Tsali Care Center

267 Tsali Care Way, Cherokee, NC 28719 · CCN 345475 · 100 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing5 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

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

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $157,555 in fines.

DateTypeAmount
2025-07-31Fine$11,047
2025-04-10Fine$15,028
2024-07-31Fine$12,542
2024-07-31Fine$118,938
2024-07-31Payment Denialpayment denial

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 78

Survey dateTagCategorySeverityCorrected
2025-08-01F0550Resident Rights DeficienciesDnot recorded
2025-08-01F0552Resident Rights DeficienciesEnot recorded
2025-08-01F0554Resident Rights DeficienciesEnot recorded
2025-08-01F0558Resident Rights DeficienciesDnot recorded
2025-08-01F0578Resident Rights DeficienciesEnot recorded
2025-08-01F0583Resident Rights DeficienciesEnot recorded
2025-08-01F0585Resident Rights DeficienciesEnot recorded
2025-08-01F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-08-01F0636Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-01F0676Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0677Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0684Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0688Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0689Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0698Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0699Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0761Pharmacy Service DeficienciesEnot recorded
2025-08-01F0791Quality of Life and Care DeficienciesDnot recorded
2025-08-01F0835Administration DeficienciesFnot recorded
2025-08-01F0867Administration DeficienciesFnot recorded
2025-08-01F0880Infection Control DeficienciesEnot recorded
2025-08-01F0883Infection Control DeficienciesEnot recorded
2025-04-10F0563Resident Rights DeficienciesDnot recorded
2025-04-10F0622Resident Rights DeficienciesDnot recorded
2025-04-10F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-10F0686Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0689Quality of Life and Care DeficienciesGnot recorded
2025-04-10F0760Pharmacy Service DeficienciesDnot recorded
2025-04-10F0880Infection Control DeficienciesDnot recorded
2024-10-18F0698Quality of Life and Care DeficienciesDnot recorded
2024-10-18F0804Nutrition and Dietary DeficienciesFnot recorded
2024-08-22F0550Resident Rights DeficienciesDnot recorded
2024-08-22F0565Resident Rights DeficienciesEnot recorded
2024-08-22F0568Resident Rights DeficienciesDnot recorded
2024-08-22F0578Resident Rights DeficienciesEnot recorded
2024-08-22F0582Resident Rights DeficienciesFnot recorded
2024-08-22F0584Resident Rights DeficienciesDnot recorded
2024-08-22F0623Resident Rights DeficienciesDnot recorded
2024-08-22F0625Resident Rights DeficienciesDnot recorded
2024-08-22F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-22F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-22F0697Quality of Life and Care DeficienciesGnot recorded
2024-08-22F0726Nursing and Physician Services DeficienciesDnot recorded
2024-08-22F0755Pharmacy Service DeficienciesDnot recorded
2024-08-22F0759Pharmacy Service DeficienciesEnot recorded
2024-08-22F0761Pharmacy Service DeficienciesDnot recorded
2024-08-22F0838Administration DeficienciesFnot recorded
2024-08-22F0880Infection Control DeficienciesDnot recorded
2024-08-22F0908Environmental DeficienciesFnot recorded
2024-07-31F0689Quality of Life and Care DeficienciesGnot recorded
2024-07-31F0725Nursing and Physician Services DeficienciesEnot recorded
2024-04-17F0557Resident Rights DeficienciesEnot recorded
2024-04-17F0880Infection Control DeficienciesEnot recorded
2023-10-13F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2023-10-13F0725Nursing and Physician Services DeficienciesEnot recorded
2023-10-13F0761Pharmacy Service DeficienciesDnot recorded
2023-10-13F0867Administration DeficienciesEnot recorded
2023-09-21F0567Resident Rights DeficienciesDnot recorded
2023-09-21F0568Resident Rights DeficienciesDnot recorded
2023-09-21F0569Resident Rights DeficienciesDnot recorded
2023-09-21F0570Resident Rights DeficienciesFnot recorded
2023-07-13F0550Resident Rights DeficienciesDnot recorded
2023-07-13F0558Resident Rights DeficienciesEnot recorded
2023-07-13F0565Resident Rights DeficienciesEnot recorded
2023-07-13F0572Resident Rights DeficienciesEnot recorded
2023-07-13F0573Resident Rights DeficienciesEnot recorded
2023-07-13F0574Resident Rights DeficienciesEnot recorded
2023-07-13F0577Resident Rights DeficienciesEnot recorded
2023-07-13F0578Resident Rights DeficienciesDnot recorded
2023-07-13F0582Resident Rights DeficienciesEnot recorded
2023-07-13F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-13F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-13F0679Quality of Life and Care DeficienciesEnot recorded
2023-07-13F0680Quality of Life and Care DeficienciesEnot recorded
2023-07-13F0686Quality of Life and Care DeficienciesGnot recorded
2023-07-13F0695Quality of Life and Care DeficienciesDnot recorded
2023-07-13F0740Quality of Life and Care DeficienciesDnot recorded
2023-07-13F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Tsali Care Center, Cherokee” at medicare.gov/care-compare.