Nursing HomeInspections

Tolstoy Foundation Rehabilitation And Nrsg Center

Nursing home in Valley Cottage, NY

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (845) 268-6813Send a messageMap ↗

Public-record details

Address
100 Lake Road, Valley Cottage, NY 10989
Phone
(845) 268-6813
Listed under
Nonprofit
Medicare CCN
335311
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
96
Average residents per day
58
Ownership
Nonprofit, corporation
Legal business name
Tolstoy Foundation Nursing Home Company INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 5, 1970
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335311. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 2, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2021 to Sep 2, 2025): 14 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Sep 2, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 2, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 2, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 2, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 2, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 2, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 2, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Sep 2, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Sep 2, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		E
Potential for more than minimal harm, pattern
Sep 2, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
Sep 2, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration		F
Potential for more than minimal harm, widespread
Sep 2, 2025Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $126,926 in the last three years.

Sep 2, 2025Fine: $126,926

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly)
36%
RN turnover (yearly)
63%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Valley Cottage

Nyack Ridge Rehabilitation and Nursing Center476 Christian Herald Road · Valley Cottage, NY 10989 · (845) 268-6861 · For-profit40 health citations in 3 inspection cycles · last standard inspection Jan 14, 2025 · $39,130 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Valley Cottage →