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    Nursing home · Cherokee, NC

    Tsali Care Center

    267 Tsali Care Way, Cherokee, NC 28719

    CMS certification number: 345475 · Updated October 1, 2026

    Request care assistance8284975048Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    100

    Residents / day

    92.9

    Ownership

    Non profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Corporation
    County
    Swain
    Certified beds
    100
    Average residents per day
    92.9
    First certified
    April 18, 1996

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    5 / 5
    Quality measures
    1 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Swain, North Carolina. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    1.00
    n=1
    State peers
    3.02

    Nurse hours / resident / day

    This home
    5.86
    County peers
    3.18
    n=1
    State peers
    3.87
    n=404

    Weekend nurse hours / resident / day

    This home
    5.34
    County peers
    2.69
    n=1
    State peers
    3.39
    n=404

    Nursing staff turnover (%)

    This home
    49.20
    County peers
    58.40
    n=1
    State peers
    48.68
    n=394

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 8.8% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 49.2% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    1
    Health citations
    79
    Resident measures
    17
    Ownership records
    27
    Penalties
    5
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    5.85680
    Reported RN Staffing Hours per Resident per Day
    1.19462
    Reported LPN Staffing Hours per Resident per Day
    0.56442
    Reported Nurse Aide Staffing Hours per Resident per Day
    4.09775
    Total number of nurse staff hours per resident per day on the weekend
    5.34403
    Registered Nurse hours per resident per day on the weekend
    0.88232
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02026
    Total nursing staff turnover
    49.2
    Registered Nurse turnover
    26.3
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    SFF Candidate
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    NC
    Urban
    N
    Chain ID
    Not reported
    Latitude
    35.4745
    Location
    267 Tsali Care Way,Cherokee,NC,28719
    ZIP Code
    28719
    City/Town
    Cherokee
    Longitude
    -83.341
    QM Rating
    1
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Swain
    Provider Name
    Tsali Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    Non profit - Corporation
    Number of Fines
    4
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    267 Tsali Care Way
    Telephone Number
    8284975048
    Geocoding Footnote
    22
    QM Rating Footnote
    Not reported
    Legal Business Name
    CHEROKEE INDIAN HOSPITAL AUTHORITY
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    1
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.14361
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    100
    Provider SSA County Code
    860
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    26.3
    Total Number of Penalties
    5
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.81093
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    49.2
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    345475
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    157555.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    246
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    252.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    92.9
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    82
    Rating Cycle 2/3 Total Health Score
    272
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    164
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    2
    Rating Cycle 2/3 Health Deficiency Score
    272
    Rating Cycle 1 Standard Survey Health Date
    2025-08-01
    Rating Cycle 2 Standard Health Survey Date
    2024-08-22
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    1.46159
    Case-Mix RN Staffing Hours per Resident per Day
    0.56087
    Reported RN Staffing Hours per Resident per Day
    1.19462
    Adjusted LPN Staffing Hours per Resident per Day
    0.69056
    Case-Mix LPN Staffing Hours per Resident per Day
    0.69891
    Reported LPN Staffing Hours per Resident per Day
    0.56442
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    27
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    35
    Rating Cycle 1 Number of Standard Health Deficiencies
    26
    Rating Cycle 2 Number of Standard Health Deficiencies
    18
    Reported Licensed Staffing Hours per Resident per Day
    1.75904
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    3
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    5.01352
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.90353
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    4.09775
    Adjusted Total Nurse Staffing Hours per Resident per Day
    7.16567
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.16331
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    17
    Reported Total Nurse Staffing Hours per Resident per Day
    5.85680
    Registered Nurse hours per resident per day on the weekend
    0.88232
    Date First Approved to Provide Medicare and Medicaid Services
    1996-04-18
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02026
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    6.53831
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.78394
    Total number of nurse staff hours per resident per day on the weekend
    5.34403

    COMMUNITY EXPERIENCE

    Reviews of Tsali Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026