Tolstoy Foundation Rehabilitation and Nrsg CenterCMS ratings, inspections and fines
- Address
- 100 Lake Road, Valley Cottage, NY 10989
- CCN
- 335311
- Ownership type
- Non-profit, corporation
- Certified beds
- 96
- Chain
- None in the CMS record
- Residents per day
- 58
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Tolstoy Foundation Rehabilitation and Nrsg Center an overall rating of 1 of 5 stars. The last standard survey was on 2 Sep 2025. The latest survey cycle has 21 health citations. The median for nursing homes in New York is 7. CMS lists 1 fine of $126,926 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Rockland County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 10 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 2 Sep 2025 | 21 | 7 |
| Cycle 2 | 4 Jun 2024 | 13 | 5 |
| Cycle 3 | No date | 11 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Sep 2025 | F0578 | 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. | L | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | L | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0761 | 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. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Oct 2025 |
| 2 Sep 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 23 Oct 2025 |
| 6 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Dec 2025 |
| 6 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 3 Dec 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0578 | 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. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jul 2024 |
| 4 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0625 | 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. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 19 Jul 2024 |
| 4 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 19 Jul 2024 |
| 4 Jun 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 19 Jul 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Sep 2024 |
| 30 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Sep 2024 |
| 4 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Jul 2024 |
| 4 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Jul 2024 |
| 15 Jun 2021 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0761 | 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. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Sep 2021 |
| 15 Jun 2021 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 8 Sep 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 2 Sep 2025 | Fine | $126,926 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 3.50 | 3.62 |
| Registered nurses (RN) | No data | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | No data | 0.76 | |
| Nurse aides | No data | 2.15 | |
| All nurse staff, weekends | No data | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 35.5%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 62.5%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.5% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 12.9% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Tolstoy Foundation Nursing Home Company Inc
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Rockland County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Nyack Ridge Rehabilitation and Nursing Center | Valley Cottage | 1 of 5 | 23 | $39,130 | 14 Jan 2025 | |
| Northern Manor Geriatric Center Inc | Nanuet | 1 of 5 | 10 | $0 | 10 Dec 2024 | |
| Northern Riverview Health Care, Inc | Haverstraw | 2 of 5 | 18 | $0 | 13 Mar 2026 | |
| Friedwald Center for Rehab and Nursing, L L C | New City | 3 of 5 | 15 | $0 | 16 Jul 2024 | |
| Pine Valley Center for Rehabilitation and Nursing | Spring Valley | 2 of 5 | 9 | $0 | 22 Dec 2025 | |
| Helen Hayes Hospital R H C F | West Haverstraw | 5 of 5 | 1 | $0 | 7 Feb 2025 | |
| Helen Hayes Hospital T C U | West Haverstraw | 5 of 5 | 0 | $0 | 20 Mar 2025 | |
| Northern Metropolitan Res Health Care Facility Inc | Monsey | 2 of 5 | 12 | $0 | 30 Jul 2024 | |
| The Willows at Ramapo Rehab and Nursing Center | Suffern | 3 of 5 | 9 | $0 | 13 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Tolstoy Foundation Rehabilitation and Nrsg Center (CCN 335311). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/tolstoy-foundation-rehabilitation-and-nrsg-center-valley-cottage-ny-335311/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Tolstoy Foundation Rehabilitation and Nrsg Center last inspected?
- The latest inspection with a citation in the CMS record was on 2 Sep 2025. It was a standard survey. It gave 14 citations. The standard survey before the last one was on 4 Jun 2024.
- Who operates Tolstoy Foundation Rehabilitation and Nrsg Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- What does the Special Focus status mean for Tolstoy Foundation Rehabilitation and Nrsg Center?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.