Tsali Care Center
Nursing home in Cherokee, North Carolina, CMS certification number 345475
267 Tsali Care Way, Cherokee, NC 28719 · Swain County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 100
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 1, 2025
- Deficiencies at that inspection
- 27
- Fines in 3 years
- $157,555 (4)
Does Tsali Care Center take Medicare and Medicaid?
Yes to both. Tsali Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 5 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Tsali Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 5.86
- Registered nurse hours
- 1.19
- Licensed practical nurse hours
- 0.56
- Nurse aide hours
- 4.10
- Weekend total hours
- 5.34
- Nursing staff turnover
- 49.2%
- Registered nurse turnover
- 26.3%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on August 1, 2025 and cited 27 deficiencies, plus 3 from complaint visits.
The visit before, on August 22, 2024, found 18.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Tsali Care Center 4 times in the past 3 years, for $157,555 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 92.9 residents live here, about 93% of its 100 certified beds.
- Certified beds
- 100
- Average residents per day
- 92.9
- Certified since
- April 18, 1996
- Resident or family council
- Resident
Who owns Tsali Care Center
- Legal business name
- Cherokee Indian Hospital Authority
- Ownership type
- Non profit - Corporation
Other nursing homes near Tsali Care Center
- Mountain View of Bryson City410 Buckner Branch Road, Bryson City 28713
- Vero Health & Rehab of Sylva417 Cloverdale Road, Sylva 28779
- Skyland Care Center193 Asheville Highway, Sylva 28779
- Maggie Valley Health and Rehabilitation Center75 Fisher Loop, Maggie Valley 28751
- Autumn Care of Waynesville360 Old Balsam Road, Waynesville 28786
Who inspects nursing homes in North Carolina
North Carolina's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in North Carolina, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Tsali Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Tsali Care Center
What is the CMS star rating of Tsali Care Center?
1 out of 5 stars overall.
Does Tsali Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Tsali Care Center?
27 cited at the last standard visit.
Who owns Tsali Care Center?
Cherokee Indian Hospital Authority, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.