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    Nursing home · Liberty, NY

    Achieve Rehab And Nursing Facility

    170 Lake Street, Liberty, NY 12754

    CMS certification number: 335449 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance8452924200Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    140

    Residents / day

    133.9

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Sullivan
    Certified beds
    140
    Average residents per day
    133.9
    First certified
    June 5, 1975

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    2 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Sullivan, New York. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    1.50
    n=2
    State peers
    3.06

    Nurse hours / resident / day

    This home
    3.28
    County peers
    3.70
    n=2
    State peers
    3.69
    n=585

    Weekend nurse hours / resident / day

    This home
    2.94
    County peers
    3.07
    n=2
    State peers
    3.20
    n=585

    Nursing staff turnover (%)

    This home
    48.50
    County peers
    62.40
    n=2
    State peers
    40.24
    n=560

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 10.3% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 48.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    25
    Health citations
    39
    Resident measures
    17
    Ownership records
    8
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.28136
    Reported RN Staffing Hours per Resident per Day
    0.53075
    Reported LPN Staffing Hours per Resident per Day
    0.60813
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.14247
    Total number of nurse staff hours per resident per day on the weekend
    2.94392
    Registered Nurse hours per resident per day on the weekend
    0.44753
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.15445
    Total nursing staff turnover
    48.5
    Registered Nurse turnover
    35.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    NY
    Urban
    N
    Chain ID
    Not reported
    Latitude
    41.7949
    Location
    170 Lake Street,Liberty,NY,12754
    ZIP Code
    12754
    City/Town
    Liberty
    Longitude
    -74.751
    QM Rating
    3
    Abuse Icon
    Y
    Chain Name
    Not reported
    County/Parish
    Sullivan
    Provider Name
    Achieve Rehab And Nursing Facility
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    170 Lake Street
    Telephone Number
    8452924200
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    WMOP LLC
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.46928
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    140
    Provider SSA County Code
    710
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    35.0
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.04185
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    48.5
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    335449
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    258
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    212.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    133.9
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    86
    Rating Cycle 2/3 Total Health Score
    76
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    172
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    2
    Rating Cycle 2/3 Health Deficiency Score
    76
    Rating Cycle 1 Standard Survey Health Date
    2026-05-22
    Rating Cycle 2 Standard Health Survey Date
    2024-10-23
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.50543
    Case-Mix RN Staffing Hours per Resident per Day
    0.72059
    Reported RN Staffing Hours per Resident per Day
    0.53075
    Adjusted LPN Staffing Hours per Resident per Day
    0.57912
    Case-Mix LPN Staffing Hours per Resident per Day
    0.89793
    Reported LPN Staffing Hours per Resident per Day
    0.60813
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    21
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    13
    Rating Cycle 1 Number of Standard Health Deficiencies
    19
    Rating Cycle 2 Number of Standard Health Deficiencies
    9
    Reported Licensed Staffing Hours per Resident per Day
    1.13888
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    10
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.04027
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.44560
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.14247
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.12482
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.06412
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    10
    Reported Total Nurse Staffing Hours per Resident per Day
    3.28136
    Registered Nurse hours per resident per day on the weekend
    0.44753
    Date First Approved to Provide Medicare and Medicaid Services
    1975-06-05
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.15445
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.80349
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.57672
    Total number of nurse staff hours per resident per day on the weekend
    2.94392

    COMMUNITY EXPERIENCE

    Reviews of Achieve Rehab And Nursing Facility

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026