Tolstoy Foundation Rehabilitation & Nursing Center

100 Lake Road

3.3(26 ratings)

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Quick Facts

Total units: 96
Medicare rating: 1 of 5
Ownership: Non profit, Corporation
Certified beds: 96
Inspections: View history (88 citations)
Operator type: Certified not-for-profit skilled nursing facility
Therapy services: On-site physical, occupational, and speech therapy
End-of-life care: Hospice and wound care services offered on-site

What Families Think

An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.

Reviews for Tolstoy Foundation are sharply divided: several families and a longtime resident's family praise the therapy team and describe compassionate, attentive care, while other reviewers report serious neglect during a short stay and a vendor describes prolonged unpaid bills and unresponsive management. The mixed picture suggests care quality may vary significantly depending on unit or timing.

What reviewers praise

Physical and occupational therapy praised as outstanding
Staff described as caring, dedicated, and hardworking
One family reports two years of good long-term care
Reviewers highlight kindness of housekeeping, laundry, and food staff

What reviewers flag

One detailed report of neglect: slow call-button response, hygiene delays
One reviewer says staff rarely checked on resident during visits
One vendor reports over a year of unpaid bills and unresponsive staff
Reviews are sharply mixed between excellent and very poor care

AI-generated from reviews and community data.

Tolstoy Foundation Rehabilitation & Nursing Center is a senior living community in Valley Cottage, New York offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 3.3 out of 5 across 26 reviews.

About Tolstoy Foundation Rehabilitation & Nursing Center

Tolstoy Foundation Rehabilitation and Nursing Center is a certified not-for-profit, 96-bed skilled nursing facility in Valley Cottage, New York, offering physical, occupational, and speech therapies alongside long-term care, wound care, and hospice services.

The interdisciplinary team of caregivers provides individualized care with emphasis on meeting residents' physical, social, and spiritual needs. The facility is committed to delivering the highest quality of health and personal care services while maintaining reasonable and cost-effective rates.

The community strives to maintain a home-like, caring, safe, and clean environment through individualized services that respect each resident's right to self-determination and continuous improvement in care delivery.

Types of Care at Tolstoy Foundation Rehabilitation & Nursing Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

Emergency Call System
Private Bathroom
Private Rooms
Wheelchair Accessible

Meals & Dining

Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)

Community Amenities

24-Hour Staff
Gathering / Activity Spaces
Housekeeping
Laundry Service
Medication Management
On-Site Nurse (RN)

Activities

Social Activities

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Reviews of Tolstoy Foundation Rehabilitation & Nursing Center

3.3overall · 26 ratings combined

3.3★ on Google (26)

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Mario Sacchi

Apr 2026

via Google ↗ · Report

My experience was more than satisfactory Pt and Oc were outstanding it was like being with family we all shared the same interests witch made it even better good conversation while exercising.

Kristin D'Urso

Feb 2026

via Google ↗ · Report

My mother was briefly here in 2024 - I'm writing this review now because I just found some notes I had written about the awful conditions and treatment there. It was so bad that I had her transferred to a different facility as soon as I could - if you have a loved one staying here I recommend you do the same. Below are my notes from her brief stay there: - Kept mom in same clothes for 2 days - Nobody comes when she presses call button - My siblings and I had the same experience when we pressed the call button while visiting - Asked for someone to change our mom's depends and nobody came for 2 hours - My sister was visiting for 4 hours and nobody came to check on my mom that entire time. They drop off food and run. My sister had to help her sit up better to eat. - We noticed my mom had the same socks on Saturday from Friday – we mentioned it to the nursing supervisor and they ignored us. - Another 4 hour visit with nobody checking on her - there is no staff around.

Michael Mann

Dec 2025

via Google ↗ · Report

My company provides medical equipment for Tolstoy. They have overdue bills and seem to be having financial hardships. A employee named Maribel who we were told is in charge on invoices has been avoiding our calls, emails and on the rare occasion we are able to get through to her she leads us to be believe they will pay and they do not. We have also contacted other employees and have been lied to and then ignored. They are over 13 months in debt. If they are neglecting their business vendors so poorly I could only image how their treating their patients being closed doors. We've tried every professional channel to this facility but no call backs from AP, or any department in this facility. I would strongly advise any vendor, employee, or family seeking care to think twice before trusting this facility. We provided them with credit on good faith and at this point they are taking advantage of companies like mine and the extension of credit.

Susan Kuhlmann

Feb 2025

via Google ↗ · Report

My Mom has been in their care going on two years, the care team are hard working, dedicated staff and take good care of her. The entertainment, housekeeping, laundry and food services staff are also kind, hard working people. This industry as a whole has it's many challenges, especially as a 501c. Some of the other reviews here don't speak to our experience but perhaps they haven't had the unfortunate experience to observe other elder care facilities in Rockland. All I see when visiting are the staff at Tolstoy working hard to provide the best possible care to its residents.

