Starfile / New York

TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER

100 LAKE ROAD, VALLEY COTTAGE, NY 10989 · CCN 335311

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Inspection history vs New York & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$191,580

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (45)2 immediate jeopardy

1. LF0578Honor 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.2025-09-02 · Health · corrected 2025-10-23

   Immediate jeopardy

2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

3. EF0585Honor 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.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

4. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

5. LF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-09-02 · Health · corrected 2025-10-23

   Immediate jeopardy

6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

7. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

9. DF0760Ensure that residents are free from significant medication errors.2025-09-02 · Health · corrected 2025-10-23

   Potential for more than minimal harm

10. DF0761Ensure 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.2025-09-02 · Health · corrected 2025-10-23

    Potential for more than minimal harm

11. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-09-02 · Health · corrected 2025-10-23

    Potential for more than minimal harm

12. FF0837Establish 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.2025-09-02 · Health · corrected 2025-10-23

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2025-09-02 · Health · corrected 2025-10-23

    Potential for more than minimal harm

14. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-02 · Health · corrected 2025-10-23

    Potential for more than minimal harm

15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

16. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

17. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

18. DF0610Respond appropriately to all alleged violations.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

19. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

20. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

21. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-06 · Health · corrected 2025-12-03

    Potential for more than minimal harm

22. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-30 · Health · corrected 2024-09-27

    Potential for more than minimal harm

23. DF0610Respond appropriately to all alleged violations.2024-07-30 · Health · corrected 2024-09-27

    Potential for more than minimal harm

24. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

25. DF0578Honor 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.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

28. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

29. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

30. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

31. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

32. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

34. EF0730Observe each nurse aide's job performance and give regular training.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

35. EF0880Provide and implement an infection prevention and control program.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

36. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

37. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

38. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-06-04 · Health · corrected 2024-07-19

    Potential for more than minimal harm

39. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

40. DF0610Respond appropriately to all alleged violations.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

43. DF0761Ensure 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.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

44. DF0880Provide and implement an infection prevention and control program.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

45. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-06-15 · Health · corrected 2021-09-08

    Potential for more than minimal harm

Ownership

Other facilities in VALLEY COTTAGE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.