Nursing home
Tolstoy Foundation Rehabilitation and Nursing Center
100 Lake Road, Valley Cottage, NY 10989 · Map
Non profit - Corporation · 96 certified beds
Tolstoy Foundation Rehabilitation and Nursing Center is a Medicare-certified nursing home in Valley Cottage, New York. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.73 hours per resident per day, above the New York average of 3.65. Its most recent inspection on Sep 2, 2025 cited 21 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $191,580In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tolstoy Foundation Rehabilitation and Nursing Center compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.73 | 3.65 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.35 | 2.18 | 2.34 | above avg |
| Nursing staff turnover | —% | 40.5% | 46.4% | — |
| Deficiencies cited, last inspection | 21.0 | 7.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 2, 2025 inspection was corrected by October 23, 2025
Penalties in CMS records: 1 fine totaling $191,580, 1 total penalty.
What inspectors found at Tolstoy Foundation Rehabilitation and Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Sep 2, 2025 · Full report (PDF) - Immediate jeopardy
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Sep 2, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 100 Lake Road
Valley Cottage, NY 10989 - CMS certification #
- 335311
- Ownership
- Non profit - Corporation
- Certified beds
- 96
- Avg residents/day
- 56.7
- Provider type
- Medicare and Medicaid
- First certified
- 1970-10-05
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tolstoy Foundation Rehabilitation and Nursing Center using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Tolstoy Foundation Rehabilitation and Nursing Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: cottage or villa.
Whether you are here for short-term rehabilitation or plan to make Villa Maria your home, our social services team understands that there will be a “getting to know you” process and will be by your side to guide you through the transition.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Nyack Hospital, Nyack. 2.0 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Nyack Ridge Rehabilitation and Nursing Center, Valley Cottage. 0.8 miles away, straight line.
- Nearest home health agency office
- Montefiore Nyack Hospital Home Health Agency, New City. 3.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 10989 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Of Valley Cottage, Valley Cottage, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Davita Rockland County Dialysis, Nanuet, 4.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Friedwald Center For Dialysis, New City, 5.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 10989.
United Hospice, office in New City, 3.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Life Source Services LLC, office in Oradell, 12.8 miles away, straight line
Valley Hospice, office in Paramus, 15.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- North Shore-Lij Medical PC, Sleepy Hollow. 3.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Tolstoy Foundation Rehabilitation and Nursing Center a good nursing home?
CMS gives Tolstoy Foundation Rehabilitation and Nursing Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tolstoy Foundation Rehabilitation and Nursing Center staffed?
Tolstoy Foundation Rehabilitation and Nursing Center reports 3.73 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Tolstoy Foundation Rehabilitation and Nursing Center had inspection problems?
Its most recent CMS inspection cited 21 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Tolstoy Foundation Rehabilitation and Nursing Center have?
Tolstoy Foundation Rehabilitation and Nursing Center is certified for 96 beds.