ElderGrade
D

52.9/100

Below average

Sullivan County Adult Care Center

256 Sunset Lake Road, Liberty, NY 12754

CMS 1/5 stars #3 of 3 in Sullivan County (845) 292-8640
Certified beds
146
Occupancy
78%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $9,620 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

9.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.83 total nurse hours per resident per day (national median 3.77)
  • 0.58 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 64% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $9,620 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.11 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.58 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.76 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 64.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 42 citations

Last standard health inspection: September 27, 2024 (1 year ago).

J May 29, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Immediate jeopardy to resident health or safety

D May 29, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D May 29, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D May 29, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 29, 2026 F0726 From a complaint

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

H Feb 2, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E Feb 2, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Feb 2, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COUNTY OF SULLIVAN Organization OPERATIONAL/MANAGERIAL CONTROL
SUNSET LAKE CONSULTING LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BUCK, NANCY Individual OPERATIONAL/MANAGERIAL CONTROL
HOLTON, MEGAN Individual OPERATIONAL/MANAGERIAL CONTROL
PATEL, DEEPESH Individual OPERATIONAL/MANAGERIAL CONTROL
COUNTY OF SULLIVAN Organization ADP OF THE SNF
SUNSET LAKE CONSULTING LLC Organization ADP OF THE SNF
BUCK, NANCY Individual ADP OF THE SNF
HOLTON, MEGAN Individual ADP OF THE SNF
PATEL, DEEPESH Individual ADP OF THE SNF

What families say

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Common questions about Sullivan County Adult Care Center

What is the ElderGrade for Sullivan County Adult Care Center? +

Sullivan County Adult Care Center holds an ElderGrade of D (52.9 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Sullivan County Adult Care Center? +

Residents receive an average of 4.11 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Sullivan County Adult Care Center been cited for harming residents? +

Yes. 4 of the 42 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Sullivan County Adult Care Center accept Medicaid? +

Yes, Sullivan County Adult Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.