Federal Nursing-Home Survey Record
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER
Does TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER (CCN 335311), in VALLEY COTTAGE, NY, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list. In its current inspection cycle, CMS cited the facility for 21 deficiencies; the most serious carries scope/severity L, a level CMS classifies as Immediate Jeopardy. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $124,527 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
The Federal Record
CMS has flagged this facility with its federal abuse icon.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Federal abuse icon on file
CMS displays its abuse icon for facilities it has cited for resident abuse under its own published methodology (deficiency tag F600 and related). This is the government's own flag, restated here.
A candidate for the federal Special Focus Facility watch list
CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.
Scope & Severity — current cycle
Civil money penalties on file
$124,527
CMS has $124,527 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.0
Deficiency timeline — full federal history
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide and implement an infection prevention and control program.
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.
Observe each nurse aide's job performance and give regular training.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
PASARR screening for Mental disorders or Intellectual Disabilities
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide and implement an infection prevention and control program.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Respond appropriately to all alleged violations.
Document what happened
Were you or a loved one harmed at TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.