Nursing Homes · Medicare certified
Tsali Care Center
267 Tsali Care Way · Cherokee, NC 28719 · 100 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1073168316. Look this up in the CMS NPPES registry (opens in a new tab)
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About Tsali Care Center
Tsali Care Center is a nursing home in Cherokee, North Carolina, in Swain County. Its reported capacity is 100 beds. Federal records list it as Medicare certified. It is recorded as a nonprofit operator, part of Cherokee Indian Hospital Authority. Our copy of the inspection record holds 82 citations, the newest dated 1 August 2025. Federal enforcement records add 5 fine or payment denial actions. Staffing reports put it at 6.14 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
5.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
65
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
65
Staffing rating
5.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
65
Inspection history (82)
Records from July 2023 to August 2025.
August 1, 2025 · F
Citation F0835Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2026-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · E
Citation F0583Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0583 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0558Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0605Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · F
Citation F0867Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2026-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · E
Citation F0883Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0676Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0677Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0698Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · E
Citation F0578Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0688Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · E
Citation F0554Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0554 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2026-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0636Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOVAugust 1, 2025 · D
Citation F0699Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0699 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2025-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV
Penalties (5)
Total fines on file: $157,555
July 31, 2025 · Fine
Citation FINE-136998CMS recorded a civil money penalty of $11,047 against this nursing home on 2025-07-31 (Fine ID: 136998). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVApril 10, 2025 · Fine
Citation FINE-42717CMS recorded a civil money penalty of $15,028 against this nursing home on 2025-04-10 (Fine ID: 42717). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-10.GOVJuly 31, 2024 · Fine
Citation FINE-42490CMS recorded a civil money penalty of $118,938 against this nursing home on 2024-07-31 (Fine ID: 42490). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOVJuly 31, 2024 · Fine
Citation FINE-42476CMS recorded a civil money penalty of $12,542 against this nursing home on 2024-07-31 (Fine ID: 42476). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOVJuly 31, 2024 · Payment Denial
Citation PAYDEN-2024-08-29CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-08-29, lasting 81 days (triggered by inspection on 2024-07-31). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
Staffing
Latest: 6.14 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q45.75 hrs/resident/day
- 2026-06-015.75 hrs/resident/day
- 2026-07-016.14 hrs/resident/day
- 2026-08-016.14 hrs/resident/day
- 2026Q16.14 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.38 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Corporation
Parent organization: Cherokee Indian Hospital Authority
parent · PAC 2062320393
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical NC range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · NC$9,733/moNearby alternatives
No other listed providers in Cherokee yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Tsali Care Center
Request info and we'll pass it directly to Tsali Care Center, or call them at 8284975048 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (ownership)as of July 2026
- Parent organization
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.