Tsali Care Center
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-04-10 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-22 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2024-07-31 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-13 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
4.84
state median 3.11
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
1.02
registered nurses only
Contract (agency) staff
31%
share of all nursing hours
Nursing staff turnover
47%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $157,555 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $11,047 |
| 2025-04-10 | Fine | $15,028 |
| 2024-07-31 | Fine | $12,542 |
| 2024-07-31 | Fine | $118,938 |
| 2024-07-31 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-08-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-01 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-01 | F0554 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-01 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-01 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-01 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-01 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-01 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-01 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-01 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-08-01 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-01 | F0835 | Administration Deficiencies | F | not recorded |
| 2025-08-01 | F0867 | Administration Deficiencies | F | not recorded |
| 2025-08-01 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-08-01 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2025-04-10 | F0563 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-10 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-10 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-10 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-10 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-10-18 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-18 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-08-22 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-22 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2024-08-22 | F0568 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-22 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2024-08-22 | F0582 | Resident Rights Deficiencies | F | not recorded |
| 2024-08-22 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-22 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-22 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-22 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-22 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-22 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-22 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-08-22 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-22 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-22 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-08-22 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-08-22 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-08-22 | F0908 | Environmental Deficiencies | F | not recorded |
| 2024-07-31 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-31 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-04-17 | F0557 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-17 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-10-13 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-10-13 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-10-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-13 | F0867 | Administration Deficiencies | E | not recorded |
| 2023-09-21 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-21 | F0568 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-21 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-21 | F0570 | Resident Rights Deficiencies | F | not recorded |
| 2023-07-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-13 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0572 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0573 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0574 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0577 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-13 | F0582 | Resident Rights Deficiencies | E | not recorded |
| 2023-07-13 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-13 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-07-13 | F0680 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-07-13 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-07-13 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-13 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-13 | F0880 | Infection Control Deficiencies | D | not recorded |