Tsali Care Center
267 Tsali Care Way · Cherokee, NC · 28719 · 8284975048
100 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $157,555 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
$157,555 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.26 | 0.55–0.75 |
| Weekend hours / resident-day | 5.20 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 9 · $199,217 |
Inspection citations (82 in the current record)
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Potential for harm · E August 1, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · E August 1, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · D August 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · E August 1, 2025
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.
Corrected January 2, 2026 · Resident Rights
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Potential for harm · E August 1, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · E August 1, 2025
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.
Corrected September 8, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
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.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · E August 1, 2025
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.
Corrected September 8, 2025 · Pharmacy Service
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Potential for harm · D August 1, 2025
Provide or obtain dental services for each resident.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · F August 1, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 2, 2026 · Administration
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Potential for harm · F August 1, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 2, 2026 · Administration
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Potential for harm · E August 1, 2025
Provide and implement an infection prevention and control program.
Corrected September 8, 2025 · Infection Control
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Potential for harm · E August 1, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 8, 2025 · Infection Control
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Potential for harm · D August 1, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 21, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $11,047 |
| April 10, 2025 | Fine | $15,028 |
| July 31, 2024 | Fine | $12,542 |
| July 31, 2024 | Fine | $118,938 |
| July 31, 2024 | Payment Denial | 81 days |
| July 13, 2023 | Fine | $3,728 |
| July 13, 2023 | Fine | $3,728 |
| July 13, 2023 | Fine | $8,070 |
| July 13, 2023 | Fine | $8,137 |
| July 13, 2023 | Fine | $17,999 |
| July 13, 2023 | Payment Denial | 83 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345475 · certified since April 18, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.