Nursing HomeInspections

Sullivan County Adult Care Center

Nursing home in Liberty, NY

Medicare & Medicaid certified1★ overall (CMS)

Call (845) 292-8640Send a messageMap ↗

Public-record details

Address
256 Sunset Lake Road, Liberty, NY 12754
Phone
(845) 292-8640
Listed under
Government-owned
Medicare CCN
335628
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
146
Average residents per day
114
Ownership
Government, county
Legal business name
County of Sullivan
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 11, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 335628. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 27, 2024. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 4, 2019 to May 29, 2026): 18 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 29, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 29, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 29, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 29, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
May 29, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Feb 2, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 2, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 2, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		H
Actual harm, pattern
Dec 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 20, 2025Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 15, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 15, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 41. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,620 in the last three years.

Sep 27, 2024Fine: $9,620

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.11 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
2.67 hours
Total nurse staffing on weekends
3.76 hours
Nursing staff turnover (yearly)
64%
RN turnover (yearly)
31%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Liberty

Achieve Rehab And Nursing Facility170 Lake Street · Liberty, NY 12754 · (845) 292-4200 · For-profit34 health citations in 3 inspection cycles · last standard inspection Oct 23, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 2 in Liberty →