All states › New York › Liberty › Sullivan County Adult Care Center
256 Sunset Lake Road Liberty, NY 12754 · Sullivan County
All 2 nursing homes in Liberty, NY (2 take Medicaid)
CMS certification number 335628 · See this home on Medicare Care Compare
Is Sullivan County Adult Care Center 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 Sullivan County Adult Care Center 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 4.20 hours per resident per day at Sullivan County Adult Care Center, above the New York median of 3.57 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.70 hours, 12% below its all-week average. 64.5% 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 Sullivan County Adult Care Center: Medicare and Medicaid
Sullivan County Adult Care Center 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 September 27, 2024 and found 5 deficiencies, plus 17 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 44 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 44 citations at Sullivan County Adult Care Center across 10 inspection dates, 21 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 29, 2026 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (9) and quality of life and care (9). The most serious was cited under the CMS rule to "respond appropriately to all alleged violations" (tag F0610, level J, May 29, 2026). 9 citations were under CMS's abuse, neglect and exploitation rules.
August 25, 2026 · 3 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 29, 2026 · 5 citations, includes immediate jeopardy · includes complaint inspection
JRespond appropriately to all alleged violations.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
February 2, 2026 · 3 citations, includes actual harm · includes complaint inspection
HEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
December 2, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 20, 2025 · 1 citation · includes complaint inspection
DDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
April 15, 2025 · 3 citations · includes complaint inspection
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
September 27, 2024 · 9 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
October 18, 2023 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
January 5, 2023 · 10 citations
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DNotify 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
September 4, 2019 · 8 citations
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Questions to ask on a tour of Sullivan County Adult Care Center
- Inspectors cited the home at the immediate-jeopardy level on May 29, 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 29, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 64.5% a year. How many of the staff come from agencies?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- 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
1 penalty in the last three years, including $9,620 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 27, 2024 | Fine | $9,620 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
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Location
Hospitals near Sullivan County Adult Care Center
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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6.2 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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17.5 mi
Ellenville Regional Hospital EllenvilleEmergency roomMedian ER visit 1h 32m for patients treated and sent home
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19.0 mi
Garnet Health Medical Center Catskills CallicoonEmergency roomMedian ER visit 1h 21m 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
More nursing homes near Sullivan County Adult Care Center › All nursing homes in Liberty ›
Compare Sullivan County Adult Care Center with the 3 closest homes side by side ›
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.