Tolstoy Foundation Rehabilitation and NRSG Center
Cost data not yet available
Nursing Homes · Medicare certified
476 Christian Herald Road · Valley Cottage, NY 10989 · 160 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1033623491. Look this up in the CMS NPPES registry (opens in a new tab)
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Nyack Ridge Rehabilitation and Nursing Center is a nursing home in Valley Cottage, New York, in Rockland County. Public records list 160 beds. Ownership records list a for-profit operator. It is Medicare certified. We hold 43 inspection citations for this listing, the most recent dated 4 November 2025. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 3.32 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
43
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
38
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
39
Records from June 2023 to November 2025.
November 4, 2025 · G
Citation F0689Federal surveyors cited this nursing home on 2025-11-04 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · E
Citation F0584Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · B
Citation F0640Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0640 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0686Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0585Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0881Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0925Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0925 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0604Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · E
Citation F0725Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0582Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · E
Citation F0692Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0730Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0730 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0761Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0744Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $39,130
September 25, 2023 · Fine
Citation FINE-21889CMS recorded a civil money penalty of $39,130 against this nursing home on 2023-09-25 (Fine ID: 21889). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.32 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.09 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Partnership
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical NY range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · NY$15,528/moNew York publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$273.87per day
That works out to about $8,326 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2025. Calculated across 591 facilities in the state's rate file.
Other licensed providers in Valley Cottage, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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