Tsali Care Center
267 Tsali Care Way, Cherokee, NC, 28719
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 100 · avg 71 residents/day
- Total nursing staff turnover
- 45.3% — near the North Carolina averageNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 46.7% — near the North Carolina averageNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 9 fines · $199,217 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 345475
- Certified beds
- 100 beds · avg 71 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Cherokee Indian Hospital Authority
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (3 on record)
- Cherokee Indian Hospital Authority
Operational/managerial Control · since 2019
- Casey Cooper
Corporate Officer · since 2002
- Jonathan Dando
W-2 Managing Employee · since 2002
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 82)
- D0676·Aug 1, 2025Complaint
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D0550·Aug 1, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0883·Aug 1, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0880·Aug 1, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0867·Aug 1, 2025
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F0835·Aug 1, 2025
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D0791·Aug 1, 2025
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
- E0761·Aug 1, 2025
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20252 fines · $26K
- 20242 fines · $131K · 1 payment denial
- 20235 fines · $42K · 1 payment denial
Most recent events
- Jul 31, 2025Fine · $11K
- Apr 10, 2025Fine · $15K
- Jul 31, 2024Payment denial · 81 days · starting Aug 29, 2024
- Jul 31, 2024Fine · $119K
- Jul 31, 2024Fine · $13K
- Jul 13, 2023Payment denial · 83 days · starting Aug 15, 2023
Largest single fine on record: $119K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Aug 1, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Tsali Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.