Sullivan County, New York · Nursing home
Sullivan County Adult Care Center
1 of 5 overall from CMS
256 Sunset Lake Road, Liberty, NY 12754
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 4.11 hours Above the state average of 3.63
- Nursing staff who left in a year 64.4% Above the state average of 40.3%
- Health citations, last 3 inspection cycles 41 3 at the harm level or above
- Fines in 3 years $9,620 1 fine
- Certified beds in use 77.8% of 146 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Sullivan County Adult Care Center is a 146-bed nursing home in Liberty, New York (Sullivan County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.11 nurse staffing hours per resident per day, above the New York average of 3.63. CMS lists 1 fine totaling $9,620 in the past three years.
- Certified beds
- 146
- Residents per day (average)
- 113.6
- Certified since
- 1978 (48 yrs)
Government - County Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Sullivan County Adult Care Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $9,620 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on Sep 27, 2024 plus complaint and infection-control inspections); the New York average is 8.1. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 64.4%, above the New York average of 40.3%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New York average 3.0
- Health inspections 1 of 5 New York average 2.7
- Staffing 3 of 5 New York average 2.8
- Quality measures 4 of 5 New York average 3.8
The vertical line marks the New York average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.11 h New York average 3.63
- Nurse aides 2.67 h New York average 2.15
- Licensed practical nurses 0.87 h New York average 0.76
- Registered nurses 0.58 h New York average 0.71
- All staff, weekends 3.76 h New York average 3.18
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the New York average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover64.4%
- New York average40.3%
- Registered nurse turnover30.8%
- New York average39.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New York and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.4% | 5.8% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 1.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 22.9% | 19.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.4% | 91.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 6.9% | 12.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.3% | 13.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.4% | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 8.3% | 6.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.1% | 19.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 10.1% | 13.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.33 | 1.70 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.74 | 1.36 | 1.78 |
Short-stay residents
| Measure | This home | New York | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 33.4% | 77.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.1% | 78.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% | 20.6% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 41 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 18 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 29, 2026: Respond appropriately to all alleged violations.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 27, 2024 | 19 | 12 |
| Jan 5, 2023 | 13 | 7 |
| Sep 4, 2019 | 9 | 13 |
New York homes averaged 8.1 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (41)
-
JImmediate jeopardy, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 29, 2026)
Show 25 more
-
HActual harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 2, 2026)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 2, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 2, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 31, 2026)
-
DPotential for more than minimal harm, isolated
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jan 31, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 13, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 22, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 22, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Nov 22, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · Deficient, Provider has date of correction (Nov 22, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 18, 2023)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 5, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 5, 2023)
Showing the 30 most recent of 41.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 27, 2024 | Fine | $9,620 |
New York homes averaged 0.5 fines and $23,070 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New York
- Size340 of 593 by certified beds
- New York average residents per day168.0
- ChainNone listed
- Resident or family councilBoth
- Homes in Sullivan County3
Common questions
What is the CMS star rating for Sullivan County Adult Care Center?
Sullivan County Adult Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 4.
How many beds does Sullivan County Adult Care Center have?
Sullivan County Adult Care Center has 146 certified beds. It averages 113.6 residents per day, about 77.8% of its certified beds.
How much nursing care do residents get at Sullivan County Adult Care Center?
The home reports 4.11 hours of nurse staffing per resident per day, including 0.58 hours from registered nurses. The New York average is 3.63 hours and 0.71 hours from registered nurses.
Has Sullivan County Adult Care Center been fined?
Yes. CMS lists 1 fine totaling $9,620 in the past three years.
Does Sullivan County Adult Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Achieve Rehab And Nursing Facility 140beds 94.4%in use 3.33nurse hours a day
- 2 of 5 Roscoe Regional Rehab & Residential H C F 85beds 84.4%in use 3.36nurse hours a day
- 2 of 5 Mountainside Residential Care Center 82beds 84.9%in use 3.70nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sullivan County
Who to call in New York
These offices serve residents of every nursing home in New York.
- Long-term care ombudsman New York State Long Term Care Ombudsman Program 1-855-582-6769 An advocate for residents and their families.
- File a complaint about a nursing home Nursing Home Complaint and Discharge Appeal Hotline 1-888-201-4563 (staffed 8:30 a.m. to 4:45 p.m. on weekdays) The state agency that inspects nursing homes.
New York staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 335628. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.