Nursing homeFAID #9198
Tsali Care Center
267 Tsali Care Way, CHEROKEE, NC, 28719
(828) 497-5048
100 licensed beds
★★★★★2/5CMS Five-Star overall1/5 health inspections5/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Richard Sneed
Public record summary
What we can show you for free.
Bed capacity
100
CMS facility ID
345475
Care type
Nursing home
County
Swain
Facility name
Tsali Care Center
Street address
267 Tsali Care Way
City / state / ZIP
Cherokee, NC 28719
Phone
(828) 497-5048
About this facility — Tsali Care Center
Tsali Care Center is a Medicare/Medicaid-certified skilled nursing facility in Cherokee, North Carolina. It is licensed for 100 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).
It is one of 1 senior care facility in Cherokee and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Tsali Care Center 83 times across 13 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $157,555 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Casey Cooper
Ownership type
Non profit - Corporation
Registered owners & officers
Cherokee Indian Hospital Authority
Operational control — since 2019
Cooper, Casey
Officer — since 2002
Dando, Jonathan
Managing employee — since 2002
Regulatory standing
Licensed / certified since
1996-04-18
CMS overall rating
2 of 5 stars
Health deficiencies
26 at the last standard inspection
Federal fines
$157,555 total
Last standard inspection
2025-08-01
Nurse staffing
6.1 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$2,008 per day (≈ $61,040/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 31% Medicare · 0% private/other
Occupancy
18% (fiscal year 2023)
Vs. state median
438% above the NC median of $373/day — full state cost breakdown
Services & coverage
Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-08-01Health inspectionComplaint-triggered26 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-21
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-01-02
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-01-02
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-08
F-0578
E · No harm found
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.
Corrected 2026-01-02
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-08
F-0585
E · No harm found
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.
Corrected 2025-09-08
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-08
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-09-08
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-08
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-08
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-08
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-09-08
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-08
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-08
F-0688
D · No harm found
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.
Corrected 2026-01-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-08
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-08
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-08
F-0761
E · No harm found
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.
Corrected 2025-09-08
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2025-09-08
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-01-02
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-01-02
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-08
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-08
2025-04-10Health inspectionComplaint-triggered7 citations
F-0563
D · No harm foundFrom a complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2025-05-01
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2025-05-01
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-01
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-01
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-05-01
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-01
8 earlier / fire-safety inspections (50 citations)
2024-10-18Health inspectionComplaint-triggered2 citations
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-08
F-0804
F · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-18
2024-08-22Health inspection18 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-25
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-09-25
F-0568
D · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-09-25
F-0578
E · No harm found
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.
Corrected 2024-09-25
F-0582
F · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-09-25
F-0584
D · No harm found
Honor 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.
Corrected 2024-09-25
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-25
F-0625
D · No harm found
Notify 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.
Corrected 2024-09-25
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-09-25
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-25
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-25
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-09-25
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-25
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-25
F-0761
D · No harm found
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.
Corrected 2024-09-25
F-0838
F · No harm found
Conduct 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.
Corrected 2024-09-25
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-25
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2024-09-25
2024-07-31Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-07
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-09-25
2024-04-17Health inspectionComplaint-triggered2 citations
F-0557
E · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-05-04
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-04
2023-10-13Health inspectionComplaint-triggered4 citations
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-06
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-11-06
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2023-11-06
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-06
2023-09-21Health inspectionComplaint-triggered4 citations
F-0567
D · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-22
F-0568
D · No harm foundFrom a complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-10-20
F-0569
D · No harm foundFrom a complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-22
F-0570
F · No harm foundFrom a complaint
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-10-22
2023-07-13Health inspection17 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-15
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-06
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-08-15
F-0572
E · No harm found
Give residents a notice of rights, rules, services and charges.
Corrected 2023-08-15
F-0573
E · No harm found
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-08-15
F-0574
E · No harm found
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-08-15
F-0577
E · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-08-15
F-0578
D · No harm found
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.
Corrected 2023-08-15
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-08-15
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-08-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-15
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-08-15
F-0680
E · No harm found
Ensure the activities program is directed by a qualified professional.
Corrected 2023-08-15
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-15
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-08-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-15
2025-08-01Fire-safety inspection1 citation
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-22
Federal penalties
2025-07-31Fine$11,047
2025-04-10Fine$15,028
2024-07-31Fine$12,542
2024-07-31Fine$118,938
2024-07-31Medicare payment denial — 81 days
Total fines$157,555
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345475.
Visitor reviews
What people say on Google.
4.8★★★★★25 ratings on Google
★★★★★Melissa Bolin · 2023-07-05 · via Google“As a healthcare worker myself the facility was clean, no foul odors or overflowing trash barrels. The resident I visited had no bad words to say about his care ( which says alot about care he is receiving). The locked doors an check-in computer is very easy an makes it a good safe place to work place an living space.”
★★★★★Brenda Jones · 2024-01-31 · via Google“The employee's and staff were great. They were so helpful. My sister was placed there yesterday and we came by today with not a clue but it wasn't long until the workers showed us the ropes. Thank you Tsali 😊”
★★★★★Sammi Sequoyah · 2022-12-15 · via Google“It was a clean facility. The staff was friendly and helpful. My sister said they was treating her good so far so I'm happy with the service at the moment in time”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 83 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1073168316
Monthly federal file
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered