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Data / Nursing homes / North Carolina / Tsali Care Center

Tsali Care Center, Cherokee, NC: 1 star rating, fined $157,555 across 4 fines and had 1 payment denial

Tsali Care Center in Cherokee, NC is run by Cherokee Indian Hospital Authority, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $157,555 across 4 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 62 health citations from inspections in that time, the latest survey on August 6, 2026, and 3 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet nursing homes in North Carolina
Address
267 Tsali Care Way, Cherokee, NC 28719
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measure rating
1 of 5
Certified beds
100
Residents per day
93 on average
Ownership type
Nonprofit, corporation
Legal business name
Cherokee Indian Hospital Authority
Special focus
Special focus candidate
Fines
$157,555 across 4 fines, three years to October 1, 2026
Payment denials
1
Health citations
62, of which 3 with actual harm or immediate jeopardy
Latest survey
August 6, 2026
CMS Certification Number
345475
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 31, 2025Fine$11,047Not listeddata.cms.gov
April 10, 2025Fine$15,028Not listeddata.cms.gov
July 31, 2024Fine$118,938Not listeddata.cms.gov
July 31, 2024Fine$12,542Not listeddata.cms.gov
July 31, 2024Payment denialNot listedAugust 29, 202481data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 6, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 11, 2026data.cms.gov
August 1, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 8, 2025data.cms.gov
August 1, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 2, 2026data.cms.gov
August 1, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 21, 2025data.cms.gov
April 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 10, 2025F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
October 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
October 18, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
August 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F908Keep all essential equipment working safely.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
August 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
July 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 7, 2024data.cms.gov
July 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
April 17, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
April 17, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
October 13, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2023data.cms.gov
October 13, 2023F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2023data.cms.gov
October 13, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2023data.cms.gov
October 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (21 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Cherokee Indian Hospital AuthorityOperational or managerial controlNot listedJanuary 1, 2002data.cms.gov
Cherokee Indian Hospital AuthorityAdditional disclosable partyNot listedJanuary 1, 2002data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.