All states › New York › Liberty › Achieve Rehab and Nursing Facility
170 Lake Street Liberty, NY 12754 · Sullivan County
All 2 nursing homes in Liberty, NY (2 take Medicaid)
CMS certification number 335449 · See this home on Medicare Care Compare
Is Achieve Rehab and Nursing Facility a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Achieve Rehab and Nursing Facility as of October 2026.
CMS rates it 1 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.28 hours per resident per day at Achieve Rehab and Nursing Facility, below the New York median of 3.57 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 2.94 hours, 10% below its all-week average. 48.5% of nursing staff left within a year (New York median 38.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Achieve Rehab and Nursing Facility: Medicare and Medicaid
Achieve Rehab and Nursing Facility is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 22, 2026 and found 11 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 39 citations at Achieve Rehab and Nursing Facility across 6 inspection dates, 20 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on May 22, 2026. The most common areas cited were quality of life and care (10) and resident rights (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, May 22, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 22, 2026 · 19 citations · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GEnsure 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.
FEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DPost nurse staffing information every day.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
March 30, 2026 · 2 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DConduct 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.
January 16, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 23, 2024 · 11 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EObserve each nurse aide's job performance and give regular training.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor the resident's right to manage his or her financial affairs.
DEnsure each resident receives an accurate assessment.
DEnsure 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.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
October 11, 2023 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 27, 2022 · 5 citations
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Achieve Rehab and Nursing Facility
- Inspectors cited the home at the actual-harm level on May 22, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 22, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 48.5% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
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Location
Hospitals near Achieve Rehab and Nursing Facility
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.0 mi
Garnet Health Medical Center Catskills HarrisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 3m for patients treated and sent home
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16.9 mi
Garnet Health Medical Center Catskills CallicoonEmergency roomMedian ER visit 1h 21m for patients treated and sent home
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19.6 mi
Ellenville Regional Hospital EllenvilleEmergency roomMedian ER visit 1h 32m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.