Home›Browse›New York›Liberty›Sullivan County Adult Care Center

Nursing homeFAID #8675

Sullivan County Adult Care Center

256 SUNSET LAKE ROAD, LIBERTY, NY, 12754

(845) 292-8640

146 licensed beds

CMS rates Sullivan County Adult Care Center 1 out of 5 overall. Federal inspectors issued 76 citations across 14 inspections in the last three years, with $9,620 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

256 Sunset Lake Road

Liberty, NY 12754

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Public record summary

What we can show you for free.

Bed capacity

146

CMS facility ID

335628

Care type

Nursing home

County

Sullivan

Facility name

Sullivan County Adult Care Center

Street address

256 SUNSET LAKE ROAD

City / state / ZIP

Liberty, NY 12754

Phone

(845) 292-8640

About this facility — Sullivan County Adult Care Center

Sullivan County Adult Care Center is a Medicare/Medicaid-certified skilled nursing facility in Liberty, New York. It is licensed for 146 beds — close to the median for skilled nursing facilities in New York (160 beds).

It is one of 4 senior care facilities in Liberty and 596 skilled nursing facilities across New York. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Sullivan County Adult Care Center 76 times across 14 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $9,620 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - County

Registered owners & officers

Buck, Nancy

Operational control · Additional disclosable party — since 2000

County of Sullivan

Operational control · Additional disclosable party — since 1957

Holton, Megan

Operational control · Additional disclosable party — since 2021

Patel, Deepesh

Operational control · Additional disclosable party — since 2022

Sunset Lake Consulting Llc

Operational control · Additional disclosable party — since 2021

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1978-04-11

CMS overall rating

1 of 5 stars

Health deficiencies

22 at the last standard inspection

Federal fines

$9,620 total

Last standard inspection

2024-09-27

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$347 per day (≈ $10,550/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 13% Medicare · 10% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

29% below the NY median of $486/day — full state cost breakdown

Services & coverage

Licensed beds

146

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-25Health inspectionComplaint-triggered3 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-09-11

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-09-11

F-0761

E · No harm foundFrom a complaint

Ensure 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.

Corrected 2026-09-11

2026-05-29Health inspectionComplaint-triggered5 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2026-07-29

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-07-29

F-0610

J · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-07-29

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-07-29

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2026-07-29

11 earlier / fire-safety inspections (68 citations)

2026-02-02Health inspectionComplaint-triggered3 citations

F-0609

E · No harm foundFrom a complaint

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

Corrected 2026-04-02

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-04-02

F-0689

H · Actual harmFrom a complaint

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

Corrected 2026-04-02

2025-12-02Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2026-01-31

2025-11-20Health inspectionComplaint-triggered1 citation

F-0841

D · No harm foundFrom a complaint

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

Corrected 2026-01-31

2025-04-15Health inspectionComplaint-triggered3 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-06-13

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-06-13

F-0741

D · No harm foundFrom a complaint

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

Corrected 2025-06-13

2024-09-27Health inspectionComplaint-triggered9 citations

F-0561

D · No harm found

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

Corrected 2024-11-22

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2024-11-22

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-11-22

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-11-22

F-0695

D · No harm found

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

Corrected 2024-11-22

F-0711

D · No harm found

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

Corrected 2024-11-22

F-0725

E · No harm foundFrom a complaint

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

Corrected 2024-11-22

F-0804

E · No harm foundFood safety

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

Corrected 2024-11-22

F-0812

F · No harm foundFood safety

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

Corrected 2024-11-22

2023-10-18Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-18

2023-01-05Health inspection10 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-03-05

F-0625

D · No harm found

Notify 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.

Corrected 2023-03-05

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-05

F-0688

D · No harm found

Provide 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.

Corrected 2023-03-05

F-0725

E · No harm found

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

Corrected 2023-03-05

F-0801

D · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-03-05

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-03-05

F-0812

D · No harm foundFood safety

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

Corrected 2023-03-05

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-03-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-03-05

2019-09-04Health inspection8 citations

F-0578

D · No harm found

Honor 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.

