F

TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER

100 LAKE ROAD, VALLEY COTTAGE, NY 10989
Score: 8 / 100
⚠️ SFF Candidate

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

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 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

45
Total Deficiencies
Sep 1, 2025
Most Recent Inspection
🟠 43 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0578 Severity L
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Sep 1, 2025 · Resident Rights Deficiencies
  • Tag 0678 Severity L
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Sep 1, 2025 · Quality of Life and Care Deficiencies
  • Tag 0725 Severity F
    Provide 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 F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Sep 1, 2025 · Administration Deficiencies
  • Tag 0837 Severity F
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints
    Sep 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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
96
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 1, 2025
Deficiencies (Cycle 1)
21