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Nursing homesNorth Carolina › Tsali Care Center

Tsali Care Center

267 Tsali Care Way, Cherokee, NC 28719 · 8284975048 · 100 certified beds

Overall★★☆☆☆ 2/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★★ 5/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 6.14 (North Carolina median: 3.53). RN hours: 1.30. Weekend total: 5.55. Nursing staff turnover: 47%.

Inspection deficiencies

All-time on record: 82 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-08-01Administer the facility in a manner that enables it to use its resources effectively and efficiently. FHealthcorrected 2026-01-02
2025-08-01Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. FHealthcorrected 2026-01-02
2025-08-01Ensure that residents are fully informed and understand their health status, care and treatments. EHealthcorrected 2026-01-02
2025-08-01Allow residents to self-administer drugs if determined clinically appropriate. EHealthcorrected 2026-01-02
2025-08-01Honor 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. EHealthcorrected 2026-01-02
2025-08-01Keep residents' personal and medical records private and confidential. EHealthcorrected 2025-09-08
2025-08-01Honor 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. EHealthcorrected 2025-09-08
2025-08-01Ensure 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. EHealthcorrected 2025-09-08
2025-08-01Provide and implement an infection prevention and control program. EHealthcorrected 2025-09-08
2025-08-01Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2025-09-08
2025-08-01Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-09-21
2025-08-01Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2025-09-08
2025-08-01Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2025-09-08
2025-08-01Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2025-09-08
2025-08-01Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2025-09-08
2025-08-01PASARR screening for Mental disorders or Intellectual Disabilities DHealthcorrected 2025-09-08
2025-08-01Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-09-08
2025-08-01Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2025-09-08
2025-08-01Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Dcomplaintcorrected 2025-09-08
2025-08-01Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-09-08
2025-08-01Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2025-09-08
2025-08-01Provide 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. DHealthcorrected 2026-01-02
2025-08-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2025-09-08
2025-08-01Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2025-09-08
2025-08-01Provide care or services that was trauma informed and/or culturally competent. DHealthcorrected 2025-09-08
2025-08-01Provide or obtain dental services for each resident. DHealthcorrected 2025-09-08
2025-04-10Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2025-05-01
2025-04-10Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Dcomplaintcorrected 2025-05-01
2025-04-10Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Dcomplaintcorrected 2025-05-01
2025-04-10Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2025-05-01
2025-04-10Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2025-05-01
2025-04-10Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2025-05-01
2025-04-10Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-05-01
2024-10-18Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Fcomplaintcorrected 2024-11-18
2024-10-18Provide safe, appropriate dialysis care/services for a resident who requires such services. Dcomplaintcorrected 2024-11-08
2024-08-22Provide safe, appropriate pain management for a resident who requires such services. GHealthcorrected 2024-09-25
2024-08-22Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. FHealthcorrected 2024-09-25
2024-08-22Conduct 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. FHealthcorrected 2024-09-25
2024-08-22Keep all essential equipment working safely. FHealthcorrected 2024-09-25
2024-08-22Honor the resident's right to organize and participate in resident/family groups in the facility. EHealthcorrected 2024-09-25

Federal penalties

DateTypeAmount
2025-07-31Fine$11,047
2025-04-10Fine$15,028
2024-07-31Fine$12,542
2024-07-31Fine$118,938
2024-07-31Payment Denial81 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
COOPER, CASEYCorporate OfficerIndividualNOT APPLICABLEsince 09/09/2002
CHEROKEE INDIAN HOSPITAL AUTHORITYOperational/Managerial ControlOrganizationNOT APPLICABLEsince 10/01/2019

Compare nearby (Swain County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345475. Corrections: data@carerecords.org.