Tolstoy Foundation Rehabilitation & Nursing Center - Valley Cottage Nursing Home

General Information

UPDATE
Federal Provider Number
335311
Provider Name
TOLSTOY FOUNDATION REHABILITATION & NURSING CENTER
Provider Address
100 LAKE ROAD, PO BOX 319
VALLEY COTTAGE, NY 10989
Provider Phone Number
8452686813
Provider SSA County
620
Provider County Name
Rockland
Ownership Type
Non profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TOLSTOY FOUNDATION NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1970-10-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16596
Reported LPN Staffing Hours per Resident per Day
0.79468
Reported RN Staffing Hours per Resident per Day
0.52287
Reported Licensed Staffing Hours per Resident per Day
1.31755
Reported Total Nurse Staffing Hours per Resident per Day
3.48351
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06915
Expected CNA Staffing Hours per Resident per Day
2.35346
Expected LPN Staffing Hours per Resident per Day
0.63151
Expected RN Staffing Hours per Resident per Day
1.02166
Expected Total Nurse Staffing Hours per Resident per Day
4.00663
Adjusted CNA Staffing Hours per Resident per Day
2.25822
Adjusted LPN Staffing Hours per Resident per Day
1.04446
Adjusted RN Staffing Hours per Resident per Day
0.38241
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50461
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

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Northern Riverview Health Care

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Friedwald Center For Rehab And Nursing L L C

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Pine Valley Center For Rehab And Nursing

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Summit Park Nursing Care Center

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Helen Hayes Hospital Residential Health Care Fac

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Northern Metropolitan R H C F Inc

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Ramapo Manor Ctr For Rehab & Nursing

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