Sylvia Romero

Mar 2024

via Google ↗ · Report

The staff at Tolstoy is one of the most unique, extraordinary and caring group of people I've ever come across in a Nursing Home Rehab. My mom was cared for with dignity and compassion which helped her recover so wonderfully during her stay. I've been a health care provider 25 years and have seen quite the opposite in many facilities. I'm so grateful for each team's hard work and dedication to our elder population. This includes the laundry team, house keeping, Intake dept, everyone in the kitchen, the aides who work so hard, nursing staff, physical and occupational therapy and anyone else I may have forgotten to mention. Thank you all!

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By submitting, you're okay with us and Tolstoy Foundation Rehabilitation & Nursing Center reaching out by phone, email or text.Always free for families. If you move in, the community you chose pays us a referral fee, never you; any nearby communities we suggest are chosen by your answers, never by what they pay us. Referral agreements are our only tie to the communities we list. If a community stops meeting our qualifications, for example its licence lapses or it stops accepting referrals, we stop suggesting it. How we work · FAQ

Government Inspection History

5 inspection visits in the last three years, 88 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Sep 2, 2025Fire Safety StandardHealth Standard27 citations

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity L of L: immediate jeopardy, widespreadCorrected Oct 23, 2025
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.
Severity L of L: immediate jeopardy, widespreadCorrected Oct 23, 2025
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2025
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Have elevators that firefighters can control in the event of a fire.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2025
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Install emergency lighting that can last at least 1 1/2 hours.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Ensure proper usage of power strips and extension cords.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2025
Ensure that testing and maintenance of electrical equipment is performed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
Have exits that are accessible at all times.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 24, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 7, 2025
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 21, 2025
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2025
Establish policies and procedures for volunteers.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 24, 2025
Establish methods for sharing information.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 24, 2025

Aug 6, 2025Health Complaint7 citations

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 3, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 3, 2025

Jul 30, 2024Health Complaint2 citations

Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 27, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 27, 2024

Jun 4, 2024Fire Safety StandardHealth ComplaintHealth Standard28 citations

Observe each nurse aide's job performance and give regular training.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 19, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2024
Provide at least two remote exits on each floor or fire section of the building.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Ensure that testing and maintenance of electrical equipment is performed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 8, 2024
Educate 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 19, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 19, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Notify 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 19, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 19, 2024
Have properly located and lighted "Exit" signs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 8, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 18, 2024
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 8, 2024
Have proper medical gas storage and administration areas.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 8, 2024
Establish roles under a Waiver declared by secretary.
Severity C of L: potential for minimal harm, widespreadCorrected Jul 8, 2024
Address patient/client population and determine types of services needed.
Severity C of L: potential for minimal harm, widespreadCorrected Jul 8, 2024

Jun 15, 2021Fire Safety StandardHealth Standard24 citations

Have properly sized and located compartments to protect residents from smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 14, 2021
Meet requirements for the installation and maintenance of electrical systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Ensure that testing and maintenance of electrical equipment is performed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 8, 2021
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Conduct risk assessment and an All-Hazards approach.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Address patient/client population and determine types of services needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Address subsistence needs for staff and patients.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Establish roles under a Waiver declared by secretary.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Provide family notifications of emergency plan.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Have exits that are accessible at all times.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 10, 2021
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 10, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 10, 2021
Have elevators that firefighters can control in the event of a fire.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 10, 2021
Have generator or other power source capable of supplying service within 10 seconds.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 10, 2021
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2021
Ensure electrical receptacles or cover plates have distinctive color or marking.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 10, 2021

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Tolstoy Foundation Rehabilitation & Nursing Center offer?

Tolstoy Foundation Rehabilitation & Nursing Center offers Skilled Nursing / Long Term Care.

Where is Tolstoy Foundation Rehabilitation & Nursing Center located?

Tolstoy Foundation Rehabilitation & Nursing Center is located at 100 Lake Road in Valley Cottage, New York.

What do families say about Tolstoy Foundation Rehabilitation & Nursing Center?

Tolstoy Foundation Rehabilitation & Nursing Center carries a 3.3 out of 5 rating from 26 Google reviews. Reviews for Tolstoy Foundation are sharply divided: several families and a longtime resident's family praise the therapy team and describe compassionate, attentive care, while other reviewers report serious neglect during a short stay and a vendor describes prolonged unpaid bills and unresponsive management. The mixed picture suggests care quality may vary significantly depending on unit or timing. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.

How did Tolstoy Foundation Rehabilitation & Nursing Center do on recent health and safety inspections?

Tolstoy Foundation Rehabilitation & Nursing Center had 5 government inspection visits in the last three years, with 88 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Tolstoy Foundation Rehabilitation & Nursing Center?

Submit the Request Information form on this page, or contact Tolstoy Foundation Rehabilitation & Nursing Center directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Tolstoy Foundation Rehabilitation & Nursing Center? Claim this listing to update photos, pricing, and details. It's free.

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