Tsali Care Center — Nursing Home in Cherokee, NC
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 72 |
|---|---|
| Average Residents/Day | 67.0 |
| CMS Certification Number | 345475 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 5.76 HPRD |
|---|---|
| RN Staffing | 0.88 HPRD |
Health Inspection Findings & Deficiencies
Tsali Care Center had 26 health inspection deficiencies on its most recent inspection (August 1, 2025).
Inspection Findings — August 1, 2025
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Ensure that residents are fully informed and understand their health status, care and treatments. (Level E)Corrected — January 2, 2026
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Allow residents to self-administer drugs if determined clinically appropriate. (Level E)Corrected — January 2, 2026
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Reasonably accommodate the needs and preferences of each resident. (Level D)Corrected — September 8, 2025
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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. (Level E)Corrected — September 8, 2025
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (Level D)Corrected — September 8, 2025
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Level D)Corrected — September 8, 2025
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Level D)Corrected — September 8, 2025
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PASARR screening for Mental disorders or Intellectual Disabilities (Level D)Corrected — September 8, 2025
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)Corrected — September 8, 2025
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Ensure services provided by the nursing facility meet professional standards of quality. (Level D)Corrected — September 8, 2025
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Provide care and assistance to perform activities of daily living for any resident who is unable. (Level D)Corrected — September 8, 2025
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Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)Corrected — September 8, 2025
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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. (Level D)Corrected — January 2, 2026
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level D)Corrected — September 8, 2025
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Provide safe, appropriate dialysis care/services for a resident who requires such services. (Level D)Corrected — September 8, 2025
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Provide care or services that was trauma informed and/or culturally competent. (Level D)Corrected — September 8, 2025
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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. (Level E)Corrected — September 8, 2025
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Provide or obtain dental services for each resident. (Level D)Corrected — September 8, 2025
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Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Level F)Corrected — January 2, 2026
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Level F)Corrected — January 2, 2026
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Provide and implement an infection prevention and control program. (Level E)Corrected — September 8, 2025
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Develop and implement policies and procedures for flu and pneumonia vaccinations. (Level E)Corrected — September 8, 2025
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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level D)Corrected — September 21, 2025
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Level D)Corrected — September 8, 2025
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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. (Level E)Corrected — January 2, 2026
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Keep residents' personal and medical records private and confidential. (Level E)Corrected — September 8, 2025
Tsali Care Center is a 72-bed nursing home in Cherokee, North Carolina. It holds a 1-star CMS overall rating. Total nurse staffing is 5.8 hours per resident day, above the North Carolina average of 3.8. Its most recent inspection, in August 2025, cited 26 deficiencies, none of them severe.
The facility reports relatively strong nurse staffing levels compared with others in the state, which can support more hands-on care. However, multiple recent deficiencies focusing on clinical services (like dialysis and respiratory care), individualized care planning, and residents’ rights and grievance processes are worth asking the facility how they have corrected and are monitoring to prevent recurrence.
Frequently Asked Questions
Is Tsali Care Center Medicare and Medicaid certified?
Tsali Care Center is Medicare certified and Medicaid certified according to CMS data.
What is Tsali Care Center's CMS star rating?
Tsali Care Center has an overall CMS rating of 1 out of 5 stars.
How is staffing at Tsali Care Center?
Tsali Care Center reports 5.75771 total nurse hours per resident day.
Has Tsali Care Center had health inspection deficiencies?
On its most recent inspection, Tsali Care Center had 26 total deficiencies, including 0 classified as severe.
How many beds does Tsali Care Center have?
Tsali Care Center has 72 certified beds.
Nearby Nursing Homes
- Mountain View Manor Nursing Center — 2/5 — 8.1 mi
- Vero Health & Rehab of Sylva — 1/5 — 9.9 mi
- Skyland Care Center — 2/5 — 9.9 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.