Columbiana County, Ohio · Nursing home
Circle of Care
1 of 5 overall from CMS
1985 East Pershing Street, Salem, OH 44460
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 5.15 hours Above the state average of 3.69
- Nursing staff who left in a year 47.3% Below the state average of 48.7%
- Health citations, last 3 inspection cycles 41 2 at the harm level or above
- Fines in 3 years $179,235 1 fine
- Certified beds in use 71.8% of 55 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Circle of Care is a 55-bed nursing home in Salem, Ohio (Columbiana County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 5.15 nurse staffing hours per resident per day, above the Ohio average of 3.69. CMS lists 1 fine totaling $179,235 in the past three years.
- Certified beds
- 55
- Residents per day (average)
- 39.5
- Certified since
- 1994 (32 yrs)
For profit - Partnership Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Circle of Care
Chosen from this home's public data.
- CMS lists 1 fine totaling $179,235 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Apr 9, 2025 plus complaint and infection-control inspections); the Ohio average is 10.5. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 4.37 hours per resident on weekends against 5.15 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Ohio average 3.2
- Health inspections 1 of 5 Ohio average 2.8
- Staffing 4 of 5 Ohio average 2.4
- Quality measures 3 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.15 h Ohio average 3.69
- Nurse aides 2.16 h Ohio average 2.09
- Licensed practical nurses 2.15 h Ohio average 0.95
- Registered nurses 0.84 h Ohio average 0.64
- All staff, weekends 4.37 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.3%
- Ohio average48.7%
- Registered nurse turnover53.8%
- Ohio average43.9%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 21.3% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.8% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.9% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 26.7% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.6% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 11.5% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.2% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.8% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 5.2% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.9% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 41 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 9, 2025: Provide and implement an infection prevention and control program.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 9, 2025 | 18 | 7 |
| May 2, 2022 | 12 | 2 |
| Jul 3, 2019 | 11 | 18 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (41)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 14, 2025)
-
LImmediate jeopardy, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 15, 2025)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (May 15, 2025)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (May 15, 2025)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (May 15, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (May 15, 2025)
-
EPotential for more than minimal harm, pattern
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Nursing and Physician Services · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2025)
-
CPotential for minimal harm, widespread
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 15, 2025)
-
BPotential for minimal harm, pattern
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 · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 28, 2024)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 31, 2022)
-
FPotential for more than minimal harm, widespread
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 31, 2022)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 31, 2022)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 31, 2022)
-
EPotential for more than minimal harm, pattern
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights · Deficient, Provider has date of correction (May 31, 2022)
-
EPotential for more than minimal harm, pattern
Report COVID19 data to residents and families.
Infection Control · Deficient, Provider has date of correction (May 31, 2022)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (May 31, 2022)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 31, 2022)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 31, 2022)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 31, 2022)
Showing the 30 most recent of 41.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 9, 2025 | Fine | $179,235 |
| Apr 9, 2025 | Payment Denial | 14 days |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
Common questions
What is the CMS star rating for Circle of Care?
Circle of Care has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 3.
How many beds does Circle of Care have?
Circle of Care has 55 certified beds. It averages 39.5 residents per day, about 71.8% of its certified beds.
How much nursing care do residents get at Circle of Care?
The home reports 5.15 hours of nurse staffing per resident per day, including 0.84 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Circle of Care been fined?
Yes. CMS lists 1 fine totaling $179,235 in the past three years. It also lists 1 payment denial.
Does Circle of Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Salem North Healthcare Center 86beds 74.9%in use 3.18nurse hours a day
- 2 of 5 Salem West Healthcare Center 80beds 73.0%in use 2.88nurse hours a day
- 4 of 5 Blossom Nursing and Rehab Center 100beds 87.9%in use 3.37nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Columbiana County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 365977. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.