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Nursing home report

TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER

VALLEY COTTAGE, NY · Medicare-certified · 96 beds

Needs attention
Special Focus candidateAbuse citationNon-profit
1 of 5 overall

1 of 5 stars overall. This facility is a Special Focus Facility candidate with a special-focus flag, has a 1-star health inspection rating, and was fined $124,527 in the last 24 months; staffing is 4 stars with reported nurse staffing of 4.76 hours per resident per day, above the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

4.7589 hrs/resident/day

Quality measures

Last inspection: September 2, 2025Penalties, last 24 months: $124,527special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7589.

Staffing detail

Registered nurses
0.51
Licensed practical nurses
1.23
Nurse aides
3.02
Weekend nursing
4.13

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 73%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

20%Improving

Residents with a fall causing major injury

5%Improving

Residents with pressure ulcers (bedsores)

11.9%Worsening

Residents with a urinary tract infection

0.5%Steady

Residents who lost too much weight

12.6%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

25%Improving

Residents whose ability to walk got worse

25%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

27.4%Improving

Short-stay residents newly given an antipsychotic

4.3%Worsening

Residents with a long-term catheter

2%Improving

Residents with new or worsening incontinence

12.1%Worsening

Residents with depressive symptoms

25.5%Improving

Long-stay residents given the seasonal flu vaccine

80.9%Steady

Long-stay residents given the pneumonia vaccine

94.1%Improving

Short-stay residents given the seasonal flu vaccine

74.4%Steady

Short-stay residents given the pneumonia vaccine

71.2%Improving

What the inspectors found

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 837 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $124,527 was recorded.

  3. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $124,527 in total fines.

  • Federal fine

    Sep 2, 2025

    $124,527

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
53 residents on an average day (55% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 55 years

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.