Tsali Care Center

Special Focus Facility candidate · Swain · NC · Non profit - Corporation · 100 certified beds · CCN 345475 · CHEROKEE INDIAN HOSPITAL AUTHORITY


Tsali Care Center operates 100 certified beds in Cherokee, North Carolina. Its Medicare and Medicaid certification dates to 1996-04-18. It averages 77.9 residents a day.

What harm was found in the violations cited at Tsali Care Center?

CMS lists 82 health-inspection deficiencies for Tsali Care Center since 2023-07-13, 65 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-08-01.

Survey dateTagDeficiencySeverity
2025-08-01F0835, F0867Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2025-08-01F0552, F0554, F0578, F0583, F0585, F0761, F0880, F0883Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Keep residents' personal and medical records private and confidential. / 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. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-08-01F0550, F0558, F0605, F0636, F0644, F0645, F0656, F0658, F0676, F0677, F0684, F0688, F0689, F0698, F0699, F0791Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident.D
2025-04-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-04-10F0563, F0622, F0657, F0686, F0760, F0880Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2024-10-18F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2024-10-18F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2024-08-22F0697Provide safe, appropriate pain management for a resident who requires such services.G
2024-08-22F0582, F0838, F0908Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Keep all essential equipment working safely.F
2024-08-22F0565, F0578, F0759Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Ensure medication error rates are not 5 percent or greater.E
2024-08-22F0550, F0568, F0584, F0623, F0625, F0645, F0657, F0726, F0755, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program.D
2024-07-31F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-07-31F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-04-17F0557, F0880Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide and implement an infection prevention and control program.E
2023-10-13F0658, F0725, F0867Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2023-10-13F0761Ensure 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.D
2023-09-21F0570Assure the security of all personal funds of residents deposited with the facility.F
2023-09-21F0567, F0568, F0569Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D
2023-07-13F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-07-13F0558, F0565, F0572, F0573, F0574, F0577, F0582, F0679, F0680Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Give residents a notice of rights, rules, services and charges. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / The resident has the right to receive notices in a format and a language he or she understands. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional.E
2023-07-13F0550, F0578, F0645, F0656, F0695, F0740, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program.D

Why was Tsali Care Center fined 4 times?

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

Has Tsali Care Center had payment denied by Medicare?

Payment denial startLength in days
2024-08-2981

How is Tsali Care Center staffed?

MeasureThis facilityNC average
Total nurse staffing hours per resident per day6.135293.83430
Total nursing staff turnover (%)47.249.0
Average number of residents per day77.986.9

Who owns Tsali Care Center?

Tsali Care Center is registered with CMS as Non profit - Corporation, operates under the legal business name CHEROKEE INDIAN HOSPITAL AUTHORITY.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEDANDO, JONATHANsince 09/09/2002
CORPORATE OFFICERCOOPER, CASEYsince 09/09/2002
OPERATIONAL/MANAGERIAL CONTROLCHEROKEE INDIAN HOSPITAL AUTHORITYsince 10/01/2019

Were you or a family member harmed at Tsali Care Center?