Tolstoy Foundation Rehabilitation and Nrsg Center, Valley Cottage, New York
- 45
- Citations from health inspectionsNew York average: 20 a home
- 2
- Residents harmed or put in dangerNew York average: 0.8 a home
- $126,926
- Fines from the federal governmentNew York average: $23,070 a home
- 1 out of 5
- Overall rating in starsNew York average: 3.0
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Five inspection visits produced 45 citations. Residents were in immediate danger in two findings. Federal fines came to $126,926 (one fine).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- Not sent to CMS
- Time from registered nurses
- Not sent to CMS
- Nursing staff who left during one year
- 35.5%against the New York average of 40.3%
- Beds that are certified
- 96
- Ownership
- Corporation (non profit)
- Chain
- This home is not part of a chain
- Street address
- 100 Lake Road, Valley Cottage, New York 10989
- County
- Rockland
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
14 citations dated Sept. 2, 2025
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, widespread.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F678 CPR and Basic Life Support: immediate danger to residents, widespread.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: immediate danger to residents, widespread.
Seven citations dated Aug. 6, 2025
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated July 30, 2024
15 citations dated June 4, 2024
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Seven citations dated June 15, 2021
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Sept. 2, 2025 | Fine | $126,926 |
Ownership and Management of the Home
The CMS ownership file names no owner or operator for this home.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 335311. Other homes in New York.