New York › Sullivan County › Liberty
Sullivan County Adult Care Center
256 Sunset Lake Road, 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.
Sullivan County Adult Care Center, in Liberty, New York, is certified for 146 beds under government, county ownership.
CMS gives it 1 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (19, 13, 9 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 28.1 per 100 beds, more than the state median of 11.0.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 4.1 hours per resident per day (0.6 RN), close to the New York median of 3.5; nursing staff turnover is 64.4%.
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 | 41 | 34 | 17 | 28.7 |
| Citations per 100 beds | 28.1 | 24.3 | 11.0 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 64.4% | 55.7% | 38.4% | 45.8% |
| Fines listed | $9,620 | $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: 27 Sep 2024, 5 Jan 2023.
Severity mix: J ×1 G ×1 H ×1 D ×32 E ×5 F ×1
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 |
|---|---|---|---|---|---|
| 29 May 2026 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 30 Jul 2026 |
| 29 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Jul 2026 |
| 29 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Jul 2026 |
| 29 May 2026 | 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 | Complaint investigation | 20 Jul 2026 |
| 29 May 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 28 Jul 2026 |
| 2 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Complaint investigation | 2 Apr 2026 |
| 2 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 2 Apr 2026 |
| 2 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 2 Apr 2026 |
| 2 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Jan 2026 |
| 20 Nov 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | Complaint investigation | 31 Jan 2026 |
| 15 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Jun 2025 |
| 15 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Jun 2025 |
| 15 Apr 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 13 Jun 2025 |
| 27 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Nov 2024 |
| 27 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Nov 2024 |
| 27 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Nov 2024 |
| 27 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Nov 2024 |
| 27 Sep 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 22 Nov 2024 |
| 27 Sep 2024 | 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. | D | Complaint investigation | 22 Nov 2024 |
| 27 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Nov 2024 |
| 27 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Nov 2024 |
| 27 Sep 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 22 Nov 2024 |
| 18 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Dec 2023 |
| 5 Jan 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | 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 | 5 Mar 2023 |
| 5 Jan 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 5 Mar 2023 |
| 5 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Mar 2023 |
| 4 Sep 2019 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 1 Nov 2019 |
| 4 Sep 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 1 Nov 2019 |
| 4 Sep 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 Nov 2019 |
| 4 Sep 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 | 1 Nov 2019 |
| 4 Sep 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 | 1 Nov 2019 |
| 4 Sep 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Nov 2019 |
| 4 Sep 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Nov 2019 |
| 4 Sep 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 | 1 Nov 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Sep 2024 | Fine | $9,620 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 64.4%, RNs 30.8%; 1 administrator 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 | 9.4% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.9% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.1% | 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: government, county. Legal business name: County Of Sullivan.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Sullivan | Operational/managerial control | NOT APPLICABLE | 01/01/1957 |
| Sunset Lake Consulting LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2021 |
| County of Sullivan | Adp of the snf | NOT APPLICABLE | 05/05/1992 |
| Sunset Lake Consulting LLC | Adp of the snf | NOT APPLICABLE | 02/10/2025 |
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 |
| Achieve Rehab and Nursing Facility | Liberty | 140 | 1 | 1 | 2 | 34 | 24.3 | — | 22 May 2026 |
All 3 facilities in Sullivan County
Questions and answers
How many deficiencies has Sullivan County Adult Care Center been cited for?
41 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Sullivan County Adult Care Center been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Sullivan County Adult Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a New York median of 3.5 and a national average of 3.9.
Who operates Sullivan County Adult Care Center?
Ownership type is government, county. Organisations in the CMS ownership record include County of Sullivan and Sunset Lake Consulting LLC. Individual owners and managers are not listed on this site.
When was Sullivan County Adult Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 May 2026; the most recent standard health survey was 27 Sep 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.