TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER
100 LAKE ROAD, Valley Cottage, NY 10989
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER Compares
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER is a 96-bed nonprofit nursing facility in Valley Cottage, New York. It holds an overall CMS rating of 1 out of 5 stars, below the New York average of 3.1 stars. Its strongest area is staffing (4 stars), while health inspections (1 star) is its weakest. Its rate of high-risk residents with pressure ulcers (11.9%) is above the New York average of 6.8% — a measure worth asking the staff about. With 96 certified beds, it has notable available capacity at roughly 55% occupied.
Among the 2 nursing facilities ElderVoice tracks in Valley Cottage, the local average is 1.0 stars.
By the numbers vs. New York average
- Long-stay antipsychotic medication use: 20.0% — worse than the New York average of 13.8% (45% higher).
- Falls with major injury: 5.0% — worse than the New York average of 3.1% (63% higher).
- High-risk pressure ulcers: 11.9% — worse than the New York average of 6.8% (76% higher).
- Short-stay rehospitalization: 21.0% — worse than the New York average of 20.7%.
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated May 4, 2026) measured against New York averages across 596 facilities tracked by ElderVoice.
The Senior Community Around Valley Cottage
Valley Cottage sits in Rockland County, where adults 65 and older make up about 15.7% of the population — a share of seniors in line with New York as a whole (16.5% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 51,185 (15.7%)
- Median age
- 35.9 years
- Median household income
- $94,840
- Median home value
- $452,500
Demographics for Rockland County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Valley Cottage.
Facility Details
Other Facilities in Valley Cottage
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