Nursing HomeInspections

Tsali Care Center

Nursing home in Cherokee, NC

Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)

Call (828) 497-5048Send a messageMap ↗

Public-record details

Address
267 Tsali Care Way, Cherokee, NC 28719
Phone
(828) 497-5048
Listed under
Nonprofit
Medicare CCN
345475
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measures rating
2 of 5
Certified beds
100
Average residents per day
78
Ownership
Nonprofit, corporation
Legal business name
Cherokee Indian Hospital Authority
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 18, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345475. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 1, 2025. CMS lists 82 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 13, 2023 to Aug 1, 2025): 23 from complaint inspections, 4 at the “actual harm” level or higher. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Aug 1, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 1, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 1, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 1, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 1, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 1, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 1, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 1, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 1, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 1, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 1, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 1, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 82. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $157,555 and 1 denial of Medicare payment for new admissions in the last three years.

Jul 31, 2025Fine: $11,047
Apr 10, 2025Fine: $15,028
Jul 31, 2024Fine: $12,542
Jul 31, 2024Fine: $118,938
Jul 31, 2024Payment denial for 81 days from Aug 29, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.14 hours
Registered nurse (RN) time per resident per day
1.30 hours
Nurse aide time per resident per day
4.23 hours
Total nurse staffing on weekends
5.55 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
31%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.