nursing home in Cherokee, NC
Tsali Care Center
267 Tsali Care Way, Cherokee, NC 28719 · (828) 497-5048
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★5
- Quality measures★★★★★2
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tsali Care Center at a glance
Tsali Care Center is a 100-bed non-profit nursing home in Cherokee, North Carolina (Swain County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 6.1 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (August 1, 2025) found 26 health citations. The North Carolina average is 4.7.
Federal regulators fined it 4 times in the past three years, totaling $157,555.
Nursing staff turnover is 47.2% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 18, 1996
- Resident/family council
- Resident
- County
- Swain County
- CMS Certification Number
- 345475
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 6.14 hrs | 3.85 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.30 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 4.23 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.55 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 47.2% | 49% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 31.3% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 26 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 255 | 49.2 | 80.6 | Worse |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $157,555 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 105 | 107 | |
| Average residents per day | 78 | 87 | 86 | |
| Occupancy | 77.9% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.8% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 12.3% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.9% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 18.1% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.5% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.1% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.4% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.9% | 21.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 28.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 74.6% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 38.5% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 74.3% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 82 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 1, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 22, 2025 |
| August 1, 2025 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected January 2, 2026 |
| August 1, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected January 2, 2026 |
| August 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 8, 2025 |
| August 1, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 8, 2025 |
| August 1, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected September 8, 2025 |
| August 1, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected September 8, 2025 |
| August 1, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected January 2, 2026 |
| August 1, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | E Potential harm, pattern | Corrected January 2, 2026 |
| August 1, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected January 2, 2026 |
| August 1, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected September 8, 2025 |
| August 1, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected January 2, 2026 |
| August 1, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 21, 2025 |
| August 1, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 1, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 8, 2025 |
| April 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Complaint | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | D Potential harm, isolated | Corrected May 1, 2025 |
| October 18, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected November 18, 2024 |
| October 18, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected November 8, 2024 |
| August 22, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | F Potential harm, widespread | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Administration Deficiencies · Tag F0838 | F Potential harm, widespread | Corrected September 25, 2024 |
| August 22, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected September 25, 2024 |
| August 22, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected September 25, 2024 |
| August 22, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected September 25, 2024 |
| August 22, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected September 25, 2024 |
| August 22, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 25, 2024 |
| July 31, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 7, 2024 |
| July 31, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected September 25, 2024 |
| April 17, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 4, 2024 |
| April 17, 2024 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected May 4, 2024 |
| October 13, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected November 6, 2023 |
| October 13, 2023 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected November 6, 2023 |
| October 13, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 6, 2023 |
| October 13, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 6, 2023 |
| September 21, 2023 Complaint | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | F Potential harm, widespread | Corrected October 22, 2023 |
| September 21, 2023 Complaint | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected October 22, 2023 |
| September 21, 2023 Complaint | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected October 20, 2023 |
| September 21, 2023 Complaint | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected October 22, 2023 |
| July 13, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Tag F0574 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Tag F0573 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected November 6, 2023 |
| July 13, 2023 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected August 15, 2023 |
| July 13, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 15, 2023 |
| July 13, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $157,555 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $11,047 |
| April 10, 2025 | Fine | $15,028 |
| July 31, 2024 | Payment Denial | 81 days from August 29, 2024 |
| July 31, 2024 | Fine | $118,938 |
| July 31, 2024 | Fine | $12,542 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BUNIO, RICHARD Individual | adp of the snf | NOT APPLICABLE | 07/21/2026 |
| CHEROKEE INDIAN HOSPITAL AUTHORITY Organization | adp of the snf | NOT APPLICABLE | 01/01/2002 |
| TENHENGEL-DEVILLE, MICHELLE Individual | adp of the snf | NOT APPLICABLE | 07/21/2026 |
| COOPER, CASEY Individual | corporate officer | NOT APPLICABLE | 09/09/2002 |
| DANDO, JONATHAN Individual | corporate officer | NOT APPLICABLE | 09/09/2002 |
| BRADY, PAMELA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| BUNIO, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| HOLLIFIELD, MARCIA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| MADDEN, ADELE Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| MONTEITH, CARMALETA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| PARKER, BARBARA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| STEPHENS, AHLL-SHA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| WACHACHA, SONYA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| BRADY, PAMELA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| BUNIO, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| CHEROKEE INDIAN HOSPITAL AUTHORITY Organization | operational/managerial control | NOT APPLICABLE | 01/01/2002 |
| DORGAN, MARY BETH Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| HOLLIFIELD, MARCIA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| HOUSTON, MICHELE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| LAMBERT, BARBARA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MADDEN, ADELE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MONTEITH, CARMALETA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| PARKER, BARBARA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| REED, JACOB Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| STEPHENS, AHLL-SHA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| TENHENGEL-DEVILLE, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| WACHACHA, SONYA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Tsali Care Center
Mountain View of Bryson City
410 Buckner Branch Road, Bryson City, NC 28713 · 8.1 mi
For-profit · 120 beds
★★★★★1Much below averageVero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC 28779 · 9.9 mi
For-profit · 106 beds · Part of Regional Health Properties
- Special Focus candidate
★★★★★1Much below average- ★★★★★4Above average
Maggie Valley Health and Rehabilitation Center
75 Fisher Loop, Maggie Valley, NC 28751 · 13.9 mi
For-profit · 114 beds
★★★★★2Below averageAutumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · 18.5 mi
For-profit · 90 beds · Part of Saber Healthcare Group
★★★★★1Much below averageSkyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · 20.2 mi
For-profit · 90 beds
★★★★★4Above average
Frequently asked questions
What is Tsali Care Center's rating?
Tsali Care Center has 2 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Tsali Care Center receive?
Its most recent standard health inspection found 26 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Tsali Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Tsali Care Center?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tsali Care Center and how do I contact it?
Tsali Care Center is at 267 Tsali Care Way, Cherokee, NC 28719. Phone: (828) 497-5048.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.