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.
October 13, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-10-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-13.GOVSeptember 21, 2023 · D
Citation F0569Federal surveyors cited this nursing home on 2023-09-21 under CMS tag F0569 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. The deficiency was recorded as corrected on 2023-10-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-21.GOVSeptember 21, 2023 · D
Citation F0567Federal surveyors cited this nursing home on 2023-09-21 under CMS tag F0567 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2023-10-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-21.GOVSeptember 21, 2023 · F
Citation F0570Federal surveyors cited this nursing home on 2023-09-21 under CMS tag F0570 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Assure the security of all personal funds of residents deposited with the facility. The deficiency was recorded as corrected on 2023-10-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-21.GOVSeptember 21, 2023 · D
Citation F0568Federal surveyors cited this nursing home on 2023-09-21 under CMS tag F0568 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2023-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-21.GOVJuly 13, 2023 · E
Citation F0582Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0574Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0574 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for The resident has the right to receive notices in a format and a language he or she understands. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0679Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0577Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0577 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · G
Citation F0686Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0550Federal surveyors cited this nursing home on 2023-07-13 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 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0645Federal surveyors cited this nursing home on 2023-07-13 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 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0680Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0680 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure the activities program is directed by a qualified professional. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0558Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0558 (CMS scope/severity E: pattern, 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 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0578 (CMS scope/severity D: isolated, 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 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · E
Citation F0565Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0740Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.GOVJuly 13, 2023 · D
Citation F0695Federal surveyors cited this nursing home on 2023-07-13 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-08-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-13.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.