The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
Nursing home report
The Care Center at Sunset Lake
Registered name: Sullivan County Adult Care Center
Liberty, NY · Medicare-certified · 146 beds
Needs attention
Government-run
Data as of July 1, 2026
1 of 5 overall
The Care Center at Sunset Lake in Liberty, NY has a 1 out of 5 overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It has a recent federal penalty and $9,620 in fines over the last 24 months, and reported nurse staffing is 4.11 hours per resident day, just above the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
4.1112 hrs/resident/day
Quality measures
Last inspection: May 29, 2026Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1112.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.67
- Weekend nursing
- 3.76
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6%13.8%Worsening
Residents with a fall causing major injury
5.2%2.8%Improving
Residents with pressure ulcers (bedsores)
7.4%11.2%Worsening
Residents with a urinary tract infection
0%1%Worsening
Residents who lost too much weight
4.1%10.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.2%14%Worsening
Residents whose ability to walk got worse
11.7%7.5%Improving
Long-stay residents on antianxiety or sleep medication
23.3%34%Worsening
Short-stay residents newly given an antipsychotic
1.9%0%Improving
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
12.6%25.5%Worsening
Residents with depressive symptoms
27.4%15.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.4%—
Long-stay residents given the pneumonia vaccine
81%87.9%Improving
Short-stay residents given the seasonal flu vaccine
—34.1%—
Short-stay residents given the pneumonia vaccine
30.4%45.2%Improving
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,620 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $9,620 in total fines.
- $9,620
Federal fine
Sep 27, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 113.6 residents on an average day (78% of 146 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.