Tsali Care Center

267 Tsali Care Way
Cherokee NC 28719
Phone: 8284975048

Special Focus watch list Non profit - Corporation

Official CMS provider data, processing date 2026-09-01. Not an endorsement.

CMS overall rating
2/5
Below average
Overall rating2/5
Health inspections1/5
Staffing5/5
Quality measures2/5
Long-stay quality2/5
Short-stay quality2/5
  • Overall rating vs. the North Carolina average: 0.9 star lower (2.9), below average
  • Overall rating vs. the national average: 1.0 star lower (3.0), below average
  • Overall rating vs. the Cherokee average: level with the average (2.0)

CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.

Facility details

Size, ownership, and inspection history as reported to CMS.

Certified beds100
Average residents per day77.9
Occupancy78%
OwnershipNon profit - Corporation
CountySwain
Provider typeMedicare and Medicaid
First certified for Medicare & Medicaid1996-04-18
CMS certification number (CCN)345475
Health deficiencies in the latest inspection cycle26

Staffing and turnover

Staffing hours and turnover are among the most predictive measures CMS publishes.

Adjusted total nurse staffing hours per resident per day7.64
Reported total nurse staffing hours per resident per day6.14
Registered nurse turnover31.3%
Total nursing staff turnover47.2%
Resident and family councilNo

Fines and penalties

Civil money penalties and payment denials on record, as published by CMS.

Fines (count)4
Fines (total value)$157,555
Payment denials1
Total penalties5
This facility has $157,555 in federal fines on record. Penalties are not proof of poor care on any given day, but a pattern of fines and inspections is the strongest public signal of a compliance record.

Questions to ask Tsali Care Center

  • What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
  • How many residents were transferred to hospital in the last year, and for what reasons?
  • What was cited at the most recent inspection, and what has changed since?
  • Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
  • What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?

Estimate nursing home costs in North Carolina Compare all North Carolina facilities

Is Tsali Care Center highly rated?

CMS rates it 2 out of 5 overall, which CMS labels "Below average". Health inspections rate 1, staffing 5, and quality measures 2.

How many beds does Tsali Care Center have?

CMS certifies 100 beds; the facility reports an average of 77.9 residents per day (about 78% occupancy).

Does Tsali Care Center have any fines or citations?

Yes. CMS records $157,555 in fines and 1 payment denials for this facility.

Has Tsali Care Center been cited for abuse?

CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.