Tolstoy Foundation Rehabilitation And Nrsg Center
Nursing Home · Valley Cottage, NY
CMS certification number335311
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
100 Lake RoadValley Cottage, NY 10989
Rockland County
- Phone
- (845) 268-6813
- ZIP code
- 10989 – all care providers
Facility details
- Certified beds
- 96
- Residents per day
- 57.6 (60% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Tolstoy Foundation Nursing Home Company INC
- Medicare certified since
- October 5, 1970
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- —
- Registered nurses (RN)
- —
- Licensed practical nurses
- —
- Nurse aides
- —
- Weekend total
- —
- Nursing staff turnover
- 35.5 (state 40.3 · U.S. 45.8)%
- RN turnover
- 62.5 (state 39.8 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- September 2, 2025
- Health deficiencies (last cycle)
- 21.0 (state 8.0 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 45 health · 35 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-09-02 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
L Immediate jeopardy to resident health or safety |
Corrected 2025-10-23 |
| 2025-09-02 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies |
L Immediate jeopardy to resident health or safety |
Corrected 2025-10-23 |
| 2025-09-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F0837 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Honor 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Ensure 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 locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-09-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-23 |
| 2025-08-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2025-08-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-03 |
| 2024-07-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-07-30 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-06-04 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2024-06-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-19 |
| 2021-06-15 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Ensure 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 locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
| 2021-06-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-09-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $126,926 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-02 | Fine | $126,926 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Corbett, Dorothy (individual) | Corporate Director · NOT APPLICABLE | |
| Kostura, Gregory (individual) | Corporate Director · NOT APPLICABLE | |
| Kotchoubey, Andrew (individual) | Corporate Director · NOT APPLICABLE | |
| Lundquist, Don (individual) | Corporate Director · NOT APPLICABLE | |
| Corbett, Dorothy (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Tolstoy Foundation Rehabilitation And Nrsg Center?
Tolstoy Foundation Rehabilitation And Nrsg Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in New York.
How many beds does Tolstoy Foundation Rehabilitation And Nrsg Center have?
It has 96 certified beds and cares for about 58 residents per day.
Has Tolstoy Foundation Rehabilitation And Nrsg Center been fined?
Yes. CMS lists 1 penalty totaling $126,926 in the last three years.
What is the phone number of Tolstoy Foundation Rehabilitation And Nrsg Center?
(845) 268-6813. The facility is located at 100 Lake Road, Valley Cottage, NY 10989.
Other nursing homes in Valley Cottage
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Nyack Ridge Rehabilitation and Nursing Center
Nursing Home · Valley Cottage, NY · 160 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.