Tsali Care Center
55 Echota Church Road, Cherokee NC 28719 · (828) 497-5048 · 64.02% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
With an address in Cherokee, North Carolina, Tsali Care Center is the sole option we identified in this city. This facility received an overall grade of D in our grading scheme. This nursing home has very little going for it. If you aren't deterred by this nursing home's report card, feel free to continue reading to find out about its category grades. We discuss nursing in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 72 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
While we were not very complementary of this facility's overall grade, it actually received an impressive grade of A- in the area of nursing. There are quite a few datapoints included in this category. Most of these subcategories reflect levels of nurse staffing. This particular facility provided 5.8 hours of nursing care per resident on a daily basis, which was above average. Finally, we also factored a few quality measures into our nursing ratings. This facility was relatively weak in two of the statistics we assess, with below average percentages for minimizing its residents' pressure ulcers and major falls.
Short-term Care Quality
We also gave this facility a strong score in short-term care. This facility earned a B in this area, which turns out to be one of our better scores. Our short-term care grades are based on the facility's quantity of skilled nursing services. This means a vast spectrum of nursing services, ranging from registered nurses to physical and respiratory therapists, as well as other forms of therapy. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. Finally, we considered the number of residents who were able to return to the community from this facility. We found that 31.4 percent of this facility's patients returned home.
Long-term Care Quality
We gave this facility just a D for our long-term care rating. This is not a score to write home about. For long-term care residents, the primary goal is to maintain residents' quality of life and keep them safe. After considering the amount of care provided by nurses aids and other staff, we turned to the facility's vaccination statistics. This facility vaccinated 95.43147 percent of its patients for pneumonia, which is better than the average nursing home. To our surprise, this place also wasn't as bad as we expected at keeping its patients out of the hospital. Although it had 2.06 hospitalizations per 1,000 long-term resident days, its risk adjusted metric wasn't bad due to it having some more complex patients.
Facility Inspections
Turning the last category of inspections, this facility really did not fare well. Sadly, it received an F in our inspection category. We would advise paying close attention to any deficiencies on a nursing home's inspection reports when it receives this bad of an inspection rating. We suggest you scrutinize the severity of those deficiencies. Tragically, this place had one category L deficiency. This type of deficiency indicates widespread threats to patient health or safety. This type of deficiency is very damaging to a facility's inspection grade. Finally, this facility also received 6 substantiated complaints in recent years. This is yet another bad sign.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Tsali Care Center Quality Metrics
Minimizes Pressure Ulcers
This is an indication of the percentage of long-term care residents who developed new or worsened pressure ulcers . We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of patients who suffered from a major fall. Falls resulting in major injuries are routinely associated with lower levels of patient supervision. More supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are often caused by lower quality nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have incongruent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric is a measure of the percentage of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term patients who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term stay patients who were given the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these vaccines vital to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Some experts would argue that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who retained mobility levels over time. Preserving mobility is usually a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term care. There is generally a correlation between reduced emergency room visits and the overall quality of care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's often correlates with superior rehabilitation services.
Percentage of Resident
Higher is Better