Tsali Care Center
Nursing Home · Cherokee, NC
CMS certification number345475
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
267 Tsali Care WayCherokee, NC 28719
Swain County
- Phone
- (828) 497-5048
- ZIP code
- 28719 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 77.9 (78% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Cherokee Indian Hospital Authority
- Medicare certified since
- April 18, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 6.14 (state 3.83 · U.S. 3.86)
- Registered nurses (RN)
- 1.30 (state 0.61 · U.S. 0.69)
- Licensed practical nurses
- 0.61 (state 0.89 · U.S. 0.86)
- Nurse aides
- 4.23 (state 2.34 · U.S. 2.32)
- Weekend total
- 5.55 (state 3.40 · U.S. 3.42)
- Nursing staff turnover
- 47.2 (state 49.0 · U.S. 45.8)%
- RN turnover
- 31.3 (state 45.7 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 1, 2025
- Health deficiencies (last cycle)
- 26.0 (state 4.8 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 79 health · 1 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-01 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-21 |
| 2025-08-01 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2025-08-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-08-01 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-04-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-01 |
| 2025-04-10 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-10 | 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. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-10 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2024-10-18 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-18 |
| 2024-10-18 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-08 |
| 2024-08-22 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-09-25 |
| 2024-08-22 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | 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. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
| 2024-08-22 | 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. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-25 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
5 penalties in the last three years, including $157,555 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $11,047 |
| 2025-04-10 | Fine | $15,028 |
| 2024-07-31 | Payment Denial | 81 days payment denial |
| 2024-07-31 | Fine | $118,938 |
| 2024-07-31 | Fine | $12,542 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Cooper, Casey (individual) | Corporate Officer · NOT APPLICABLE | |
| Cherokee Indian Hospital Authority (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dando, Jonathan (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Tsali Care Center?
Tsali Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.
How many beds does Tsali Care Center have?
It has 100 certified beds and cares for about 78 residents per day.
Has Tsali Care Center been fined?
Yes. CMS lists 5 penalties totaling $157,555 in the last three years.
What is the phone number of Tsali Care Center?
(828) 497-5048. The facility is located at 267 Tsali Care Way, Cherokee, NC 28719.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.