rehabilitation Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Putnam Nursing & Rehabilitation Center staffed?
Putnam Nursing & Rehabilitation Center reports 3.12 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Putnam Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Putnam Nursing & Rehabilitation Center have?
Putnam Nursing & Rehabilitation Center is certified for 160 beds.