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Sullivan County Adult Care Center

Nursing Home Facility

256 Sunset Lake Road, Liberty, NY 12754

Nursing Home Care Senior Living
Sullivan County Adult Care Center

Sullivan County Adult Care Center is a senior care community located in Liberty, NY. It provides nursing home care and senior living for older adults in the Liberty area. To learn more or schedule a tour, call (845) 292-8640.

With 146 beds, Sullivan County Adult Care Center is one of the larger communities in the area, senior care communities in Sullivan County average about 109 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 78% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2024 and recorded 19 deficiencies.

Residents receive about 4.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Sullivan County average about 3.6 hours. Nursing staff turnover over the past year was about 64%, which is high and can affect continuity of care.

The community is located in Sullivan County, NY.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 41 problems at Sullivan County Adult Care Center. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 18 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $9,620.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected May 2026, after a complaint. Corrected by July 30, 2026.

  • Caused harm to a resident, a pattern Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected February 2026, after a complaint. Corrected by April 2, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected September 2024, after a complaint. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected May 2026, after a complaint. Corrected by July 28, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected May 2026, after a complaint. Corrected by July 28, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected May 2026, after a complaint. Corrected by July 20, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected May 2026, after a complaint. Corrected by July 28, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected February 2026, after a complaint. Corrected by April 2, 2026.

Show 11 more
  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected February 2026, after a complaint. Corrected by April 2, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2025, after a complaint. Corrected by January 31, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Inspected November 2025, after a complaint. Corrected by January 31, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected September 2024. Corrected by November 22, 2024.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected September 2024, after a complaint. Corrected by November 22, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected September 2024. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Inspected September 2024. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected September 2024, after a complaint. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected September 2024, after a complaint. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected September 2024. Corrected by November 22, 2024.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Inspected September 2024. Corrected by November 22, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Sullivan County Adult Care Center offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 146
  • Occupancy 78%
  • Nursing hours per resident/day 4.1
  • Annual staff turnover 64%
  • Last health inspection September 2024

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