Tolstoy Foundation Rehabilitation and Nursing Center is a nursing home located in Valley Cottage, New York, a city with a total of 9,293 people. This facility was given an overall grade of B-, which is a respectable grade. This nursing home seems to have some things working in its favor. You should also take a look at this nursing home's category grades below. We discuss long-term care in the next section.
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Tolstoy Foundation Rehabilitation and Nursing Center
- Nursing Home
Updated Nov 1, 2023 by Nick Reese
Grade: B-minus
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- Non profit - Corporation
- Offers Hospice
- Offers Post-Acute Care
- Offers Inpatient Rehab
Specialized Services
- Dialysis Transportation
- Speech Therapy
- Stroke Recovery
- Amputee Recovery
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Tracheotomy Care
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Pain Management
- Orthopedic Rehabilitation
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Awards
Registered Staff Hours
Medical Staff Hours Per Patient (2022)
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Long-term Care Quality
Grade: A
We want to point out that this nursing home received a much better grade for long-term care than it did overall. In fact, we gave it one of our best grades in that category with an impressive grade of A. Facilities that do well in long-term care typically are well-staffed and provide extensive hands on care to residents. On top of considering the quantity of care provided by nurses and other staff, we looked at the percentage of residents vaccinated against pneumonia. This facility administered the vaccine to 99.62264 percent of its residents, which is what we like to see. Pneumonia sadly can be a deadly ailment for nursing home residents so we like it when a nursing home does not roll the dice on this issue. Clearly, this place is doing something right in this area as it was able to keep its patients out of the hospital. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.
Facility Inspections
Grade: A-minus
In addition, this facility also excelled in inspections, where it received an A-. Few nursing homes performed as well in this category. Inspection scores weigh several factors found on a facility's inspection report. One of the most important criteria we rely on is the number and severity of deficiencies. Facilities with higher scores in this category typically have very few of these severe deficiencies. This place was assessed 4 deficiencies on its inspection report, but we were relieved to see that none of the deficiencies were considered to be major deficiencies. This tells you that CMS did not consider any of the deficiencies to be an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
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Nurse Quality
Grade: D
Another strength of this facility is its favorable grade in nursing. We gave them one of our better scores in that area, with an impressive grade of D. The nursing score consists of several components, however, the paramount one is the quantity of nurse hours per patient per week. This particular facility averaged a meager 0.4 hours of nursing care per resident per day. This number is quite a bit below average. Finally, we also assessed some nursing quality measures in computing our nursing ratings. This facility fared well when it comes to avoiding pressure ulcers and major falls. We consider these statistics to be good measures of the quality of nursing care.
Short-term Care Quality
Grade: F
The final area we scored is short-term care, which ended up being this facility's least impressive area. We gave it an abysmal F for this area, which is clearly concerning. In calculating our short-term care ratings, we quantify the facility's skilled nursing services, including those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. Our objective is to devise a scale for sizing up the rehabilitation services of different facilities. Unfortunately, we found that this nursing home provided fewer physical therapist and registered nurse hours per resident than most other facilities. The final measure we looked at in this category is the number of residents that returned home from the facility. This facility struggled quite a bit in this metric as well, with just 4.4 percent of its patients returning home. Unfortunately, this was quite a bit below average.
Rating Over Time
Compared to national and state averages across all facilities.
Tolstoy Foundation Rehabilitation and Nursing Center Quality Metrics
Minimizes Pressure Ulcers
Grade: C
In Tolstoy Foundation Rehabilitation and Nursing Center, 10.27% of Patients had Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers are damage to the skin due to staying in one position for too long.
Minimizes Serious Falls
Grade: B-plus
In Tolstoy Foundation Rehabilitation and Nursing Center, 2.64% of Patients had Serious Falls
This statistic is an indication of the percent of long-term residents who have experienced a fall leading to severe injury. We use this statistic in computing our nursing scores.
Minimizes Urinary Tract Infections
Grade: F
In Tolstoy Foundation Rehabilitation and Nursing Center, 7.62% of Patients had UTIs
This metric measures the percent of long-term residents who suffered from urinary tract infections. UTI's may be an indication of worse hygiene protocols. However, this metric could be skewed for certain nursing homes due to different reporting standards for urinary tract infections.
Appropriately Uses Anti-Psychotic Medication
Grade: D
In Tolstoy Foundation Rehabilitation and Nursing Center, 25% of Patients use Anti-Psychotic Medication
This tells you the percent of patients given antipsychotic medications. Antipsychotic drugs are prescribed to residents for many medical conditions, including dementia. Sadly, in some cases, high levels of antipsychotic drug use may indicate that a facility is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
Grade: C
In Tolstoy Foundation Rehabilitation and Nursing Center, 27.63% of Patients use Anti-Anxiety Medication
This indicates the percentage of patients prescribed antianxiety medications. Antianxiety medications are given to patients suffering from depression or anxiety.