Corrected 2019-11-01

F-0600

D · No harm found

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

Corrected 2019-11-01

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2019-11-01

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-11-01

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-11-01

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-11-01

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-11-01

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-11-01

2024-09-27Fire-safety inspection12 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2024-12-09

K-0281

D · No harm found

Install proper backup exit lighting.

Corrected 2024-10-13

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-12-09

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-12-09

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-09

K-0374

D · No harm found

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

Corrected 2024-11-01

K-0521

E · No harm found

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

Corrected 2024-12-09

K-0531

E · No harm found

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

Corrected 2024-12-09

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-26

K-0918

E · No harm found

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

Corrected 2024-12-09

K-0921

E · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-12-04

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-12-09

2023-01-05Fire-safety inspection7 citations

E-0013

C · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2023-03-05

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2023-03-05

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-05

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2023-03-05

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-05

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-03-05

K-0918

E · No harm found

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

Corrected 2023-03-05

2019-09-04Fire-safety inspection13 citations

E-0013

C · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2019-10-24

E-0034

C · No harm found

Provide a means of sharing information on occupancy/needs.

Corrected 2019-10-24

E-0036

C · No harm found

Establish emergency prep training and testing.

Corrected 2019-10-24

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2019-10-24

E-0041

C · No harm found

Implement emergency and standby power systems.

Corrected 2019-10-24

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-10-24

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2019-10-24

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-24

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-24

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2019-10-24

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2019-10-24

K-0901

D · No harm found

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2019-10-24

K-0921

E · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-10-24

Federal penalties

2024-09-27Fine$9,620

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 335628.

Quality of care & staffing

How it compares in New York.

Inspection citations, 3 years

More than 95% of nursing homes in the state

State median: 33

Federal fines, 3 years

$9,620

More than 74% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

4.2

Higher than 86% of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

65%

Higher than 94% of nursing homes in the state

State median: 38%

Resident outcomes

On 21 federal quality measures, this facility does better than the New York average on 5 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.9%	13.7%	13.5%	Better than state
Lose too much weight	8.2%	5.7%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.5%	0.7%	Better than state
With a urinary tract infection	1.2%	1.2%	1.5%	Near state average
Have depressive symptoms	23.3%	20.1%	13.5%	Worse than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	3.6%	3.1%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	83.2%	91.8%	93.7%	Near state average
Ability to walk independently worsened	5.3%	11.1%	12.7%	Better than state
Received an antianxiety or hypnotic medication	29.8%	13.2%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	96.7%	95.2%	95.3%	Near state average
With pressure ulcers	8.4%	6.5%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	17.8%	18.6%	18.3%	Near state average
Received an antipsychotic medication	13.7%	13.7%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.41	1.67	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.00	1.29	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	36.4%	77.6%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	58.1%	78.9%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	18.8%	20.6%	23.4%	Near state average
Had an outpatient emergency department visit	9.0%	9.4%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0610 4 inspections. Respond appropriately to all alleged violations.
F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0712 3 inspections. Have simulated fire drills held at unexpected times.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Verify & compare

Where to check, and what's nearby.

Who to contact in New York

Licensing: New York State Department of Health
File a complaint: 888-201-4563 · Online
Long-Term Care Ombudsman: 855-582-6769. A free advocate for residents and families.
Adult Protective Services: 844-697-3505. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ellenville Regional Hospital, about 17 miles.
Margaretville Memorial Hospital, about 25 miles.
Garnet Health Medical Center, about 30 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Arcadia Residence, Liberty, about 2.1 miles. 11 state visits on record.
Achieve Rehab and Nursing Facility, Liberty, about 2.2 miles. CMS rating 1 of 5.
Roscoe Regional Rehab & Residential H C F, Roscoe, about 15 miles. CMS rating 2 of 5.
Mountainside Residential Care Center, Margaretville, about 25 miles. CMS rating 2 of 5.
Highland Rehabilitation and Nursing Center, Middletown, about 28 miles. CMS rating 1 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered