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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Putnam Nursing & Rehabilitation Center is committed to providing the highest level of quality care in an ethical and responsible fashion. The facility offers rehabilitation services including physical, occupational, and speech therapy. It also provides long-term care with a focus on comfort and professionalism.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 286th out of 388 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▼ 43% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 35% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 41m per day | ▼ 23% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 49m per day | ▼ 11% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | ▲ 14% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 57% State avg: 28m per day · National avg: 28m per day |
Lower than the New York average: 88.3%Putnam Nursing & Rehabilitation Center is legally operated by Putnam Operating Acquisition I, LLC (For Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. See the nursing homes benchmark below for the typical New York State score; higher is better.
D · Below the New York State average for nursing homes.
New York State nursing homes benchmark: C 74/100
Inspection score: 64 out of 100. Letter grade D. Below the New York State average for nursing homes.
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 4 enforcement actions. 34% of New York State nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 13 | This facility has 38% more total citations than a typical New York State nursing home (18 vs. NY avg 13).↑ 38% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 14 | 20 | This facility has 30% fewer health citations than a typical New York State nursing home (14 vs. NY avg 20).↓ 30% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2019.
| 2.6 | 1.9 | This facility has 37% more citations per year than a typical New York State nursing home (2.6 vs. NY avg 1.9).↑ 37% worse |
|
Citations per inspection
Average citations per inspection.
| 2.6 | 1.4 | This facility has 86% more citations per inspection than a typical New York State nursing home (2.6 vs. NY avg 1.4).↑ 86% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 9 | This facility has 22% fewer total inspections than a typical New York State nursing home (7 vs. NY avg 9).↓ 22% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 7 | 4 | This facility has 75% more inspections with citations than a typical New York State nursing home (7 vs. NY avg 4).↑ 75% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 100% | 44% | This facility has 56 percentage points higher inspection citation rate than a typical New York State nursing home (100% vs. NY avg 44%).↑ 56% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 31 | 79 | This facility has 61% fewer total complaints than a typical New York State nursing home (31 vs. NY avg 79).↓ 61% better |
|
Complaints per year
Average complaints per year since 2019.
| 4.4 | 11.3 | This facility has 61% fewer complaints per year than a typical New York State nursing home (4.4 vs. NY avg 11.3).↓ 61% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.25 | 0.50 | This facility has 50% fewer complaints per bed than a typical New York State nursing home (0.25 vs. NY avg 0.5).↓ 50% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 8 | 15 | This facility has 47% fewer complaint investigations than a typical New York State nursing home (8 vs. NY avg 15).↓ 47% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 7, 2025, found one isolated Level 3 deficiency related to accident hazards and supervision, which was corrected. Earlier inspections showed a mix of isolated and patterned Level 2 deficiencies involving care planning, infection control, quality of care, environment, and reporting, as well as a single Level 4 deficiency for abuse and neglect that was also corrected. Complaint investigations did not identify any substantiated complaints, and enforcement actions such as fines or license suspensions were not listed in the available reports. Prior reports noted repeated issues with quality assurance, infection prevention, and safety measures, including building maintenance and staffing coverage. The inspection history suggests some ongoing challenges with care and safety processes, though recent corrections indicate efforts to address these areas.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York State average 3.6
Last Health inspection on Apr 2025
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; and 3 of 15 resulted from complaint investigations.
100% better than New York State averageNew York State average: 0.2
400% worse than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
10
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
9
9 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2019
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
May 19, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
545% better than New York average
5% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,787 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 33 | 1 | 34 | 15,872 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 23 | 3 | 26 | 9,225 | 92 | 100% | 8.9 |
| Registered Nurse | 10 | 2 | 12 | 3,692 | 92 | 100% | 6.9 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,826 | 87 | 95% | 7.6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,595 | 79 | 86% | 6.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 781 | 71 | 77% | 7.2 |
| Mental Health Service Worker | 2 | 1 | 3 | 718 | 62 | 67% | 7.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 687 | 65 | 71% | 6.7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 467 | 66 | 72% | 6.7 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 465 | 82 | 89% | 3.5 |
| Feeding Assistant | 0 | 1 | 1 | 450 | 60 | 65% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 435 | 58 | 63% | 7.5 |
| Qualified Social Worker | 0 | 5 | 5 | 414 | 65 | 71% | 6.4 |
| Administrator | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 277 | 60 | 65% | 4.6 |
| RN Director of Nursing | 1 | 2 | 3 | 133 | 25 | 27% | 4.8 |
| Dietitian | 1 | 0 | 1 | 132 | 17 | 18% | 7.8 |
| Medical Director | 0 | 1 | 1 | 130 | 26 | 28% | 5 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 93 | 21 | 23% | 4.2 |
| Qualified Activities Professional | 7 | 0 | 7 | 87 | 31 | 34% | 2.6 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
70% lower than New York State averageNew York State average: $66K
In line with New York State averageNew York State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York State averageNew York State average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 11, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
In line with New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.6
In line with New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
In line with New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
15.5%
6% better than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
6% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
52% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
7.6%
7% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
2.3%
62% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
1.9%
90% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
33.3%
165% worse than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
9% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.22
30% worse than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.48
10% worse than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
9% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
8% worse than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.7%
5% worse than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
In line with New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.7%
72% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
8% worse than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.2%
8% worse than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.6%
8% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
108Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Putnam Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #297 / 383Payroll — State benchmarkedThis home is ranked 297th out of 383 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Holmes's city center to Putnam Nursing & Rehabilitation Center's address, calculated via Google Maps.
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Putnam Nursing & Rehabilitation Center is located in Holmes, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Putnam Nursing & Rehabilitation Center is Putnam Operating Acquisition I, LLC (For Profit).
Putnam Nursing & Rehabilitation Center has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Putnam Nursing & Rehabilitation Center's license number is 3951302N.
Putnam Nursing & Rehabilitation Center's occupancy is 77%.
Putnam Nursing & Rehabilitation Center has 160 beds.
Putnam Nursing & Rehabilitation Center has had 18 recently reported deficiencies.
Yes — there are 2 photos of Putnam Nursing & Rehabilitation Center in the photo gallery on this page.
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