The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
PUTNAM NURSING & REHABILITATION CENTER
HOLMES, NY · Medicare-certified · 160 beds
Needs attention
For-profitChain member
2 of 5 overall
Overall 2 of 5 stars. PUTNAM NURSING & REHABILITATION CENTER in Holmes, NY has low health inspection and staffing ratings (2 of 5 stars each), better quality measures (4 of 5 stars), nurse staffing below the federal benchmark (3.08 vs. 4.1 hours per resident day), $19,984 in fines in the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0776 hrs/resident/day
Quality measures
Last inspection: April 7, 2025Penalties, last 24 months: $19,984recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0776.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.97
- Nurse aides
- 1.64
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
36.2%23.1%Improving
Residents with a fall causing major injury
3%2.2%Improving
Residents with pressure ulcers (bedsores)
7.9%5.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.1%2.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%7.3%Improving
Residents whose ability to walk got worse
7%8.3%Worsening
Long-stay residents on antianxiety or sleep medication
22.8%17.8%Improving
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.9%32.4%Worsening
Residents with depressive symptoms
4.1%1.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.8%Worsening
Short-stay residents given the seasonal flu vaccine
—74.7%—
Short-stay residents given the pneumonia vaccine
72.3%87%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,364 was recorded.
- PENALTY
A federal fine of $9,620 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $19,984 in total fines.
- $10,364
Federal fine
Mar 11, 2025
- $9,620
Federal fine
Mar 11, 2025
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of EPIC HEALTHCARE MANAGEMENT · 5 homes · 3.2 stars avg
- Occupancy
- 105.3 residents on an average day (66% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.