Tolstoy Foundation Rehabilitation And Nrsg Center
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY — inspection on September 2, 2025.
Found 14 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level L: widespread, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0582 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0678 during a standard health inspection conducted on 2025-09-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Scope/Severity Level L: widespread, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-09-02.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-09-02.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-09-02.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-02.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0835 during a standard health inspection conducted on 2025-09-02.
Category: Administration Deficiencies
The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0837 during a standard health inspection conducted on 2025-09-02.
Category: Administration Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-02.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.
Federal health inspectors cited TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY for a deficiency under regulatory tag F-F0919 during a standard health inspection conducted on 2025-09-02.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that a working call system is available in each resident's bathroom and bathing area.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-23.