54/100
Below average
Tolstoy Foundation Rehabilitation And Nrsg Center
100 Lake Road, Valley Cottage, NY 10989
- Certified beds
- 96
- Occupancy
- 60%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
$126,926 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Tolstoy Foundation Rehabilitation And Nrsg Center
Tolstoy Foundation Rehabilitation and Nursing Center is a 96-bed nonprofit in Rockland County sitting in CMS's Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection history backs that up: 45 deficiencies, two of them at the harm or jeopardy level and eight abuse-related, plus a single $126,470 fine. One recent inspection, in September 2025, doesn't erase a pattern like that. Staffing sits right at the national mark, 3.83 hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Turnover is genuinely better than average, 35.5% versus 45.8%, and the quality measure rating is a middling 3/5. But the inspection rating is 1/5, and that's the number that matters most here.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are.
- →No staffing hours reported, scored neutral
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →36% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$126,926 in federal fines across 1 action(s)
Grade ceiling applied
- Capped at 54 (grade D), CMS Special Focus Facility
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: September 2, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Tolstoy Foundation Rehabilitation And Nrsg Center
What is the ElderGrade for Tolstoy Foundation Rehabilitation And Nrsg Center? +
Tolstoy Foundation Rehabilitation And Nrsg Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Tolstoy Foundation Rehabilitation And Nrsg Center? +
This facility has not reported staffing hours to CMS in the current data release.
Has Tolstoy Foundation Rehabilitation And Nrsg Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Tolstoy Foundation Rehabilitation And Nrsg Center accept Medicaid? +
Yes, Tolstoy Foundation Rehabilitation And Nrsg Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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