Tsali Care Center
Cherokee, NC · Medicare and Medicaid-certified nursing home (CCN 345475) · 100 certified beds
Health inspection: 1 · Quality measures: 2 · Staffing: 5
Federal fines: 4 totaling $157,555 · 1 payment denial
Phone: (828) 497-5048 · Verify on Medicare Care Compare ↗
Tsali Care Center has a CMS overall star rating of 2 out of 5, which is below the North Carolina state average of 2.93. Its health inspection rating is 1 out of 5, while its staffing rating is 5 out of 5.
Tsali Care Center reports total nurse staffing of 6.14 hours per resident per day, including 1.30 RN hours per resident per day, with a staffing star rating of 5 out of 5. Nursing staff turnover is reported at 47.2 percent.
Tsali Care Center has 4 federal fines on record totaling $157,555.00, along with 1 payment denial. CMS has also designated this facility as an SFF Candidate under its Special Focus Facility program, indicating a history of persistent poor quality of care and increased regulatory oversight.
About this facility
Tsali Care Center is a non-profit, corporation-owned nursing home in Cherokee, North Carolina, certified for both Medicare and Medicaid. The facility has 100 certified beds and an average daily census of 77.9 residents, and has been federally certified since April 1996.
According to CMS Care Compare, Tsali Care Center holds an overall star rating of 2 out of 5, which is below the North Carolina state average of 2.93. Its component ratings are: Health Inspection rating of 1 out of 5, Quality Measures rating of 2 out of 5, and Staffing rating of 5 out of 5.
Nurse staffing data reported to CMS shows total nurse staffing of 6.14 hours per resident per day, including 1.30 RN hours per resident per day. Nursing staff turnover is reported at 47.2%.
On the penalty record, CMS lists 4 federal fines totaling $157,555.00, and 1 payment denial has been recorded for this facility. CMS has designated this facility as an 'SFF Candidate' under its Special Focus Facility program, a designation given to facilities identified by CMS as having a history of persistent poor quality of care and placed under increased regulatory scrutiny; families should review the facility's full inspection history on Care Compare.
No ownership change has been recorded for this facility in the past 12 months. No chain affiliation is listed in the available data. This profile reflects CMS Care Compare data as provided; families are encouraged to check Care Compare directly for the most current information.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Tsali Care Center has an overall rating of 2 out of 5 stars, below the North Carolina state average of 2.93.
Does this facility accept Medicare, Medicaid, or both?
Yes, this facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 6.14 hours per resident per day, with a staffing rating of 5 out of 5, but nursing staff turnover is reported at 47.2%.
Does this facility have federal fines or penalties on record?
Yes, CMS lists 4 fines totaling $157,555.00 and 1 payment denial for this facility.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS has designated this facility as an SFF Candidate under the Special Focus Facility program, meaning it has a history of persistent poor quality of care and is under increased regulatory oversight; no abuse icon data was provided.
How large is this facility and how many residents live there?
The facility has 100 certified beds and an average daily census of 77.9 residents.
Who owns this facility — and is it part of a chain?
It is owned by a non-profit corporation; no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for certification on April 18, 1996.
What do the four different CMS star ratings mean?
CMS rates facilities on an Overall rating, Health Inspection rating, Quality Measures (QM) rating, and Staffing rating, each from 1 to 5 stars; here they are 2, 1, 2, and 5 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service lines like rehabilitation; contact the facility at 828-497-5048 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This data does not cover tour details; contact the facility at 828-497-5048 to arrange a visit and review its full inspection record on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can view the most current data at https://www.medicare.gov/care-compare/details/nursing-home/345475?state=NC.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.