Federal inspection record · CMS data as of October 1, 2026
Sullivan County Adult Care Center
256 Sunset Lake Road, Liberty, NY · (845) 292-8640
- Certified beds
- 146
- Residents per day
- 104
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 11, 1978
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.
-
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.
2
Where it sits among New York homes
Sullivan County Adult Care Center carries 200.25 inspection points. That is fewer than 5% 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
44 health citations on record since 2019. 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 (3)
-
J
Respond appropriately to all alleged violations.
-
H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation8E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care7D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights7D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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
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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services5E
- D
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
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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
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
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2024-09-27
22 health deficiencies · 12 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2023-01-05
13 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2019-09-04
9 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
4 h 12 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 42% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$9,620 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-27 | Fine | $9,620 |
6
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 days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.0 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts worse | 83.2% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 96.7% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.6% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts worse | 23.3% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts worse | 8.2% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.6 pts worse | 29.8% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medicationAbout the same | 13.7% | 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 worsened5.8 pts better | 5.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts better | 9.9% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 17.8% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 8.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine41.2 pts worse | 36.4% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts better | 9.0% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.8 pts worse | 58.1% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts better | 18.8% | 20.6% | 23.4% |
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Who owns and runs it
10 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 |
|---|---|---|---|
| Buck, Nancy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Buck, Nancy | Adp Of The SNF · Individual | 0% | 1 facilities |
| County Of Sullivan | Operational/Managerial Control · Organization | 0% | 1 facilities |
| County Of Sullivan | Adp Of The SNF · Organization | 0% | 1 facilities |
| Holton, Megan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holton, Megan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Patel, Deepesh | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Patel, Deepesh | Adp Of The SNF · Individual | 0% | 4 facilities |
| Sunset Lake Consulting LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sunset Lake Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9E
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness7C
- C
Develop Emergency Preparedness policies and procedures.
- C
Conduct testing and exercise requirements.
- C
Develop Emergency Preparedness policies and procedures.
- C
Provide a means of sharing information on occupancy/needs.
- C
Establish emergency prep training and testing.
- C
Conduct testing and exercise requirements.
- C
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems5E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Services3E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have elevators that firefighters can control in the event of a fire.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous3E
- E
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
Egress3E
- D
Install proper backup exit lighting.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install proper backup exit lighting.
Construction1E
- E
Use approved construction type or materials.
Electrical1D
- D
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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- $0
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Roscoe Regional Rehab & Residential H C F
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- Nursing / resident / day
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-
Mountainside Residential Care Center
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- 3 h 49 min
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