Tsali Care Center
Nursing Home Facility
267 Tsali Care Way, Cherokee, NC 28719
Tsali Care Center is a senior care community located in Cherokee, NC. It provides nursing home care and senior living for older adults in the Cherokee area. To learn more or schedule a tour, call (828) 497-5048.
Tsali Care Center is licensed for 100 beds, about typical for the area, where senior care communities in Swain County average about 90 beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 26 deficiencies.
Residents receive about 6.1 hours of nursing care per day on average, including 1.3 hours from a registered nurse. Communities in Swain County average about 4.7 hours. Nursing staff turnover over the past year was about 47%.
The community is located in Swain County, NC.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 82 problems at Tsali Care Center. 4 findings involved harm to a resident. 23 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $157,555. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Could cause more than minimal harm, widespread
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, a pattern
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, a pattern
Resident 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.
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Could cause more than minimal harm, a pattern
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
Show 18 more
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care or services that was trauma informed and/or culturally competent.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or obtain dental services for each resident.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Tsali Care Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Individual
- Beds / units 100
- Nursing hours per resident/day 6.1
- Annual staff turnover 47%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Tsali Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.