With a score of 22/100, Tsali Care Center ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Tsali Care Center exceed national averages, with 6.03 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.17 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 82 deficiencies at Tsali Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 6.03 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.17 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 4.09 | 2.4 | Above Average |
| Weekend Total Nursing | 5.61 | 3.8 | Above Average |
| Weekend RN Hours | 0.95 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0835 Severity FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Jul 31, 2025 · Administration Deficiencies
- Tag 0867 Severity FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Jul 31, 2025 · Administration Deficiencies
- Tag 0552 Severity EEnsure that residents are fully informed and understand their health status, care and treatments.Jul 31, 2025 · Resident Rights Deficiencies
- Tag 0554 Severity EAllow residents to self-administer drugs if determined clinically appropriate.Jul 31, 2025 · Resident Rights Deficiencies
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andJul 31, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.5% | 4.5% | Worse |
| Falls with major injury | 6.0% | 3.0% | Worse |
| On antipsychotic medication | 21.5% | 14.5% | Worse |
| Urinary tract infections | 3.7% | 2.5% | Worse |
| ADL decline (daily activities) | 17.8% | 14.0% | Worse |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 24.1% | 45.0% | Better |
⚠️ Penalties & Fines
9 penalties recorded by CMS
Total fines: $205,165
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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