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C
Below Standard

TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER

100 LAKE ROAD · VALLEY COTTAGE, NY 10989

8452686813 · Non profit - Corporation

96 beds56.7 residents66 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER receives an overall staffing grade of C (Below Standard). With 3.7347 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5136 HPRD, below the recommended 0.75. It is 0.16 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.98% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5136 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7347hrs/resident/day▼ 0.16
CMS benchmark: 3.48
RN HPRD
0.5136hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
14.98%
3.8998 weekday → 3.3157 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3562hrs/resident/day
Direct care aides
LPN HPRD
0.865hrs/resident/day
Licensed practical nurses
Consistency
0.4656std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Rockland County Average-0.42 HPRD
4.15
03.73 HPRD
vs. New York State Average+0.08 HPRD
3.65
03.73 HPRD
vs. National Average-0.16 HPRD
3.90
03.73 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER ★
VALLEY COTTAGE · This facility
—
C
3.73470.5136★☆☆☆☆
NORTHERN MANOR GERIATRIC CENTER INC
NANUET
4.3 mi
B
3.72060.5504★☆☆☆☆
CEDAR MANOR NURSING & REHABILITATION CENTER
OSSINING
4.8 mi
C
3.23770.8645★☆☆☆☆
BRIARCLIFF MANOR CENTER FOR REHAB AND NURSING CARE
BRIARCLIFF MANOR
4.9 mi
C
3.22670.554★☆☆☆☆
PINE VALLEY CENTER FOR REHABILITATION AND NURSING
SPRING VALLEY
5.6 mi
B
3.78630.6582★★★☆☆
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER
SUFFERN
10.3 mi
D
3.22530.3927★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
45
Total Deficiencies
$191,580
Fines Assessed
Sep 2, 2025Health
14 deficiencies cited· Includes actual harm
▼
Aug 6, 2025Health
7 deficiencies cited
▼
Jul 30, 2024Health
2 deficiencies cited
▼
Jun 4, 2024Health
15 deficiencies cited
▼
Jun 15, 2021Health
7 deficiencies cited
▼

Penalty History

Sep 2, 2025Fine
$191,580
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.