Tolstoy Foundation Rehabilitation And Nrsg Center
Cost data not yet available
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Nursing Homes · Medicare certified
476 Christian Herald Road · Valley Cottage, NY 10989 · 160 certified beds
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CMS Care Compare · Updated Jul 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
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 · 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 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 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 · 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 · 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).
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 · D
Citation F0880Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. 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 · 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 · 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 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 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).
Total fines on file: $39,130
Latest: 3.23 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Partnership
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
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$14,734/moNursing Homes
Median · NY$15,528/moOther licensed providers in Valley Cottage, with their own public records.
Cost data not yet available
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