Nursing home
Sullivan County Adult Care Center
256 Sunset Lake Road, Liberty, NY 12754 · Map
Government - County · 146 certified beds
Sullivan County Adult Care Center is a Medicare-certified nursing home in Liberty, New York. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.08 hours per resident per day, above the New York average of 3.65. Its most recent inspection on Sep 27, 2024 cited 14 deficiencies.
- 2 fines totaling $31,960In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sullivan County Adult Care Center compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.08 | 3.65 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.49 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.61 | 2.18 | 2.34 | above avg |
| Nursing staff turnover | 48.2% | 40.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $31,960, 2 total penalties.
What inspectors found at Sullivan County Adult Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 2, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 2, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 2, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 2, 2025 · Full report (PDF) - Potential for harm
Designate 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 Deficiencies · Nov 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Apr 15, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 15, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 15, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 27, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 27, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 27, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Sep 27, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 256 Sunset Lake Road
Liberty, NY 12754 - CMS certification #
- 335628
- Ownership
- Government - County
- Certified beds
- 146
- Avg residents/day
- 124.2
- Provider type
- Medicare and Medicaid
- First certified
- 1978-04-11
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sullivan County Adult Care Center using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2026, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 17, 2026: follow-up inspection, partial (safety). Case closed Jul 18, 2026. No violations cited. OSHA record. OSHA recorded the employer as Sullivan County Care Center at Sunset Lake.
- Jun 4, 2026: monitoring inspection, partial (safety). Case closed Jun 4, 2026. No violations cited. OSHA record. OSHA recorded the employer as Sullivan County Care Center at Sunset Lake.
- Apr 30, 2026: complaint inspection, partial (safety). Case closed Jul 22, 2026. 4 violations cited (2 serious, 2 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Sullivan County Care Center at Sunset Lake.
Details
- Serious: Sanitation (1910.141(a)(3)(ii)). Penalty $0 proposed, $0 now. To be fixed by Jul 22, 2026.
- Serious: Sanitation (1910.141(d)(1)). Penalty $0 proposed, $0 now. To be fixed by Aug 12, 2026.
- Other than serious: Cited rule 12. Penalty $0 proposed, $0 now.
- Other than serious: Cited rule 12. Penalty $0 proposed, $0 now. To be fixed by Jul 22, 2026.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Garnet Health Medical Center Catskills, Harris. 5.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Achieve Rehab and Nursing Facility, Liberty. 2.2 miles away, straight line.
- Nearest home health agency office
- Sullivan County Public Health Services Chha, Liberty. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12754 as small town (small town core).
- Dialysis within 15 miles
- Davita Catskill Dialysis Center, Monticello, 10.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 12754.
- Nearest geriatric medicine practice
- Medical Associates Of The Hudson Valley, Kingston. 36.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Sullivan County Adult Care Center a good nursing home?
CMS gives Sullivan County Adult Care Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sullivan County Adult Care Center staffed?
Sullivan County Adult Care Center reports 4.08 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Sullivan County Adult Care Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Sullivan County Adult Care Center have?
Sullivan County Adult Care Center is certified for 146 beds.