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)
Are you the operator? Claim this profile. Corrections are free, always.
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.
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 · E
Citation F0661Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0661 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2025-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 25, 2024 · D
Citation F0610Federal surveyors cited this nursing home on 2024-04-25 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 25, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-04-25 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 25, 2024 · D
Citation F0842Federal surveyors cited this nursing home on 2024-04-25 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-09-25 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 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · J
Citation F0689Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) 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 2023-10-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0758Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0661Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0803Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0550Federal surveyors cited this nursing home on 2023-09-25 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 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0838Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0838 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0882Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0882 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0847Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0847 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-09-25 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 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · E
Citation F0761Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0761 (CMS scope/severity E: pattern, 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 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0610Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 25, 2023 · D
Citation F0742Federal surveyors cited this nursing home on 2023-09-25 under CMS tag F0742 (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 mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. The deficiency was recorded as corrected on 2023-11-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 12, 2023 · E
Citation F0584Federal surveyors cited this nursing home on 2023-06-12 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 2023-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 12, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-06-12 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 2023-09-01. 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
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
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.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Request info and we'll pass it directly to Nyack Ridge Rehabilitation and Nursing Center, or call them at 8452686861 if you'd rather talk now.
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
Read how we handle every file on the data sources page.