With a score of 8/100, Tolstoy Foundation Rehabilitation And Nrsg Center ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Tolstoy Foundation Rehabilitation And Nrsg Center is near the national average, with 3.73 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 45 deficiencies at Tolstoy Foundation Rehabilitation And Nrsg Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and .
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.73 | 3.8 | Average |
| Registered Nurses (RN) | 0.51 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.35 | 2.4 | Average |
| Weekend Total Nursing | 3.31 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0578 Severity LHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andSep 1, 2025 · Resident Rights Deficiencies
- Tag 0678 Severity LProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancSep 1, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Sep 1, 2025 · Nursing and Physician Services Deficiencies
- Tag 0835 Severity FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Sep 1, 2025 · Administration Deficiencies
- Tag 0837 Severity FEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appointsSep 1, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 12.3% | 4.5% | Worse |
| Falls with major injury | 6.4% | 3.0% | Worse |
| On antipsychotic medication | 19.2% | 14.5% | Worse |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 26.3% | 14.0% | Worse |
| Excessive weight loss | 12.4% | 7.5% | Worse |
| New/worsened incontinence | 13.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $191,580
How This Grade Was Calculated
This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
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