Nursing home report
Valley Cottage, NY · Medicare-certified · 96 beds
Tolstoy Foundation Rehabilitation And Nrsg Center has a 1-star overall rating, with a 1-star health inspection rating, SFF Candidate/special focus status, and $126,470 in fines over the last 24 months. Staffing is 3.83 hours per resident per day, below the federal benchmark of 4.1, while staffing and quality measures are each rated 3 stars.
Health inspections
Staffing
3.8297 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8297.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2025 — widespread issue, immediate jeopardy to residents.
F-Tag 578 — 42 CFR §483.10 — S/S: L
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2025 — widespread issue, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: L
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — widespread issue, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited September 2025 — widespread issue, potential for harm.
F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited September 2025 — widespread issue, potential for harm.
F-Tag 837 — 42 CFR §483.70 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $126,470 was recorded.
Reported nurse staffing met or exceeded the federal recommendation.
A federal fine of $124,527 was recorded.
Health inspection found 14 health deficiencies.
Health inspection found 7 health deficiencies.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $126,470 in total fines.
Federal fine
Sep 2, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
