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Skilled NursingCMS verified

Tolstoy Foundation Rehabilitation and Nrsg Center

100 Lake Road, Valley Cottage, NY 10989 · Rockland County

Compassionate Senior Care Services

1.0CMS overall rating(845) 268-6813Visit website ↗
6
Use Caution
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Tolstoy Foundation Rehabilitation and Nrsg Center photo 1Tolstoy Foundation Rehabilitation and Nrsg Center photo 2Tolstoy Foundation Rehabilitation and Nrsg Center photo 3

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 55% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Tolstoy Foundation Rehabilitation and Nrsg Center is a non-profit skilled nursing facility in Valley Cottage, NY, with 96 certified beds and an average of about 53 residents per day.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 4/5 on staffing, 3/5 on quality measures.

Staff provide about 4.76 total nurse hours per resident each day (0.51 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 38.8%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 21 health deficiencies at its most recent standard survey, and 1 federal fine totaling $126,470 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour. This facility is in the CMS Special Focus Facility program, which targets homes with a history of serious quality problems.

Strengths

  • Above-average nurse staffing (4.76 hrs/resident/day)
  • Low staff turnover (continuity of care)
  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average 1-star overall CMS rating
  • Below-average health-inspection rating
  • 21 deficiencies at last survey
  • $126,470 in federal fines
  • CMS abuse-citation flag — review carefully
  • In the CMS Special Focus Facility program
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Valley Cottage options — our advisors can help you compare.

At a glance

Certified beds
96
Avg. residents/day
53
Ownership
Non profit - Corporation
Part of a chain
Independent
Continuing care
No
CMS provider #
335311

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$14,590–$17,850/mo (median $15,800)Local market estimate

2024–2026 published survey medians, state median adjusted to local New York prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Tolstoy Foundation Rehabilitation and Nrsg Center

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
4.76
National avg ≈ 3.9
RN hrs / resident / day
0.51
National avg ≈ 0.75
Nursing staff turnover
38.8%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

⚠️ This community carries a serious CMS flag (abuse citation) (Special Focus Facility). We recommend reviewing the full inspection report and raising it directly on any tour.
Health deficiencies (last survey)
21
Federal fines
1 ($126,470)
Total penalties
1
Last standard survey
2025-09-02
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (45 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-09-02Severity L — immediate jeopardyResident Rights Deficiencies

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.

2025-09-02Severity L — immediate jeopardyQuality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2025-09-02Severity F — potential for harmNursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-09-02Severity F — potential for harmAdministration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-09-02Severity F — potential for harmAdministration Deficiencies

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 facil…

2025-09-02Severity E — potential for harmResident Rights Deficiencies

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.

2025-09-02Severity E — potential for harmResident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-09-02Severity E — potential for harmEnvironmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2025-09-02Fine$126,470

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy
  • Rehabilitation services

Location

100 Lake Road, Valley Cottage, NY

  • Monday: 8:00 AM – 8:00 PM
  • Tuesday: 8:00 AM – 8:00 PM
  • Wednesday: 8:00 AM – 8:00 PM
  • Thursday: 8:00 AM – 8:00 PM
  • Friday: 8:00 AM – 8:00 PM
  • Saturday: 8:00 AM – 8:00 PM
  • Sunday: 8:00 AM – 8:00 PM

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Tolstoy Foundation Rehabilitation and Nrsg Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Tolstoy Foundation Rehabilitation and Nrsg Center

How much does Tolstoy Foundation Rehabilitation and Nrsg Center cost?

Tolstoy Foundation Rehabilitation and Nrsg Center does not publish exact rates. Comparable skilled nursing in the Valley Cottage, NY area typically runs $14,590–$17,850 per month (median $15,800, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Tolstoy Foundation Rehabilitation and Nrsg Center's Medicare rating?

Medicare (CMS) rates Tolstoy Foundation Rehabilitation and Nrsg Center 1 out of 5 stars overall, including 1/5 for health inspections, 4/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.

How is the staffing at Tolstoy Foundation Rehabilitation and Nrsg Center?

Staff provide about 4.76 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 38.8% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Tolstoy Foundation Rehabilitation and Nrsg Center?

Tolstoy Foundation Rehabilitation and Nrsg Center has 45 health citations on its recent federal inspection record (last standard survey: 2025-09-02). The full citation-by-citation detail, with severity levels, is published on this page.

Does Tolstoy Foundation Rehabilitation and Nrsg Center have availability?

Typically 55% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Tolstoy Foundation Rehabilitation and Nrsg Center offer?

Tolstoy Foundation Rehabilitation and Nrsg Center in Valley Cottage, NY offers skilled nursing and is licensed for 96 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in New York.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Tolstoy Foundation Rehabilitation and Nrsg Center — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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