33 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cherokee, NC
2-star overall rating with 1-star inspections with Special Focus status with $205,165 in total fines with 33 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
267 Tsali Care Way, Cherokee, NC
(828) 497-5048
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
70
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-04-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.17
Registered nurse staffing
LPN hours / resident day
0.77
Licensed practical nurse staffing
Aide hours / resident day
4.09
Nurse aide staffing
Weekend hours
5.61
Weekend nurse staffing
RN turnover
46%
Annual RN turnover
Total nurse turnover
42%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.7% |
91.5%
4.8 pts worse
|
93.4%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 74.6% |
94.1%
19.5 pts worse
|
95.5%
20.9 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
3.6%
2.4 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
4.8%
1.4 pts worse
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.8% |
7.2%
0.4 pts better
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
21.6%
2.2 pts better
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.5% |
15.0%
6.5 pts worse
|
16.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.0% |
21.5%
2.5 pts better
|
16.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
16.8%
1 pts worse
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
2.6%
1.1 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% |
21.2%
2.9 pts worse
|
19.8%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
6.0%
4.5 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.7% |
79.9%
22.2 pts worse
|
81.7%
24 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
13.2%
4 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 38.5% |
78.1%
39.6 pts worse
|
79.7%
41.2 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% |
22.9%
2.4 pts worse
|
23.9%
1.4 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Rights (9 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (13 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-22
Inspection history
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-01-02
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-01-02
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-01-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-01-02
Health
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
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-08
Health
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
Health
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
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-08
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-08
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-08
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-09-08
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-08
Health
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-08
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-09-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-08
Health
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-08
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-08
Health
Provide or obtain dental services for each resident.
Corrected 2025-09-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
Health
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
Health
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
Health
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
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-18
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-09-25
Health
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
Health
Keep all essential equipment working safely.
Corrected 2024-09-25
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-09-25
Health
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-25
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-09-25
Health
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
Health
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
Health
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
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-09-25
Health
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
Health
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
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-25
Health
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
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-07
Health
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
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-05-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-06
Health
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
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-06
Health
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
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-10-22
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-22
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-10-20
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-06
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-08-15
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-08-15
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-08-15
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-08-15
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-08-15
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-08-15
Health
Provide activities to meet all resident's needs.
Corrected 2023-08-15
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2023-08-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-15
Health
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
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-08-15
Health
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-15
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-08-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-15
Penalties and ownership
Fine · fine $16,995
Fine
Fine · fine $15,028
Fine
Fine · fine $12,542
Fine
Fine · fine $118,938
Fine
Payment Denial · denial start 2024-08-29 · 81 days
81 day denial
Fine · fine $3,728
Fine
Fine · fine $3,728
Fine
Fine · fine $8,070
Fine
Fine · fine $8,137
Fine
Fine · fine $17,999
Fine
Payment Denial · denial start 2023-08-15 · 83 days
83 day denial
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
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Sylva, NC
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