nursing home in Salem, OH

Circle of Care

1985 East Pershing Street, Salem, OH 44460 · (330) 332-1588

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Circle of Care at a glance

Circle of Care is a 55-bed for-profit nursing home in Salem, Ohio (Columbiana County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Ohio average of 3.2.

Residents receive about 5.2 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.7 hours.

Its most recent standard health inspection (April 9, 2025) found 18 health citations. The Ohio average is 10.3.

Federal regulators fined it 1 time in the past three years, totaling $179,235.

Nursing staff turnover is 47.3% per year (state average 48.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Partnership
Beds
55
Certified for
Medicare and Medicaid
Medicare-certified since
September 7, 1994
Resident/family council
Resident
County
Columbiana County
CMS Certification Number
365977

Ratings

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 52.4 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)3 / 54.4 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54.8 / 53.8 / 5Worse

Staffing

This facility5.15 hrsOhio average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)5.15 hrs3.69 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.84 hrs0.64 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.16 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)4.37 hrs3.28 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)47.3%48.7%45.8%Average
Registered nurse turnover (yearly) (lower is better)53.8%43.9%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility18Ohio average10U.S. average9
Health citations in the most recent inspection: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)18109Worse
Citations from complaint investigations (latest cycle) (lower is better)243Better
Weighted health inspection score ⓘ (lower is better)219.580.780.6Worse

Penalties

This facility1Ohio average1U.S. average1
Fines in the past 3 years: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$179,235$26,381$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Certified beds5588107
Average residents per day407486
Occupancy71.8%84.3%80.9%

Long-stay residents

This facility0.7%Ohio average3.2%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.7%3.2%3.2%Better
Long-stay residents with pressure ulcers (lower is better)11.5%3.4%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)13.2%8.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%0.4%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.2%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)21.3%5.3%13.9%Worse
Long-stay residents whose walking worsened (lower is better)26.7%6.1%14.1%Worse
Long-stay residents who lose too much weight (lower is better)4.8%6.2%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0.9%30.1%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)24.6%25.5%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)22.7%21.4%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%94.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)95.7%92.7%93.6%Average

Short-stay residents

This facility5.2%Ohio average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)5.2%1.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)83.9%75.6%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)77.8%78.5%82%Worse

Inspection citations

State inspectors cited this home for 41 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
June 12, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected July 14, 2025
April 9, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Fire safety
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915
E
Potential harm, pattern
Corrected January 31, 2026
April 9, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected May 15, 2025
April 9, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
L
Immediate jeopardy, widespread
Corrected May 15, 2025
April 9, 2025
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Standard
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected May 15, 2025
April 9, 2025
Standard
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Nursing and Physician Services Deficiencies · Tag F0714
E
Potential harm, pattern
Corrected May 15, 2025
April 9, 2025
Standard
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Tag F0712
E
Potential harm, pattern
Corrected May 15, 2025
April 9, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Tag F0569
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected May 15, 2025
April 9, 2025
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
C
No harm, widespread
Corrected May 15, 2025
April 9, 2025
Standard
Notify 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.
Resident Rights Deficiencies · Tag F0625
B
No harm, pattern
Corrected May 15, 2025
April 23, 2024
Complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected May 28, 2024
May 2, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 31, 2022
May 2, 2022
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected May 31, 2022
May 2, 2022
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected May 31, 2022
May 2, 2022
Standard
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606
F
Potential harm, widespread
Corrected May 31, 2022
May 2, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected May 31, 2022
May 2, 2022
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 31, 2022
May 2, 2022
Standard
Report COVID19 data to residents and families.
Infection Control Deficiencies · Tag F0885
E
Potential harm, pattern
Corrected May 31, 2022
May 2, 2022
Standard
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · Tag F0570
E
Potential harm, pattern
Corrected May 31, 2022
May 2, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 31, 2022
May 2, 2022
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected May 31, 2022
May 2, 2022
Standard
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected May 31, 2022
May 2, 2022
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected May 31, 2022
May 2, 2022
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected May 31, 2022
July 3, 2019
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Have a properly installed and maintained dumbwaiter or escalator.
Services Deficiencies · Tag K0532
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected August 28, 2019
July 3, 2019
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected August 28, 2019
July 3, 2019
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Provide 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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected August 28, 2019
July 3, 2019
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected August 28, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $179,235 in fines.

DatePenaltyAmount / length
April 9, 2025Payment Denial14 days from May 1, 2025
April 9, 2025Fine$179,235

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
NIELSON, KENNETH
Individual
5% or greater direct ownership interest50%09/17/2012
BACKENROTH, ABRAHAM
Individual
adp of the snfNOT APPLICABLE03/10/2023
JORDAN, MICHAEL
Individual
adp of the snfNOT APPLICABLE05/13/2025
SHIVERS, RICHARD
Individual
adp of the snfNOT APPLICABLE05/13/2025
WEBSTER, GEOFFREY
Individual
adp of the snfNOT APPLICABLE10/13/2025
NIELSON, KENNETH
Individual
corporate officerNOT APPLICABLE01/01/2013
BACKENROTH, ABRAHAM
Individual
direct ownership interestNOT APPLICABLE03/10/2025
BACKENROTH, ABRAHAM
Individual
managing control - governing bodyNOT APPLICABLE10/06/2025
BACKENROTH, ABRAHAM
Individual
operational/managerial controlNOT APPLICABLE03/10/2025
JORDAN, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE03/29/2025
SHIVERS, RICHARD
Individual
operational/managerial controlNOT APPLICABLE09/01/2021
WEBSTER, GEOFFREY
Individual
operational/managerial controlNOT APPLICABLE10/13/2025

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Frequently asked questions

What is Circle of Care's rating?

Circle of Care has 1 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.

How many inspection citations did Circle of Care receive?

Its most recent standard health inspection found 18 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.

Does Circle of Care accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Circle of Care?

It is for profit - partnership. The ownership section on this page lists the owners and managers reported to CMS.

Where is Circle of Care and how do I contact it?

Circle of Care is at 1985 East Pershing Street, Salem, OH 44460. Phone: (330) 332-1588.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.