Starfile

Starfile / North Carolina

Tsali Care Center

267 Tsali Care Way, Cherokee, NC 28719 · CCN 345475

SFF Candidate

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Corporation
Certified beds
100
Avg residents/day
69.9
Phone
8284975048

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12025-08-01335.69.5+27.4 worse
22024-08-22247.29.8+16.8 worse
32023-07-13257.49.3+17.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care10
Resident assessment and care planning6
Resident rights9
Pharmacy service2
Administration2
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)6.0342.2%
RN staffing (reported)1.1746.2%
Total nurse staffing (adjusted)7.14

Fines & penalties

Total fines
$205,165
Number of fines
9
Number of penalties
11
Payment denials
2

Inspection citations (82)4 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-01 · Health · corrected 2025-09-21

    Potential for more than minimal harm

  2. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  3. EF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  4. DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  5. EF0578Honor 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.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  6. EF0583Keep residents' personal and medical records private and confidential.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  7. EF0585Honor 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.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  8. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  9. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  10. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  11. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  14. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  15. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  17. DF0688Provide 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.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  19. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  20. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  21. EF0761Ensure 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.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  22. DF0791Provide or obtain dental services for each resident.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  23. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  24. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-08-01 · Health · corrected 2026-01-02

    Potential for more than minimal harm

  25. EF0880Provide and implement an infection prevention and control program.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  26. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-01 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  27. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  28. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  31. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-10 · Health · corrected 2025-05-01

    Actual harm

  32. DF0760Ensure that residents are free from significant medication errors.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  33. DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-05-01

    Potential for more than minimal harm

  34. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-18 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  35. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-18 · Health · corrected 2024-11-18

    Potential for more than minimal harm

  36. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  37. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  38. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  39. EF0578Honor 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.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  40. FF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  41. DF0584Honor 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.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  42. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  43. DF0625Notify 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.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  44. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  45. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  46. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-22 · Health · corrected 2024-09-25

    Actual harm

  47. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  49. EF0759Ensure medication error rates are not 5 percent or greater.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  50. DF0761Ensure 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.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  51. FF0838Conduct 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.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  52. DF0880Provide and implement an infection prevention and control program.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  53. FF0908Keep all essential equipment working safely.2024-08-22 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  54. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-31 · Health · corrected 2024-11-07

    Actual harm

  55. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-31 · Health · corrected 2024-09-25

    Potential for more than minimal harm

  56. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-04-17 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  57. EF0880Provide and implement an infection prevention and control program.2024-04-17 · Health · corrected 2024-05-04

    Potential for more than minimal harm

  58. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-13 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  59. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-13 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  60. DF0761Ensure 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.2023-10-13 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  61. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-13 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  62. DF0567Honor the resident's right to manage his or her financial affairs.2023-09-21 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  63. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-09-21 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  64. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-09-21 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  65. FF0570Assure the security of all personal funds of residents deposited with the facility.2023-09-21 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  66. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  67. EF0558Reasonably accommodate the needs and preferences of each resident.2023-07-13 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  68. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  69. EF0572Give residents a notice of rights, rules, services and charges.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  70. EF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  71. EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  72. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  73. DF0578Honor 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.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  74. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  75. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  76. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  77. EF0679Provide activities to meet all resident's needs.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  78. EF0680Ensure the activities program is directed by a qualified professional.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  79. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-13 · Health · corrected 2023-08-15

    Actual harm

  80. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  81. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  82. DF0880Provide and implement an infection prevention and control program.2023-07-13 · Health · corrected 2023-08-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CHEROKEE INDIAN HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-10-01
COOPER, CASEYIndividualCORPORATE OFFICER2002-09-09
DANDO, JONATHANIndividualW-2 MANAGING EMPLOYEE2002-09-09

Other facilities in Cherokee

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.