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 F0585Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 2, 2026.
August 1, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0791Provide or obtain dental services for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
August 1, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 8, 2025.
April 10, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 10, 2025
Tag F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 10, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 10, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 10, 2025
Tag F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 10, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 1, 2025.
April 10, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
October 18, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
October 18, 2024
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 November 8, 2024.
August 22, 2024
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
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 25, 2024.
August 22, 2024
Tag F0565Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
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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