All citations for Tolstoy Foundation Rehabilitation And Nrsg Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Tolstoy Foundation Rehabilitation And Nrsg Center

Last standard health inspection on record

September 2, 2025

Showing 1 to 14 of 14 citations

  1. Immediate jeopardy to resident health or safety

    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.

    Widespread (many residents). CMS level L.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Widespread (many residents). CMS level L.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  3. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  4. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  5. No harm, with potential for more than minimal harm

    Establish 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.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  6. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  7. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  8. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  9. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  10. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  11. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 23, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.