Skilled Nursing

Tsali Care Center

267 Tsali Care Way, Cherokee, NC 28719

100beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

5.2h

Hrs/resident · weekday

Expected: 6.7h

6.1h

Hrs/resident · weekend

vs 5.2h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
47%
LPNs
CNAs
45%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

82 standard deficiencies in the last 3 years

View all
0883Severity EAug 1, 2025

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity EAug 1, 2025

Provide and implement an infection prevention and control program.

0867Severity FAug 1, 2025

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0835Severity FAug 1, 2025

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0791Severity DAug 1, 2025

Provide or obtain dental services for each resident.

0761Severity EAug 1, 2025

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.

0699Severity DAug 1, 2025

Provide care or services that was trauma informed and/or culturally competent.

0698Severity DAug 1, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity DAug 1, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0688Severity DAug 1, 2025

Provide 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.

0684Severity DAug 1, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DAug 1, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DAug 1, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0658Severity DAug 1, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DAug 1, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity DAug 1, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0644Severity DAug 1, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0636Severity DAug 1, 2025

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0605Severity DAug 1, 2025

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0585Severity EAug 1, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0583Severity EAug 1, 2025

Keep residents' personal and medical records private and confidential.

0578Severity EAug 1, 2025

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.

0558Severity DAug 1, 2025

Reasonably accommodate the needs and preferences of each resident.

0554Severity EAug 1, 2025

Allow residents to self-administer drugs if determined clinically appropriate.

0552Severity EAug 1, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

0550Severity DAug 1, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DApr 10, 2025

Provide and implement an infection prevention and control program.

0760Severity DApr 10, 2025

Ensure that residents are free from significant medication errors.

0689Severity GApr 10, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DApr 10, 2025

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

0657Severity DApr 10, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0622Severity DApr 10, 2025

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0563Severity DApr 10, 2025

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

0804Severity FOct 18, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0698Severity DOct 18, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0908Severity FAug 22, 2024

Keep all essential equipment working safely.

0880Severity DAug 22, 2024

Provide and implement an infection prevention and control program.

0838Severity FAug 22, 2024

Conduct 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.

0761Severity DAug 22, 2024

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.

0759Severity EAug 22, 2024

Ensure medication error rates are not 5 percent or greater.

0755Severity DAug 22, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0726Severity DAug 22, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0697Severity GAug 22, 2024

Provide safe, appropriate pain management for a resident who requires such services.

0657Severity DAug 22, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0645Severity DAug 22, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

0625Severity DAug 22, 2024

Notify 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.

0623Severity DAug 22, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0584Severity DAug 22, 2024

Honor 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.

0582Severity FAug 22, 2024

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

0578Severity EAug 22, 2024

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.

0568Severity DAug 22, 2024

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0565Severity EAug 22, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

0550Severity DAug 22, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0725Severity EJul 31, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0689Severity GJul 31, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Severity EApr 17, 2024

Provide and implement an infection prevention and control program.

0557Severity EApr 17, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0867Severity EOct 13, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0761Severity DOct 13, 2023

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.

0725Severity EOct 13, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0658Severity EOct 13, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0570Severity FSep 21, 2023

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

0569Severity DSep 21, 2023

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

0568Severity DSep 21, 2023

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0567Severity DSep 21, 2023

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

0880Severity DJul 13, 2023

Provide and implement an infection prevention and control program.

0740Severity DJul 13, 2023

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

0695Severity DJul 13, 2023

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

0686Severity GJul 13, 2023

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

0680Severity EJul 13, 2023

Ensure the activities program is directed by a qualified professional.

0679Severity EJul 13, 2023

Provide activities to meet all resident's needs.

0656Severity DJul 13, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity DJul 13, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

0582Severity EJul 13, 2023

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

0578Severity DJul 13, 2023

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.

0577Severity EJul 13, 2023

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

0574Severity EJul 13, 2023

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

0573Severity EJul 13, 2023

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0572Severity EJul 13, 2023

Give residents a notice of rights, rules, services and charges.

0565Severity EJul 13, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

0558Severity EJul 13, 2023

Reasonably accommodate the needs and preferences of each resident.

0550Severity DJul 13, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

CHEROKEE INDIAN HOSPITAL AUTHORITY· Non profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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