| Tolstoy Foundation Rehabilitation and Nrsg Center | |
| 100 Lake Road, Valley Cottage, New York 10989 | |
| (845) 268-6813 | |
| Name | Tolstoy Foundation Rehabilitation and Nrsg Center |
|---|---|
| Location | 100 Lake Road, Valley Cottage, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 96 |
| Occupancy Rate | 60% |
| Medicare ID (CCN) | 335311 |
| Legal Business Name | Tolstoy Foundation Nursing Home Company Inc |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1114913902 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Tolstoy Foundation Nursing Home Company Inc |
| Doing Business As | Tolstoy Foundation Rehabilitation and Nursing Center |
| Address | 100 Lake Rd, Valley Cottage, NY 10989 |
| Phone Number | 845-268-6813 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: CMS could not validate the staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: CMS could not validate the staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | 35.5% | 45.8% |
| Registered nurse turnover | 62.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $126,926 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 2, 2025 | 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, Standard inspection | Immediate jeopardy, widespread | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | 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, Standard inspection | Immediate jeopardy, widespread | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | 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, Standard inspection | Potential for harm, widespread | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | 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, Standard inspection | Potential for harm, widespread | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | 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, Standard inspection | Potential for harm, pattern | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | 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, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Sep 2, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Oct 23, 2025 |
| Aug 6, 2025 | 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, Complaint inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Aug 6, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 3, 2025 |
| Jul 30, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Sep 27, 2024 |
| Jul 30, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 27, 2024 |
| Jun 4, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 4, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.54 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 13.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.83 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.51 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 23.12 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.62 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.82 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.22 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.5 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.88 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.36 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 12.89 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.76 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.95 | 15.38 |
Nyack Ridge Rehabilitation and Nursing Center Location: 476 Christian Herald Road, Valley Cottage, New York 10989 Phone: (845) 268-6861 |