Tolstoy Foundation Rehabilitation And Nrsg Center
100 Lake Road, Valley Cottage, NY, 10989 · CCN 335311
Tolstoy Foundation Rehabilitation And Nrsg Center is a CMS-certified skilled nursing facility located in Valley Cottage, New York. This facility-specific record brings together official CMS provider, inspection, rating, and enforcement data while identifying what is missing or uncertain.
What stands out in the available record
The available records contain 45 cited deficiencies across 5 surveys. 2 were coded at G or above; 2 were coded at immediate-jeopardy levels J through L.
5 of the most frequently cited tags appear more than once in the available history: F0610 (3), F0656 (3), F0880 (3), F0582 (2), F0919 (2). Repetition can indicate a recurring compliance area, but it is not proof that the same underlying problem remained uncorrected.
Survey history
- September 2025 — Health: 14 cited deficiencies
- August 2025 — Health: 7 cited deficiencies
- July 2024 — Health: 2 cited deficiencies
- June 2024 — Health: 15 cited deficiencies
- June 2021 — Health: 7 cited deficiencies
Scope and severity distribution
- Scope/severity D: 32 citations
- Scope/severity E: 8 citations
- Scope/severity F: 3 citations
- Scope/severity L: 2 citations
2 available citations were coded at G or above, indicating actual harm or immediate jeopardy; 2 were coded J or above.
Top Deficiency Citations
- F0610 — Respond appropriately to all alleged violations. (3 citations)
- F0656 — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (3 citations)
- F0880 — Provide and implement an infection prevention and control program. (3 citations)
- F0582 — Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2 citations)
- F0919 — Make sure that a working call system is available in each resident's bathroom and bathing area. (2 citations)
Deficiency categories
- Resident Rights Deficiencies: 10 citations
- Resident Assessment and Care Planning Deficiencies: 8 citations
- Freedom from Abuse, Neglect, and Exploitation Deficiencies: 8 citations
- Infection Control Deficiencies: 5 citations
- Pharmacy Service Deficiencies: 4 citations
- Nursing and Physician Services Deficiencies: 3 citations
Official CMS Five-Star context
- Overall: 1 of 5 stars
- Health inspection: 1 of 5 stars
- Staffing: 1 of 5 stars
- Quality measure: 3 of 5 stars
Total nurse staffing hours are not reported in the available CMS rating record.
Five-Star values above are official CMS fields. POCDesk does not calculate or predict the official CMS rating.
Enforcement and penalties
The available CMS enforcement dataset contains 1 penalty action, most recently dated September 2025. Monetary fines in these records total $126,926.
Sources, freshness, and limitations
Source: official CMS datasets, including Provider Information, Health Deficiencies, and Penalties. View the CMS data source. Loaded survey records window — Earliest loaded survey: June 2021; Latest loaded survey: September 2025. These dates describe records loaded by POCDesk, not a CMS release or publication timestamp. Facility statistics refreshed: October 8, 2026 at 9:48 AM UTC. The available rating record has a CMS processing date of September 2026. POCDesk last refreshed that rating record on October 2026.
POCDesk groups citations by survey date, counts recurring F-Tags across the available history, and summarizes CMS scope/severity codes. Those summaries are POCDesk organization and interpretation of public records, not official ratings or survey findings of our own. Read the governing 42 CFR Part 483 and our editorial standards and methodology.
Counts alone do not explain the residents affected, corrective work completed, current conditions, appeals, or whether a finding was later changed. Data can be delayed, suppressed, incomplete, or revised by CMS. Verify important decisions with Medicare Care Compare, state survey records, the facility, and an in-person visit.
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