Nursing HomeInspections

Tolstoy Foundation Rehabilitation And Nrsg Center

Nursing home in Valley Cottage, NY

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

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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
4 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 2026-11-07.

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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Administrators who left in the past year
2

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 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 2 in Valley Cottage →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error