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HomeNorth CarolinaTsali Care Center

Tsali Care Center

267 Tsali Care Way, Cherokee, NC 287198284975048
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
5/5
Quality
2/5
Beds
100
certified
Special Focus Facility: SFF Candidate
4 fine(s) totaling $157,555

How Tsali Care Center Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
NC average
2.9/5
Below state average
Health inspection rating
1/5
NC average
2.9/5
Below state average
Staffing rating
5/5
NC average
2.7/5
Above state average
Nursing hours per resident
6.14 hrs/day
NC average
3.82 hrs/day
Above state average
RN hours per resident
1.30 hrs/day
NC average
0.61 hrs/day
Above state average
Staff turnover
47.2%
NC average
49.1%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the North Carolina average of 2.9/5.
Its 1/5 health inspection rating is below the North Carolina average of 2.9/5.
Reported nursing time is 6.14 hours per resident per day, above the state average of 3.82.
Reported RN time is 1.30 hours per resident per day, above the state average of 0.61.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
39
deficiency citations
Inspected Aug 22, 2024
Most recent cycle
26
deficiency citations
Inspected Aug 1, 2025
The most recent cycle recorded 13 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Swain County 65+
2,706
19.2% of county
County Population
14,130
Swain County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Tsali Care Center is a 2-star Medicare and Medicaid certified nursing home in Cherokee, North Carolina with 100 certified beds. It has been operating since 1996. Its overall CMS rating is 2 out of 5.

Beds
100
Avg Residents/Day
77.9
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 18, 1996
Sprinklers
Yes
Council
Resident
County
Swain
Last Inspection
Aug 1, 2025
Deficiencies (Cycle 1)
26
Weighted Score
255.0
Infection Citations
0

Deficiency Citations (82)

F0835Potential for Harm

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

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0585Potential for 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.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0761Potential for 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.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0563Potential for Harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 10, 2025Corrected: NoCycle: 2

+ 52 more deficiencies

Total Fines
$157,555
Number of Fines
4
Payment Denials
1
Total Penalties
5

Penalty History

FineJul 31, 2025
$11,047
FineJul 31, 2024
$12,542
FineApr 10, 2025
$15,028
FineJul 31, 2024
$118,938
Payment DenialJul 31, 2024
81 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide4.23 hrs
National avg: 2.32 hrs
LPN0.61 hrs
National avg: 0.86 hrs
RN1.30 hrs
National avg: 0.69 hrs
Total Nursing6.14 hrs
National avg: 3.86 hrs
Weekend Total5.55 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
47.2%
RN Turnover
31.3%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
DANDO, JONATHANW-2 MANAGING EMPLOYEEIndividualN/ASep 9, 2002
COOPER, CASEYCORPORATE OFFICERIndividualN/ASep 9, 2002
CHEROKEE INDIAN HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Tsali Care Center and nearby alternatives.

All North Carolina facilities
Tsali Care Center
Cherokee, NCCurrent facility
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $157,555
Mountain View Manor Nursing Center
Bryson City, NC8.1 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $14,131
Vero Health & Rehab of Sylva
Sylva, NC9.9 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $359,818
Skyland Care Center
Sylva, NC9.9 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC13.9 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $52,629
Autumn Care of Waynesville
Waynesville, NC18.5 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $107,387
Skyland Terrace and Rehabilitation
Waynesville, NC20.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $8,512
FacilityDistanceCMSHealthStaffingRecorded fines
Tsali Care Center
Cherokee, NC · Current facility
—2/51/55/5$157,555
Mountain View Manor Nursing Center
Bryson City, NC
8.1 mi1/52/51/5$14,131
Vero Health & Rehab of Sylva
Sylva, NC
9.9 mi1/51/52/5$359,818
Skyland Care Center
Sylva, NC
9.9 mi4/54/53/5None recorded
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
13.9 mi2/52/53/5$52,629
Autumn Care of Waynesville
Waynesville, NC
18.5 mi1/51/51/5$107,387
Skyland Terrace and Rehabilitation
Waynesville, NC
20.2 mi4/54/53/5$8,512

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Tsali Care Center?▾
Tsali Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 5/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Tsali Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Tsali Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Tsali Care Center had any health inspection violations?▾
Tsali Care Center had 26 deficiency citations in its most recent health inspection (Aug 1, 2025). The current CMS dataset records 4 fine(s) totaling $157,555.
What are the staffing levels at Tsali Care Center?▾
Tsali Care Center provides 6.14 total nursing staff hours per resident per day, including 1.30 RN hours, 0.61 LPN hours, and 4.23 nurse aide hours. The total staff turnover rate is 47.2%.
How many beds does Tsali Care Center have?▾
Tsali Care Center has 100 certified beds with an average of 77.9 residents per day, resulting in approximately 78% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Tsali Care Center?▾
Yes. This page lists 6 nearby nursing homes in North Carolina. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.