Managing Depression Among Residents
Grade: B-minus
In Tolstoy Foundation Rehabilitation and Nursing Center, 5% of Patients
This tells you the percentage of residents demonstrating signs of depression.
Appropriate Vaccine Usage
Grade: A-minus
In Tolstoy Foundation Rehabilitation and Nursing Center, 99.17% of Patients
Measures the percent of long-term care residents who have received the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for seniors, making these vaccines critical to patient safety.
Residents Maintain Autonomy
Grade: F
In Tolstoy Foundation Rehabilitation and Nursing Center, 26.97% of Patients
This tells you the percentage of residents who needed more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of the deterioration of a resident's medical condition.
Ability to Keep Residents Mobile
Grade: A
In Tolstoy Foundation Rehabilitation and Nursing Center, 23.88% of Residents
This is the percentage of patients that remained mobile levels over time. Retaining mobility is usually a good sign for residents' well-being.
Hospitalizations
Grade: B-minus
In Tolstoy Foundation Rehabilitation and Nursing Center, 0.02 Hospitalizations per 1,000 resident days
This tells you the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
Grade: D
In Tolstoy Foundation Rehabilitation and Nursing Center, 23.88% of Residents Rehospitalized
Measures the number of rehospitalizations per thousand days of short-term resident care. Avoiding rehospitalizations during rehabilitation is important to restoring the physical well-being of patients.
Short-term Care: ER Visits
Grade: B
In Tolstoy Foundation Rehabilitation and Nursing Center, 11.92% of Patients
This datapoint is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding emergency medical situations is one way to gauge patient well-being during rehabilitation.
Short-term Care: Facilitates Functional Improvement
Grade: A
In Tolstoy Foundation Rehabilitation and Nursing Center, 88.72% of Resident
This metric is a measure of the percent of short-term residents that saw functional improvements.
Nearby Hospitals
- Nyack HospitalAcute Care Hospitals 2.05 miles away160 North Midland Avenue Nyack New York 10960Voluntary non-profit - Other(845) 348-2000
- Phelps Memorial Hospital AssnAcute Care Hospitals 3.9 miles away701 North Broadway Tarrytown New York 10591Voluntary non-profit - Other(914) 366-3000
- Westchester Medical CenterAcute Care Hospitals 7.05 miles away100 Woods Rd Valhalla New York 10595Government - Hospital District or Authority(914) 493-7000
- Good Samaritan Hospital of SuffernAcute Care Hospitals 10.55 miles away255 Lafayette Avenue Suffern New York 10901Voluntary non-profit - Church(845) 368-5000
- Hackensack Meridian Health Pascack Valley MedicalAcute Care Hospitals 10.76 miles away250 Old Hook Road Westwood New Jersey 07675Proprietary(201) 383-1035
- St John's Riverside HospitalAcute Care Hospitals 11.15 miles away976 North Broadway Yonkers New York 10701Voluntary non-profit - Private(914) 964-4444
- New York-Presbyterian/Hudson Valley HospitalAcute Care Hospitals 11.89 miles away1980 Crompond Road Cortlandt Manor New York 10567Voluntary non-profit - Private(914) 734-3611
- Northern Westchester HospitalAcute Care Hospitals 11.92 miles away400 East Main Street Mount Kisco New York 10549Voluntary non-profit - Private(914) 666-1200
Nearby Dialysis
- Freedom Center of Rockland County, LLC0.76 miles away131 Route 303 Valley Cottage New York 10989CMS Rating: 3 stars Dialysis Stations: 18 (845) 268-2777
- Rockland County Dialysis4.91 miles away203 West Route 59 Nanuet New York 10954Dialysis Stations: 20 (845) 501-7590
- Friedwald Center for Dialysis5.29 miles away475 New Hempstead Road New City New York 10956Dialysis Stations: 9 (845) 678-2000
- Davita Hudson Valley Dialysis Center5.62 miles away155 White Plains Road Suite 107 Tarrytown New York 10591CMS Rating: 2 stars Dialysis Stations: 20 (914) 332-7599
- Dialysis Clinic Inc, Bradhurst7.53 miles away19 Bradhurst Avenue Hawthorne New York 10532CMS Rating: 5 stars Dialysis Stations: 24 (914) 592-4366
- Westchester Artificial Kidney Center7.91 miles away234 Tarrytown Road Dialysis Unit Elmsford New York 10523CMS Rating: 5 stars Dialysis Stations: 20 (914) 592-5858
- Davita White Plains Dialysis Center10.39 miles away200 Hamilton Avenue Suite 13b White Plains New York 10601CMS Rating: 3 stars Dialysis Stations: 25 (914) 328-4900
- Davita Renal Center of Westwood10.75 miles away363 Old Hook Road Westwood New Jersey 07675Dialysis Stations: 18 (201) 664-6649
