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Tsali Care Center

267 Tsali Care Way, Cherokee, NC 287198284975048Ownership: Non profit - CorporationCertified beds: 100Avg. daily residents: 78County: Swain
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.

The complete public record on Tsali Care Center, a Medicare & Medicaid–certified nursing home in Cherokee, North Carolina, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. North Carolina average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Tsali Care Center holds a 2-star overall rating, in the bottom two tiers CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $157,555 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

6.14 total nurse staff hours per resident per day
above the state average (3.83)
1.30 RN hours per resident per day
above the state average (0.61)
5.55 weekend nurse staff hours per resident per day
47.2% total nursing staff turnover
about the state average (49.0)
31.3% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 1, 2025 most recent standard health inspection
26 health deficiencies cited in the most recent inspection cycle
above the state average (4.8)
39 health deficiencies in the two prior cycles combined
$157,555 in federal fines across 4 penalties (last 3 years)
above the state average ($36,163)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
August 1, 20250835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F · Potential for more than minimal harm
August 1, 20250867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F · Potential for more than minimal harm
August 1, 20250552Ensure that residents are fully informed and understand their health status, care and treatments.E · Potential for more than minimal harm
August 1, 20250554Allow residents to self-administer drugs if determined clinically appropriate.E · Potential for more than minimal harm
August 1, 20250578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental…E · Potential for more than minimal harm
August 1, 20250583Keep residents' personal and medical records private and confidential.E · Potential for more than minimal harm
August 1, 20250585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and…E · Potential for more than minimal harm
August 1, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
August 1, 20250880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
August 1, 20250883Develop and implement policies and procedures for flu and pneumonia vaccinations.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.