Nursing home in Liberty, Sullivan County
Sullivan County Adult Care Center
256 Sunset Lake Road, Liberty, NY 12754 · (845) 292-8640
1 federal penalty on record · $9,620 in fines
1 immediate jeopardy citation
Sullivan County Adult Care Center is a government-operated nursing home with 146 certified beds in Liberty, Sullivan County. By certified beds, it is the largest of the 3 Medicare- and Medicaid-certified nursing homes in Sullivan County. Medicare rates it 1 out of 5 stars overall (1 for health inspections, 3 for staffing and 4 for quality measures). That overall rating is below the Sullivan County average of 1.3 stars. Inspectors issued 41 health citations across 9 inspections in the current federal reporting period, including 1 at the immediate jeopardy level. Federal regulators have imposed 1 fine totaling $9,620 in the past three years. Residents receive about 4.1 hours of total nursing care per day on average, and nursing staff turnover is 64%.
Medicare star ratings
Overall Medicare rating
1 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
1 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
3 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
4 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 4.11
- RN hours per resident per day
- 0.58
- Nursing staff turnover
- 64.4%
- RN turnover
- 30.8%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 256 Sunset Lake Road, Liberty, NY 12754
- County
- Sullivan
- Phone
- (845) 292-8640
- Certified beds
- 146
- Average residents per day
- 114
- Ownership type
- Government - County
- Legal business name
- County Of Sullivan
- Chain affiliation
- None reported
- In Medicare/Medicaid since
- 1978
- CMS Certification Number (CCN)
- 335628
- Most recent standard inspection
- September 27, 2024
Location and getting there
Sullivan County Adult Care Center is located at 256 Sunset Lake Road in Liberty, Sullivan County, in the Hudson Valley (ZIP 12754). Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 9
- Total health citations
- 41
- Serious citations (harm or immediate jeopardy)
- 3
- Immediate jeopardy citations
- 1
Serious citations
Citations where inspectors found actual harm to a resident or immediate jeopardy to resident health or safety; most recent May 29, 2026.
| Date | Federal tag | What inspectors cited | Severity | Complaint? |
|---|---|---|---|---|
| May 29, 2026 | F0610 | Respond appropriately to all alleged violations | Immediate jeopardy (isolated) | Yes |
| February 2, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | Actual harm (pattern) | Yes |
| September 27, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | Actual harm (isolated) | Yes |
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| May 29, 2026 | Complaint investigation | 5 | Immediate jeopardy (isolated) | View CMS report |
| February 2, 2026 | Complaint investigation | 3 | Actual harm (pattern) | View CMS report |
| December 2, 2025 | Complaint investigation | 1 | Potential for harm (isolated) | View CMS report |
| November 20, 2025 | Complaint investigation | 1 | Potential for harm (isolated) | View CMS report |
| April 15, 2025 | Complaint investigation | 3 | Potential for harm (isolated) | View CMS report |
| September 27, 2024 | Standard health inspection | 9 | Actual harm (isolated) | View CMS report |
| October 18, 2023 | Complaint investigation | 1 | Potential for harm (isolated) | View CMS report |
| January 5, 2023 | Standard health inspection | 10 | Potential for harm (pattern) | View CMS report |
| September 4, 2019 | Standard health inspection | 8 | Potential for harm (isolated) | View CMS report |
Understanding these citations
Inspectors cited this facility for serious deficiencies involving abuse, neglect or failure to investigate; accident hazards, supervision or falls. These guides from Leitner Warywoda PLLC, the New York law firm that sponsors this site, explain what these problems look like and what families can do:
Federal penalties
- Federal penalties
- 1
- Fines
- 1
- Total fines
- $9,620
- Payment denials
- 0
- Most recent penalty
- September 27, 2024
| Date | Penalty | Amount / Duration |
|---|---|---|
| September 27, 2024 | Civil money penalty | $9,620 |
Penalty data last updated September 1, 2026.
Complaints to the New York State Department of Health
- Complaints received
- 77
- Complaints per 100 beds
- 70.4
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 14
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Nancy Buck | Operational/managerial control (since 12/26/2000) |
| Megan Holton | Operational/managerial control (since 05/01/2021) |
| Deepesh Patel | Operational/managerial control (since 03/01/2022) |
| Nancy Buck | Administrator/director of the SNF (since 12/26/2000) |
| Megan Holton | Administrator/director of the SNF (since 07/23/2021) |
| Deepesh Patel | Administrator/director of the SNF (since 03/01/2022) |
Official reports and records
These links open official and independent records for CCN 335628. Read several inspections, not only the most recent, to see whether problems repeat.