Tolstoy Foundation Rehabilitation And Nrsg Center
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-09-02 — IMMEDIATE JEOPARDY (tag F0578, severity L)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2025-09-02 — IMMEDIATE JEOPARDY (tag F0678, severity L)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Staffing, from payroll records
Nursing hours / resident / day
3.67
state median 3.31
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.40
registered nurses only
Contract (agency) staff
2%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
36%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $126,470 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-02 | Fine | $126,470 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-09-02 | F0578 | Resident Rights Deficiencies | L | not recorded |
| 2025-09-02 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-02 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-02 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-02 | F0678 | Quality of Life and Care Deficiencies | L | not recorded |
| 2025-09-02 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-02 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-09-02 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-02 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-02 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-02 | F0835 | Administration Deficiencies | F | not recorded |
| 2025-09-02 | F0837 | Administration Deficiencies | F | not recorded |
| 2025-09-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-09-02 | F0919 | Environmental Deficiencies | E | not recorded |
| 2025-08-06 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-06 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-06 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-06 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-04 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-04 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-04 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-04 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-04 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-04 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-04 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-04 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-04 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-04 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-04 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-06-04 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-06-04 | F0882 | Infection Control Deficiencies | D | not recorded |
| 2024-06-04 | F0887 | Infection Control Deficiencies | E | not recorded |
| 2024-06-04 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2021-06-15 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2021-06-15 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-06-15 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-06-15 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-06-15 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-06-15 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2021-06-15 | F0919 | Environmental Deficiencies | E | not recorded |