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Tolstoy Foundation Rehabilitation and Nursing Center

100 Lake Road, Valley Cottage, New York 10989

Medicare lists this as a Special Focus Facility, a home with a history of serious quality issues that receives more frequent inspections.

Overview

Tolstoy Foundation Rehabilitation and Nursing Center has a Medicare overall rating of 1 out of 5, below the New York average of 3.1. Among the 2 nursing homes in Valley Cottage, it ranks first. Its strongest area is quality of care (4 of 5), and its weakest is health inspections (1 of 5).

Its most recent standard inspection, on September 2, 2025, found 14 health deficiencies, more than the New York average of 8.0. Medicare records 1 fine totaling $126,926 in the past three years.

Tolstoy Foundation Rehabilitation and Nursing Center is a nonprofit facility with 96 certified beds, caring for about 58 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1970.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Valley Cottage1st of 2 facilities

Top 50%

Within 100 miles904th of 989 facilities

Top 92%

In New York501st of 589 facilities

Top 86%

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Inspections and penalties

Most recent standard inspection
September 2, 2025
Health deficiencies cited
14
Complaint-related deficiencies
0
Fines in the last 3 years
1 totaling $126,926
Payment denials
0
Total penalties
1

Facility details

Ownership
Non profit - Corporation
Certified beds
96
Average residents per day
58
Participates in
Medicare and Medicaid
Medicare/Medicaid since
October 5, 1970
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes