Nursing home
Tsali Care Center
267 Tsali Care Way, Cherokee, NC 28719 · Map
Non profit - Corporation · 100 certified beds
Tsali Care Center is a Medicare-certified nursing home in Cherokee, North Carolina. CMS rates it 2 out of 5 stars overall (5/5 for staffing, 1/5 for health inspections). Nurse staffing is 6.03 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Aug 1, 2025 cited 33 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 9 fines totaling $205,165In CMS records: 11 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tsali Care Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.03 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.17 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 4.09 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 42.2% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 33.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 1, 2025 inspection was corrected by January 2, 2026
Penalties in CMS records: 9 fines totaling $205,165, 11 total penalties, 2 Medicare payment denials.
What inspectors found at Tsali Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
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 · Aug 1, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Aug 1, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
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 · Aug 1, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
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 · Aug 1, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 1, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 267 Tsali Care Way
Cherokee, NC 28719 - CMS certification #
- 345475
- Ownership
- Non profit - Corporation
- Certified beds
- 100
- Avg residents/day
- 69.9
- Provider type
- Medicare and Medicaid
- First certified
- 1996-04-18
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tsali Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Dlp Swain County Hospital LLC, Bryson City. 6.4 miles away, straight line.
- Nearest Medicare nursing home
- Mountain View Manor Nursing Center, Bryson City. 8.1 miles away, straight line.
- Nearest home health agency office
- Harris Home Health, Sylva. 9.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hospital Hill Pharmacy. 6.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28719 as rural (rural area).
- Dialysis within 15 miles
- Davita Sylva Dialysis Center, Sylva, 10.0 miles away, straight line (CMS rating 4 of 5 stars)
Davita Cherokee Dialysis Center, Cherokee, 10.4 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 28719.
- Nearest geriatric medicine practice
- Champion Physical Therapy LLC Halls, White Pine. 43.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, tornado relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Tsali Care Center a good nursing home?
CMS gives Tsali Care Center an overall rating of 2 out of 5 stars, including 5/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tsali Care Center staffed?
Tsali Care Center reports 6.03 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Tsali Care Center had inspection problems?
Its most recent CMS inspection cited 33 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Tsali Care Center have?
Tsali Care Center is certified for 100 beds.