Nursing home

Tsali Care Center

267 Tsali Care Way, Cherokee, NC, 28719

Ownership type: Non profit - Corporation.

CMS overall rating
CMS overall rating: 2 out of 52of 5

At a glance

CMS reports a 2-star overall rating for Tsali Care Center, with 82 inspection citations on record (4 higher severity). Federal records include $199,217 and 2 payment-denial records in the current dataset.
CMS overall
2
of 5
Health inspection
1
of 5
Staffing
5
of 5
Quality measures
2
of 5
Certified beds
100
CMS-reported
CMS Special Focus designation: SFF Candidate. A CMS program designation, reported by CMS.

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall2 of 5
Health inspection1 of 5
Staffing5 of 5
Quality measures2 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 2
15
Swain Co. avg 1.5North Carolina avg 2.94This facility
This facility: 2 of 5. Swain Co. avg: 1.5. North Carolina avg: 2.94.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

82
Citations on record
4
Higher severity (G–L)
23
From complaints
0
Infection control
Citations by inspection year
252023
242024
332025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

9 records · $199,217 total · Jul 13, 2023–Jul 31, 2025
  1. Jul 31, 2025$11,047
  2. Apr 10, 2025$15,028
  3. Jul 31, 2024$118,938
  4. Jul 31, 2024$12,542
  5. Jul 13, 2023$17,999
  6. Jul 13, 2023$8,137
  7. Jul 13, 2023$8,070
  8. Jul 13, 2023$3,728
  9. Jul 13, 2023$3,728

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

2 records · 164 days total · Jul 13, 2023–Jul 31, 2024
  1. Jul 31, 202481 days
  2. Jul 13, 202383 days

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)19.15%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)11.39%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)5.98%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Ownership

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Cherokee Indian Hospital AuthorityDIRECT OWNERSHIP INTEREST
Bunio, RichardMANAGING CONTROL - GOVERNING BODY
Cooper, CaseyMANAGING CONTROL - GOVERNING BODY
Dando, JonathanW-2 MANAGING EMPLOYEE
Cooper, CaseyCORPORATE DIRECTOR
Cooper, CaseyCORPORATE OFFICER
Cherokee Indian Hospital AuthorityOPERATIONAL/MANAGERIAL CONTROL
Bunio, RichardOPERATIONAL/MANAGERIAL CONTROL
Cooper, CaseyOPERATIONAL/MANAGERIAL CONTROL
Dorgan, Mary BethOPERATIONAL/MANAGERIAL CONTROL
Lambert, LoriOPERATIONAL/MANAGERIAL CONTROL
Reed, JacobOPERATIONAL/MANAGERIAL CONTROL
Tenhengel-Deville, MichelleOPERATIONAL/MANAGERIAL CONTROL
Cherokee Indian Hospital AuthorityADP OF THE SNF
Bunio, RichardADP OF THE SNF
Tenhengel-Deville, MichelleADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Swain County.

267 Tsali Care Way, Cherokee
Swain County · NC · 28719
100 certified beds35.4745, -83.3410

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Autumn Care Of Biscoe
CCN 345000
Biscoe, NC332Not shown$15,350
Hillcrest Convalescent Center
CCN 345001
Durham, NC555Not shown$0
Cypress Pointe Rehabilitation Center
CCN 345002
Wilmington, NC554Not shown$0
Silas Creek Rehabilitation Center
CCN 345003
Winston Salem, NC553Not shown$0
Person Memorial Hospital
CCN 345004
Roxboro, NC121Not shown$65,099
Blumenthal Health and Rehabilitation Center
CCN 345006
Greensboro, NC112Shown$217,768

Related research

Frequently asked questions

What is Tsali Care Center's CMS rating?

Tsali Care Center has a 2-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 5 for staffing, and 2 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Tsali Care Center located?

Tsali Care Center is located at 267 Tsali Care Way, Cherokee, NC, 28719 in Swain County, and CMS lists 100 certified beds.

Does Tsali Care Center have federal penalties or payment denials on record?

The CMS data includes $199,217 in federal fine amounts and 2 payment-denial records for Tsali Care Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Tsali Care Center's rating compare to nearby facilities?

Tsali Care Center's CMS overall rating is 2 of 5. For comparison, the average CMS overall rating is 1.5 across 2 facilities in Swain County, and 2.94 across North Carolina. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Tsali Care Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Tsali Care Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
345475
Ownership type
Non profit - Corporation
Certified beds
100
Data snapshot
2026-07-17
All 82 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Aug 1, 20250552EStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250554EStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250558DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250578EStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250583EStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250585EStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250605DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250636DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250644DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250645DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250656DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250658DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250677DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250684DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250688DStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250689DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250698DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250699DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250761EStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250791DStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250835FStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250867FStandardDeficient, Provider has date of correctionJan 2, 2026
Aug 1, 20250880EStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250883EStandardDeficient, Provider has date of correctionSep 8, 2025
Aug 1, 20250550DComplaintDeficient, Provider has date of correctionSep 21, 2025
Showing the 25 most recent of 82 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.