Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 335311

Tolstoy Foundation Rehabilitation And Nrsg Center

45 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $191,580.

Abuse Icon Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
38
Last 3 years
2
Actual harm+
1
Federal penalties
$191,580
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights10 Abuse & Neglect8 Care Planning8 Infection Control5 Medication & Pharmacy4

Most common F-tags at this facility

F6103 F6563 F8803 F6002 F6092

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Sep 2, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Sep 2, 2025F880Provide and implement an infection prevention and control program.DStandard
Sep 2, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard
Sep 2, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Sep 2, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Sep 2, 2025F760Ensure that residents are free from significant medication errors.DStandard
Sep 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 2, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Sep 2, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 2, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.LStandard
Sep 2, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard
Sep 2, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Sep 2, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Sep 2, 2025F578Honor 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.LStandard
Aug 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Aug 6, 2025F610Respond appropriately to all alleged violations.DComplaint
Aug 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 6, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Aug 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 30, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 4, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint
Jun 4, 2024F730Observe each nurse aide's job performance and give regular training.EComplaint
Jun 4, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 4, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Jun 4, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard
Jun 4, 2024F880Provide and implement an infection prevention and control program.EStandard
Jun 4, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 4, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 4, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jun 4, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Jun 4, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 4, 2024F578Honor 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.DStandard
Jun 4, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 4, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 4, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 15, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Jun 15, 2021F880Provide and implement an infection prevention and control program.DStandard
Jun 15, 2021F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Jun 15, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 15, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 15, 2021F610Respond appropriately to all alleged violations.DStandard
Jun 15, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $191,580 .

DateTypeFinePayment denial
Sep 2, 2025Fine$191,580—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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