CareSentinel

Federal Nursing-Home Survey Record

Tsali Care Center

CCN 345475 · 267 Tsali Care Way, Cherokee, NC, 28719

Does Tsali Care Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Tsali Care Center (CCN 345475), in Cherokee, NC, has federal inspection findings on its record. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list. In its current inspection cycle, CMS cited the facility for 26 deficiencies; the most serious carries scope/severity F on CMS's A–L scale. The most recent federal survey on file is dated 2025-08-01. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $199,217 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has $199,217 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$199,217

CMS has $199,217 in civil money penalties on file against this facility. CMS also records 164 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.9

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-01
CURRENT CYCLE
F835S/S F

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-08-01
CURRENT CYCLE
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2025-08-01
CURRENT CYCLE
F552S/S E

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-08-01
CURRENT CYCLE
F554S/S E

Allow residents to self-administer drugs if determined clinically appropriate.

2025-08-01
CURRENT CYCLE
F585S/S E

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.

2025-08-01
CURRENT CYCLE
F883S/S E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2025-08-01
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-08-01
CURRENT CYCLE
F583S/S E

Keep residents' personal and medical records private and confidential.

2025-08-01
CURRENT CYCLE
F578S/S E

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.

2025-08-01
CURRENT CYCLE
F761S/S E

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.

2025-08-01
CURRENT CYCLE
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2025-08-01
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-08-01
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-08-01
CURRENT CYCLE
F791S/S D

Provide or obtain dental services for each resident.

2025-08-01
CURRENT CYCLE
F699S/S D

Provide care or services that was trauma informed and/or culturally competent.

2025-08-01
CURRENT CYCLE
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-08-01
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-08-01
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-01
CURRENT CYCLE
F605S/S D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2025-08-01
CURRENT CYCLE
F688S/S D

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.

2025-08-01
CURRENT CYCLE
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2025-08-01
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-08-01
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-08-01
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-01
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-08-01
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-04-10
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-10
HISTORICAL
F563S/S D

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

2025-04-10
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2025-04-10
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2025-04-10
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-04-10
HISTORICAL
F622S/S D

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.

2025-04-10
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-10-18
HISTORICAL
F804S/S F

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-10-18
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-08-22
HISTORICAL
F697S/S G

Provide safe, appropriate pain management for a resident who requires such services.

2024-08-22
HISTORICAL
F582S/S F

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2024-08-22
HISTORICAL
F838S/S F

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.

2024-08-22
HISTORICAL
F908S/S F

Keep all essential equipment working safely.

2024-08-22
HISTORICAL
F578S/S E

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.

2024-08-22
HISTORICAL
F565S/S E

Honor the resident's right to organize and participate in resident/family groups in the facility.

2024-08-22
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-08-22
HISTORICAL
F726S/S D

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.

2024-08-22
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-08-22
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-08-22
HISTORICAL
F584S/S D

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.

2024-08-22
HISTORICAL
F568S/S D

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2024-08-22
HISTORICAL
F761S/S D

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.

2024-08-22
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-08-22
HISTORICAL
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2024-08-22
HISTORICAL
F625S/S D

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.

2024-08-22
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-08-22
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-07-31
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-07-31
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2024-04-17
HISTORICAL
F557S/S E

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2024-04-17
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-10-13
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2023-10-13
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2023-10-13
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Tsali Care Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…