TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$191,580
Outcome
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY was fined $191,580 by CMS following 45 deficiency citations identified during federal surveys.
Details
TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER (VALLEY COTTAGE, NY) — $191,580 in CMS Fines
Outcome: TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER in VALLEY COTTAGE, NY was fined $191,580 by CMS following 45 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Respond appropriately to all alleged violations.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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