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.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-01 | 33 | 5.6 | 9.5 | +27.4 worse |
| 2 | 2024-08-22 | 24 | 7.2 | 9.8 | +16.8 worse |
| 3 | 2023-07-13 | 25 | 7.4 | 9.3 | +17.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 10 |
| Resident assessment and care planning | 6 |
| Resident rights | 9 |
| Pharmacy service | 2 |
| Administration | 2 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.03 | 42.2% |
| RN staffing (reported) | 1.17 | 46.2% |
| 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
- 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
- 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
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-01 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-01 · Health · corrected 2025-09-08
Potential for more than minimal harm
- 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
- EF0583Keep residents' personal and medical records private and confidential.2025-08-01 · Health · corrected 2025-09-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-01 · Health · corrected 2025-09-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2025-08-01 · Health · corrected 2025-09-08
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-08-01 · Health · corrected 2025-09-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2025-04-10 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-05-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-22 · Health · corrected 2024-09-25
Potential for more than minimal harm
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-22 · Health · corrected 2024-09-25
Actual harm
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2024-08-22 · Health · corrected 2024-09-25
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-08-22 · Health · corrected 2024-09-25
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-08-22 · Health · corrected 2024-09-25
Potential for more than minimal harm
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-04-17 · Health · corrected 2024-05-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-07-13 · Health · corrected 2023-11-06
Potential for more than minimal harm
- 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
- EF0572Give residents a notice of rights, rules, services and charges.2023-07-13 · Health · corrected 2023-08-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-07-13 · Health · corrected 2023-08-15
Potential for more than minimal harm
- 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
- EF0679Provide activities to meet all resident's needs.2023-07-13 · Health · corrected 2023-08-15
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2023-07-13 · Health · corrected 2023-08-15
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-13 · Health · corrected 2023-08-15
Actual harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-07-13 · Health · corrected 2023-08-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHEROKEE INDIAN HOSPITAL AUTHORITY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| COOPER, CASEY | Individual | CORPORATE OFFICER | — | 2002-09-09 |
| DANDO, JONATHAN | Individual | W-2 MANAGING EMPLOYEE | — | 2002-09-09 |
Other facilities in Cherokee
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.