Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 345475

Tsali Care Center

82 federal citations on record , and 11 federal enforcement actions totaling $205,165.

Special Focus Status

Record summary

Federal record · Q1 2026
82
Total citations
82
Last 3 years
4
Actual harm+
11
Federal penalties
$205,165
Total fines
2
Overall ★ rating

Most common violation categories here

Resident Rights31 Quality of Care18 Care Planning11 Medication & Pharmacy6 Infection Control6

Most common F-tags at this facility

F8805 F6893 F5783 F6453 F7613

Citation history

82 on record
SurveyF-TagViolationSeveritySource
Aug 1, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint
Aug 1, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 1, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Aug 1, 2025F880Provide and implement an infection prevention and control program.EStandard
Aug 1, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Aug 1, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard
Aug 1, 2025F791Provide or obtain dental services for each resident.DStandard
Aug 1, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Aug 1, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Aug 1, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 1, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Aug 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 1, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 1, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 1, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Aug 1, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Aug 1, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Aug 1, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Aug 1, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Aug 1, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Aug 1, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 1, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.EStandard
Aug 1, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Apr 10, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 10, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Apr 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 10, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 10, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 10, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 10, 2025F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint
Oct 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Oct 18, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Aug 22, 2024F908Keep all essential equipment working safely.FStandard
Aug 22, 2024F880Provide and implement an infection prevention and control program.DStandard
Aug 22, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Aug 22, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Aug 22, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Aug 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 22, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Aug 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Aug 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 22, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 22, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Aug 22, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 22, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Aug 22, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.FStandard
Aug 22, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Aug 22, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard
Aug 22, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Aug 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jul 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 17, 2024F880Provide and implement an infection prevention and control program.EComplaint
Apr 17, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Oct 13, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Oct 13, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Oct 13, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Oct 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Sep 21, 2023F570Assure the security of all personal funds of residents deposited with the facility.FComplaint
Sep 21, 2023F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Sep 21, 2023F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint
Sep 21, 2023F567Honor the resident's right to manage his or her financial affairs.DComplaint
Jul 13, 2023F880Provide and implement an infection prevention and control program.DStandard
Jul 13, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Jul 13, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 13, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jul 13, 2023F680Ensure the activities program is directed by a qualified professional.EStandard
Jul 13, 2023F679Provide activities to meet all resident's needs.EStandard
Jul 13, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 13, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jul 13, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Jul 13, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jul 13, 2023F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard
Jul 13, 2023F574The resident has the right to receive notices in a format and a language he or she understands.EStandard
Jul 13, 2023F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.EStandard
Jul 13, 2023F572Give residents a notice of rights, rules, services and charges.EStandard
Jul 13, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jul 13, 2023F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jul 13, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 11 enforcement actions against this facility, including 9 civil money penalties totaling $205,165 and 2 payment-denial actions spanning 164 days.

DateTypeFinePayment denial
Jul 31, 2025Fine$16,995—
Apr 10, 2025Fine$15,028—
Jul 31, 2024Fine$12,542—
Jul 31, 2024Fine$118,938—
Jul 31, 2024Payment Denial—Aug 29, 2024 · 81 days
Jul 13, 2023Fine$3,728—
Jul 13, 2023Payment Denial—Aug 15, 2023 · 83 days
Jul 13, 2023Fine$3,728—
Jul 13, 2023Fine$8,070—
Jul 13, 2023Fine$8,137—
Jul 13, 2023Fine$17,999—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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