Tsali Care Center

Certification

Medicare-certified.

Ratings

Inspection history (82)

Records from July 2023 to August 2025.

• October 13, 2023

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

• September 21, 2023

  Tag F0569

  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 22, 2023.

• September 21, 2023

  Tag F0567

  Honor the resident's right to manage his or her financial affairs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 22, 2023.

• September 21, 2023

  Tag F0570

  Assure the security of all personal funds of residents deposited with the facility.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 22, 2023.

• September 21, 2023

  Tag F0568

  Properly 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 October 20, 2023.

• July 13, 2023

  Tag F0582

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0574

  The resident has the right to receive notices in a format and a language he or she understands.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0577

  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G: isolated, actual harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0656

  Develop 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 August 15, 2023.

• July 13, 2023

  Tag F0550

  Honor 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 August 15, 2023.

• July 13, 2023

  Tag F0645

  PASARR screening for Mental disorders or Intellectual Disabilities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0680

  Ensure the activities program is directed by a qualified professional.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

• July 13, 2023

  Tag F0578

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0565

  Honor 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 August 15, 2023.

• July 13, 2023

  Tag F0740

  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

• July 13, 2023

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 15, 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