Tsali Care Center

55 Echota Church Road
Cherokee, NC 28719
Swain County
Phone: 828-497-5048
Provider Number: 345475
Last Inspection: 11/06/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
72
Number of Residents
Number of
Residents
70
Number of Beds Available
Beds Available
2
Percent Occupancy
Percent Occupancy
97%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Government - Federal
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • NC
  • USA
  • 41
  • 23
  • 10
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 41
  • 19
  • 36
Lower Numbers are Better

Details by Inspection Date

 

11/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Pattern : Minimal 4 12/6/2015
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 12/6/2015
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 12/6/2015
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/6/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/6/2015
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Widespread : Minimal 5 12/6/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/6/2015
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 12/6/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/6/2015
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Widespread : Minimal 5 12/6/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/6/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/6/2015
 

10/24/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 12/11/2014
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 12/11/2014
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Pattern : Minimal 4 12/11/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/11/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 12/11/2014
 

11/8/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 12/8/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/8/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 12/8/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 12/8/2013
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/8/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 12/8/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/8/2013
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 12/8/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/8/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/8/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

5/3/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Immediate 6 7/12/2013
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Immediate 5 7/12/2013
Failed To: Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. Pattern : Immediate 6 7/12/2013
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 7/12/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Immediate 6 7/12/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 70 79.50 86.75
Registered Nurses 0.78 0.67 0.70
Licensed Practical / Vocational Nurses 0.42 0.40 0.86
Certified Nursing Assistants 4.18 2.98 2.31
Total Staff Hours 5.38 4.05 3.87

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
High Risk Long Stay Residents With Pressure Ulcers 10 7 7
Long Stay Residents Experiencing One or More Falls with Major Injury 0 1 3
Long Stay Residents Who Have Depressive Symptoms 0 0 3
Long Stay Residents Who Lose Too Much Weight 7 9 8
Long Stay Residents Who Received an Antipsychotic Medication 15 15 14
Long Stay Residents Who Self Report Moderate to Severe Pain 11 10 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 3 1 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 4 2 6
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 12 15 18
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 3 2
Long Stay Residents With a Urinary Tract Infection 3 2 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 41 43 54
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 0 2
Short Stay Residents Who Self Report Moderate to Severe Pain 19 24 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 8 4 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 5 6 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 2 1