Nursing Homes · Medicare certified
Tsali Care Center
267 Tsali Care Way · Cherokee, NC 28719 · 100 certified beds
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About Tsali Care Center
Tsali Care Center is a nursing home in Cherokee, North Carolina. Its capacity is 100 beds, below the North Carolina median of 102 for nursing homes. It is run by a nonprofit operator and is part of Cherokee Indian Hospital Authority. It is Medicare certified. Its public inspection record shows 82 citations, the most recent on August 1, 2025. CMS also lists 5 fines or payment denials against it. Nurse staffing averages 5.86 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
5.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (82)
Records from July 2023 to August 2025.
August 1, 2025
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0578Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 21, 2025.
August 1, 2025
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
Penalties (5)
Total fines: $157,555
July 31, 2025 · Fine
CMS recorded a civil money penalty of $11,047 against this nursing home on July 31, 2025.
April 10, 2025 · Fine
CMS recorded a civil money penalty of $15,028 against this nursing home on April 10, 2025.
July 31, 2024 · Fine
CMS recorded a civil money penalty of $118,938 against this nursing home on July 31, 2024.
July 31, 2024 · Fine
CMS recorded a civil money penalty of $12,542 against this nursing home on July 31, 2024.
July 31, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting August 29, 2024, lasting 81 days (triggered by inspection on July 31, 2024).
Staffing
5.86 nurse hours per resident per day in Q2 2026, up from 5.75 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit - Corporation
- Parent company: Cherokee Indian Hospital Authority
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in North Carolina.
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