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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaTsali Care Center

Tsali Care Center

267 Tsali Care Way, Cherokee, NC 287198284975048
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
5/5
Quality
2/5
Beds
72
certified
8 fine(s) totaling $188,170

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 72 certified beds with an average of 69.9 residents per day (97% occupancy)

• Last health inspection found 27 deficiencies (inspected Aug 22, 2024)

• Has been fined a total of $188,170 across 8 fine(s)

• Total nursing staff: 6.03 hours per resident per day

• Staff turnover rate: 42.2%

Tsali Care Center is a 2-star Medicare and Medicaid certified nursing home in Cherokee, North Carolina with 72 certified beds. It has been operating since 1996. The facility scored below average compared to North Carolina facilities.

Beds
72
Avg Residents/Day
69.9
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 22, 2024
Deficiencies (Cycle 1)
27
Weighted Score
231.0
Infection Citations
0

Deficiency Citations (69)

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
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
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: 1
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: 1
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: 1
F0686Potential for Harm

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

Survey: Apr 10, 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: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 10, 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 22, 2024Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Aug 22, 2024Corrected: 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 22, 2024Corrected: NoCycle: 1
F0582Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0625Potential for Harm

Notify 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.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Aug 22, 2024Corrected: NoCycle: 1
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: Aug 22, 2024Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 22, 2024Corrected: 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 22, 2024Corrected: NoCycle: 1
F0838Potential for Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0698Potential for Harm

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

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 2

+ 39 more deficiencies

Total Fines
$188,170
Number of Fines
8
Payment Denials
2
Total Penalties
10

Penalty History

FineJul 13, 2023
$3,728
FineJul 13, 2023
$3,728
FineJul 13, 2023
$8,070
FineJul 13, 2023
$8,137
FineJul 31, 2024
$12,542
FineApr 10, 2025
$15,028
FineJul 13, 2023
$17,999
FineJul 31, 2024
$118,938
Payment DenialJul 31, 2024
81 days denied
Payment DenialJul 13, 2023
83 days denied

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

Nurse Aide4.09 hrs
National avg: 2.35 hrs
LPN0.77 hrs
National avg: 0.86 hrs
RN1.17 hrs
National avg: 0.68 hrs
Total Nursing6.03 hrs
National avg: 3.89 hrs
Weekend Total5.61 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
42.2%
RN Turnover
46.2%
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
CHEROKEE INDIAN HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2019
COOPER, CASEYCORPORATE OFFICERIndividualN/ASep 9, 2002
DANDO, JONATHANW-2 MANAGING EMPLOYEEIndividualN/ASep 9, 2002

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.
Has Tsali Care Center had any health inspection violations?▾
Tsali Care Center had 27 deficiency citations in its most recent health inspection (Aug 22, 2024). The facility has been fined a total of $188,170 across 8 fine(s).
What are the staffing levels at Tsali Care Center?▾
Tsali Care Center provides 6.03 total nursing staff hours per resident per day, including 1.17 RN hours, 0.77 LPN hours, and 4.09 nurse aide hours. The total staff turnover rate is 42.2%.
How many beds does Tsali Care Center have?▾
Tsali Care Center has 72 certified beds with an average of 69.9 residents per day, resulting in approximately 97% occupancy. The facility is Non profit - Corporation owned.