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Nursing HomeMedicaid Investigative

Sullivan County Adult Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

256 Sunset Lake Road, Liberty, NY 12754146 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 17 Google reviews

5
4
3
2
1
Sullivan County Adult Care Center Nursing Home in Liberty, NY — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 6.0)

Bottom 25% in NY · Below recommended RN staffing · Above average staffing · $31,960 in fines

Source: Medicare data

What this means for your family

The facility is highly regarded for its rehabilitation therapy and attentive nursing staff, making it a strong candidate for short-term recovery. However, given the serious historical reports of falls and neglect, we strongly advise families to tour the facility and ask specific questions about fall prevention protocols and staffing ratios during off-hours.

Google Reviews

Google Reviews

17 reviews on Google
Sullivan County Adult Care Center receives high praise for its rehabilitation services and attentive nursing staff, with many families reporting that their loved ones are treated with genuine care. However, there are significant concerns regarding resident safety and neglect, specifically involving frequent falls and reports of staff failing to provide basic hygiene assistance.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Highly effective rehabilitation therapy
  • Empathetic and attentive nursing staff
  • Clean and well-maintained facility
  • Proactive communication with families

Concerns

  • Resident neglect and lack of basic care (mentioned by 2 reviewers)
  • Frequent falls and inadequate safety protocols (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02022(4)5.02023(1)4.82024(4)4.82025(5)3.32026(3)

Distribution · 17 analyzed

5
11
4
3
3
0
2
0
1
3

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on enhancing safety protocols, what specific measures are currently in place to prevent resident falls and ensure consistent monitoring?
  • 2I noticed the facility has a strong reputation for rehabilitation therapy; how do you integrate those therapy goals into the daily care plan for residents who require long-term support?
  • 3How does your team ensure that basic daily needs and hygiene are consistently met for every resident, especially during shift changes?
  • 4I see that you actively engage with feedback online; what is your process for keeping families updated and involved when a concern regarding a loved one's care arises?
  • 5With a capacity of 146 residents, how do you foster a sense of community and ensure that residents remain socially active and engaged throughout the day?
  • 6Could you walk me through your clinical response process for medical emergencies to ensure residents receive immediate and appropriate care?

Personalized based on this facility's data


Key Review Excerpts

Head nurse Pasquale was extremely attentive and went out of her way to make my stay as comfortable as possible. Occupational therapist Anne-Marie was a loving beast during sessions and was exactly what I needed!!

Rehab patient · 2026★★★★★

My grandmother has now “fallen” out of her bed over 5 times. We are getting conflicting stories from staff as to how this happened.

Memory care family member · 2022☆☆☆☆

They call me All the time for medical and simple things, just to check and make sure. My mom was in other residences (outside the county) and it was a horrible experience. I am SO happy I found a safe, caring and loving home for my mother.

Long-term resident's family · 2022★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
3.78hrs
92%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

8

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
19.5%
NY
13.3%
Sullivan
27.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.9%
Worse than Avg
Here
81.9%
US
93.4%
NY
91.3%
Sullivan
94.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.4%
NY
13.8%
Sullivan
18.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
15.3%
NY
13.8%
Sullivan
20.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility86.4%
Worse than Avg
Here
86.4%
US
95.5%
NY
95.3%
Sullivan
95.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility21.3%
Worse than Avg
Here
21.3%
US
12.1%
NY
18.9%
Sullivan
13.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility30.8%
Worse than Avg
Here
30.8%
US
81.8%
NY
77.0%
Sullivan
75.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility34.1%
Worse than Avg
Here
34.1%
US
79.7%
NY
78.8%
Sullivan
76.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
NY
1.2%
Sullivan
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Well above state avg (7.6)
17 complaint-triggered
$31,960 in fines

Families have filed multiple complaint reports, with 11 deficiencies triggered by concerns including serious issues like CPR response failures and accident prevention. The facility shows recurring problems with nursing staffing levels, safety hazards, and fire safety systems across multiple surveys from 2019 to 2024. While all deficiencies show correction dates, the pattern of repeated issues in critical care areas suggests systemic challenges that warrant careful consideration during any visit.

Feb 2, 2026Complaint
3
0689Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Dec 2, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 20, 2025Complaint
1
0841Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

Apr 15, 2025Complaint
6
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0741Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0741Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Sep 27, 2024Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Sep 27, 2024Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0531Potential for harm · PatternCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

Federal Penalties

Fine

Sep 27, 2024

$9,620

Fine

Jul 7, 2023

$22,340

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sullivan County Adult Care Center

Organization Type

government

Ownership & Management

Key personnel

County of SullivanManagerSunset Lake Consulting LLCManagerBuck, NancyManagerHolton, MeganManagerPatel, DeepeshManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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