New York › Sullivan County › Liberty
Achieve Rehab and Nursing Facility
170 Lake Street, Liberty, NY 12754
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 140 beds, Achieve Rehab and Nursing Facility serves Liberty in Sullivan County, New York and has taken Medicare and Medicaid residents since 1975.
CMS gives it 1 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (19, 8, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.3 per 100 beds, more than the state median of 11.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the New York median of 3.5; nursing staff turnover is 48.0%.
Compared with county, state and nation
| Measure | This facility | Sullivan Co. median | New York median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 34 | 17 | 28.7 |
| Citations per 100 beds | 24.3 | 24.3 | 11.0 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 48.0% | 55.7% | 38.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Oct 2024, 27 Sep 2022.
Severity mix: G ×1 D ×22 E ×11
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation (under dispute review) | 17 Jul 2026 |
| 22 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0584 | 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. | E | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Jul 2026 |
| 22 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 17 Jul 2026 |
| 30 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 22 May 2026 |
| 30 Mar 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Complaint investigation | 22 May 2026 |
| 16 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Mar 2025 |
| 23 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Dec 2024 |
| 23 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0761 | 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. | D | Standard survey | 20 Dec 2024 |
| 23 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 20 Dec 2024 |
| 23 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 20 Dec 2024 |
| 23 Oct 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint investigation | 20 Dec 2024 |
| 11 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Dec 2023 |
| 27 Sep 2022 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 24 Oct 2022 |
| 27 Sep 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Oct 2022 |
| 27 Sep 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Oct 2022 |
| 27 Sep 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Oct 2022 |
| 27 Sep 2022 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 24 Oct 2022 |
| 28 Mar 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 May 2019 |
| 28 Mar 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 May 2019 |
| 28 Mar 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 May 2019 |
| 28 Mar 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 May 2019 |
| 28 Mar 2019 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 24 May 2019 |
| 28 Mar 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 24 May 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 48.0%, RNs 45.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.3% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 12.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Wmop Llc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sullivan County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Roscoe Regional Rehab & Residential H C F | Roscoe | 85 | 2 | 2 | 3 | 16 | 18.8 | — | 29 Aug 2025 |
| Sullivan County Adult Care Center | Liberty | 146 | 1 | 1 | 3 | 41 | 28.1 | $10K | 29 May 2026 |
All 3 facilities in Sullivan County
Questions and answers
How many deficiencies has Achieve Rehab and Nursing Facility been cited for?
34 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Achieve Rehab and Nursing Facility been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Achieve Rehab and Nursing Facility compare?
Reported total nurse staffing is 3.3 hours per resident per day against a New York median of 3.5 and a national average of 3.9.
Who operates Achieve Rehab and Nursing Facility?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Achieve Rehab and Nursing Facility last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 23 Oct 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.