Sullivan County Adult Care Center
256 Sunset Lake Road · Liberty, NY · 12754 · 8452928640
146 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $31,960 |
Inspection citations (37 in the current record)
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Actual harm · H February 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · E February 2, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 2, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 31, 2026 · Quality of Life and Care
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Potential for harm · D November 20, 2025 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected January 31, 2026 · Nursing and Physician Services
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Potential for harm · D April 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected June 13, 2025 · Quality of Life and Care
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Actual harm · G September 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D September 27, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · D September 27, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D September 27, 2024
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected November 22, 2024 · Nursing and Physician Services
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Potential for harm · E September 27, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · F September 27, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · D September 27, 2024 · found via complaint
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.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · D September 27, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 27, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 22, 2024 · Nursing and Physician Services
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Potential for harm · D October 18, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 18, 2023 · Resident Rights
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Immediate jeopardy · J July 7, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 4, 2023 · Quality of Life and Care
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Potential for harm · D January 5, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 5, 2023 · Resident Rights
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Potential for harm · D January 5, 2023
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.
Corrected March 5, 2023 · Resident Rights
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Potential for harm · D January 5, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 5, 2023 · Quality of Life and Care
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Potential for harm · D January 5, 2023
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.
Corrected March 5, 2023 · Quality of Life and Care
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Potential for harm · E January 5, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 5, 2023 · Nursing and Physician Services
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Potential for harm · D January 5, 2023
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.
Corrected March 5, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 27, 2024 | Fine | $9,620 |
| July 7, 2023 | Fine | $22,340 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335628 · certified since April 11, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.