NURSING HOME PUBLIC RECORD
CMS lists this provider in Valley Cottage, NY, with 96 certified beds, an overall rating of 1/5, and 88 citation rows in the current August 2026 release.
100 Lake Road · Valley Cottage, NY 10989 · Rockland County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Tolstoy Foundation Rehabilitation And Nrsg Center in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-02 | 21 | 2025-09-02 | 13 |
| Cycle 2 | 2024-06-04 | 13 | 2024-06-04 | 13 |
| Cycle 3 | 2021-06-15 | 11 | 2021-06-15 | 17 |
CMS reports 88 citation rows, including 2 with G–L codes and 2 with J–L codes.
2 rows carry G–L scope/severity codes; 2 carry J–L. 23 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2025-10-24Establish methods for sharing information.
Correction field: Deficient, Provider has date of correction · 2025-10-24Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-10-23Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-10-23Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-10-23Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-10-23Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-10-23Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2025-10-23Establish 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.
Correction field: Deficient, Provider has date of correction · 2025-10-23Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-10-23Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-10-23Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-10-24Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-10-24Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-10-24Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-24Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-11-07Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has date of correction · 2025-12-18Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-11-21Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-10-24The August 2026 file contains 1 penalty row and $126,926 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-09-02 | Fine | $126,926 | 0 |
CMS matched 5 ownership disclosure rows to Tolstoy Foundation Rehabilitation And Nrsg Center; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 1 other published facility record near Valley Cottage, NY, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
