Tsali Care Center - Cherokee Nursing Home

General Information

UPDATE
Federal Provider Number
345475
Provider Name
TSALI CARE CENTER
Provider Address
55 ECHOTA CHURCH ROAD
CHEROKEE, NC 28719
Provider Phone Number
(828) 497-5048
Provider SSA County
860
Provider County Name
Swain
Provider Website
Provider Description
Ownership Type
Government - Federal
Number of Certified Beds
72
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1996-04-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.54274
Reported LPN Staffing Hours per Resident per Day
0.40645
Reported RN Staffing Hours per Resident per Day
1.07016
Reported Licensed Staffing Hours per Resident per Day
1.47661
Reported Total Nurse Staffing Hours per Resident per Day
6.01935
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02339
Expected CNA Staffing Hours per Resident per Day
2.28521
Expected LPN Staffing Hours per Resident per Day
0.61388
Expected RN Staffing Hours per Resident per Day
0.89240
Expected Total Nurse Staffing Hours per Resident per Day
3.79150
Adjusted CNA Staffing Hours per Resident per Day
4.87767
Adjusted LPN Staffing Hours per Resident per Day
0.54954
Adjusted RN Staffing Hours per Resident per Day
0.89604
Adjusted Total Nurse Staffing Hours per Resident per Day
6.39943
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
500
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
500
Total Weighted Health Survey Score
124.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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