Tsali Care Center

267 Tsali Care Way, Cherokee, NC 28719 · (828) 497-5048
Non profit - Corporation · 100 certified beds

Tsali Care Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 26 citations (the North Carolina average is 4.7). It was fined 4 times in the last three years, $157,555 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 1, 2025 found 26 citations. What an inspection citation means

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.August 1, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.August 1, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that residents are fully informed and understand their health status, care and treatments.August 1, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to self-administer drugs if determined clinically appropriate.August 1, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 1, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.August 1, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 1, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 1, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.August 1, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.August 1, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 1, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.August 1, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.August 1, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.August 1, 2025 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.August 1, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesAugust 1, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 1, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.August 1, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.August 1, 2025 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 1, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 1, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.August 1, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 1, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.August 1, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.August 1, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.August 1, 2025 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 19 citations.

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 1, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.August 1, 2025 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.April 10, 2025 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 10, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 10, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 10, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 10, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 10, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.October 18, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 18, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 31, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.July 31, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.April 17, 2024 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.April 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.October 13, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 13, 2023 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.October 13, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.October 13, 2023 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $11,047July 31, 2025
• Fine of $15,028April 10, 2025
• Fine of $12,542July 31, 2024
• Fine of $118,938July 31, 2024
• Medicare payment denial for 81 daysStarting August 29, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home