Tsali Care Center
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Wound Care
Penalty
$205,165
Outcome
Tsali Care Center in Cherokee, NC was fined $205,165 by CMS across 9 separate penalties following 82 deficiency citations identified during federal surveys.
Details
Tsali Care Center (Cherokee, NC) — $205,165 in CMS Fines
Outcome: Tsali Care Center in Cherokee, NC was fined $205,165 by CMS across 9 separate penalties following 82 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Ensure that residents are free from significant medication errors.
- Provide and implement an infection prevention and control program.
- Ensure that residents are fully informed and understand their health status, care and treatments.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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