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

1.0

Staffing

5.0

Quality measures

1.0

CMS Care Compare, October 2026.

Inspection history (82)

Records from July 2023 to August 2025.

July 13, 2023
Tag F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.
July 13, 2023
Tag F0572
Give residents a notice of rights, rules, services and charges.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 15, 2023.

See the source data on data.cms.gov

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).

See the source data on data.cms.gov

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.

Nursing Homes

North Carolina median$9,733/mo

North Carolina cost breakdown

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care