CCN 345475 · Swain County, North Carolina
Tsali Care Center
267 Tsali Care Way, Cherokee, NC 28719
Tsali Care Center is a 100-bed nonprofit nursing home in Cherokee, North Carolina, first certified for Medicare or Medicaid in 1996. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 77.9 residents a day, about 78% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 100
- Average residents per day
- 77.9 (77.9% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Cherokee Indian Hospital Authority
- Certified since
- Apr 18, 1996
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 6.14 | 3.53 | 3.68 |
| RN hours per resident per day | 1.30 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 5.55 | ||
| Nursing staff turnover | 47.2% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 77.9% | 87.4% | 85.7% |
| Fines reported by CMS | 4 totaling $157,555 | ||
| Health deficiencies, latest standard survey | 26 (Aug 1, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Tsali Care Center does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Cherokee Indian Hospital AuthorityOrganization | Operational / Managerial Control | n/a | 01/01/2002 |
| Brady, PamelaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Bunio, RichardIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Dorgan, Mary BethIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Hollifield, MarciaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Houston, MicheleIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Lambert, BarbaraIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Madden, AdeleIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Monteith, CarmaletaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Parker, BarbaraIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Reed, JacobIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Stephens, Ahll-ShaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Tenhengel-Deville, MichelleIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Wachacha, SonyaIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 1, 2019 | Cherokee Indian Hospital Authority | Eastern Band of Cherokee Indians |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.