| Tsali Care Center | |
| 267 Tsali Care Way, Cherokee, North Carolina 28719 | |
| (828) 497-5048 | |
| Name | Tsali Care Center |
|---|---|
| Location | 267 Tsali Care Way, Cherokee, North Carolina |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 100 |
| Occupancy Rate | 77.9% |
| Medicare ID (CCN) | 345475 |
| Legal Business Name | Cherokee Indian Hospital Authority |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1073168316 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Cherokee Indian Hospital Authority |
| Doing Business As | Tsali Care Center |
| Address | 267 Tsali Care Way, Cherokee, NC 28719 |
| Phone Number | 828-497-5048 |
| NPI Number | 1285734509 |
| Match | Possible same name, address or phone number |
| Organization Name | Cherokee Indian Hospital Authority |
| Doing Business As | Tsali Care Center |
| Address | 55 Echota Church Rd, Cherokee, NC 28719 |
| Phone Number | 828-359-6506 |
| NPI Number | 1538435391 |
| Match | Possible same name, address or phone number |
| Organization Name | Cherokee Indian Hospital Authority |
| Doing Business As | Tsali Care Center |
| Address | 267 Tsali Care Way, Cherokee, NC 28719 |
| Phone Number | 828-497-5048 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 6.14 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.3 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.61 | 0.86 |
| Nurse aide hours per resident per day | 4.23 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.55 | 3.42 |
| RN hours per resident per day on the weekend | 0.92 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 47.2% | 45.8% |
| Registered nurse turnover | 31.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $157,555 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 5 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 1, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 21, 2025 |
| Aug 1, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 2, 2026 |
| Aug 1, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Aug 1, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Apr 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by May 1, 2025 |
| Apr 10, 2025 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2025 |
| Apr 10, 2025 | 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. F0622, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2025 |
| Apr 10, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.06 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.64 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.16 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 7.41 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.82 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.08 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.34 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.64 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.49 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.92 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 74.58 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 38.46 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 12.31 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.73 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.88 | 15.38 |