Federal inspection record · CMS data as of October 1, 2026
Achieve Rehab And Nursing Facility
170 Lake Street, Liberty, NY · (845) 292-4200
- Cited for abuse (CMS abuse icon)
- Certified beds
- 140
- Residents per day
- 134
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 5, 1975
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among New York homes
Achieve Rehab And Nursing Facility carries 212.5 inspection points. That is fewer than 4% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Everything else, by area of care
Quality of Life and Care9E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights6E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
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
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor the resident's right to manage his or her financial affairs.
- D
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.
Resident Assessment and Care Planning5F
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service3E
- E
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
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Nursing and Physician Services2E
- D
Post nurse staffing information every day.
- E
Observe each nurse aide's job performance and give regular training.
Environmental2E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Administration1D
- D
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.
Inspection history
2026-05-22
21 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-23
12 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-09-27
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 17 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.3 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 95.7% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts worse | 91.7% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 5.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.6 pts better | 8.5% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts worse | 7.6% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 12.6% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts better | 10.2% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better | 8.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 10.0% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts better | 11.4% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 6.0% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts worse | 69.9% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 12.0% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.1 pts worse | 74.8% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 19.3% | 20.6% | 23.4% |
·
Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ostreicher, Sandra | 5% Or Greater Direct Ownership Interest · Individual | 45% | 2 facilities |
| Scheiner, Eliezer | 5% Or Greater Direct Ownership Interest · Individual | 45% | 32 facilities |
| Zelman, Eliezer | 5% Or Greater Direct Ownership Interest · Individual | 10% | 4 facilities |
| Wood, Ryan | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Wood, Ryan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Wood, Ryan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Younesi, Peyman | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Younesi, Peyman | Adp Of The SNF · Individual | 0% | 10 facilities |
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Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Properly provide smoke detection systems in areas open to corridors.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress5E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have correct number of accessible exits for each story.
- D
Provide at least two remote exits on each floor or fire section of the building.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3E
- D
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness2C
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Include a process for Emergency Preparedness collaboration.
Services1E
- E
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
-
Sullivan County Adult Care Center
Liberty, NY
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 12 min
- Fines
- $9,620
-
Roscoe Regional Rehab & Residential H C F
Roscoe, NY
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Mountainside Residential Care Center
Margaretville, NY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $8,512