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 22, 2024
Tag F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0838Conduct 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0908Keep all essential equipment working safely.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity G: isolated, actual harm. Corrected September 25, 2024.
August 22, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
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 September 25, 2024.
August 22, 2024
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
August 22, 2024
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 September 25, 2024.
July 31, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.
July 31, 2024
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 November 7, 2024.
April 17, 2024
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
April 17, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
October 13, 2023
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.
October 13, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.
October 13, 2023
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.
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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