Circle of Care
1985 East Pershing Street, Salem, OH 44460
Circle of Care, a 55-bed for profit - partnership nursing facility in Salem, OH, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #806 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3303321588
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #806 of 912
- In-state rank among rated OH homes
- 5.15
- Well above average · nurse hrs/day · nat'l 3.86
- 42
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Circle of Care, a 55-bed for profit - partnership nursing facility in Salem, OH, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #806 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #806 of 912
- In-state rank among rated OH homes
- 5.15
- Nurse hrs/resident-day · national 3.86
- 42
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 922 OH nursing homes split by ownership sector
This facility is recorded as For profit - Partnership. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 365977
- Ownership
- For profit - Partnership
- Provider Type
- Medicare and Medicaid
- Beds
- 55
- Residents
- 40
- In Hospital
- No
- County
- Columbiana
- Last Inspection
- Apr 9, 2025
Staffing Data
How the 5.15 total nursing hours per resident-day are staffed:
- RN Hours
- 0.84 (nat'l avg: 0.69)
- LPN Hours
- 2.15
- CNA Hours
- 2.16
- Total Nursing Hours
- 5.15 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 47.3%
- RN Turnover
- 53.8%
What the CMS Record Reveals About Circle of Care
According to CMS Nursing Home Compare, Circle of Care ranks #806 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Circle of Care operates 55 certified beds in Salem, OH with approximately 40 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 3★).
The inspection file contains 42 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $179K against this provider. Per resident day, this facility reports 5.15 total nursing hours (national average 3.86) and 0.84 RN hours.
Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, Circle of Care falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 47.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (42 most recent)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jul 14, 2025
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.
Category: Resident Rights Deficiencies
Corrected: May 15, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: May 15, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: May 15, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: May 15, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: May 15, 2025
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Category: Nursing and Physician Services Deficiencies
Corrected: May 15, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Category: Nursing and Physician Services Deficiencies
Corrected: May 15, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: May 15, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: May 15, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: May 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 15, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: May 28, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 25, 2023
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.
Category: Quality of Life and Care Deficiencies
Corrected: May 31, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 31, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: May 31, 2022
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 31, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: May 31, 2022
Report COVID19 data to residents and families.
Category: Infection Control Deficiencies
Corrected: May 31, 2022
Assure the security of all personal funds of residents deposited with the facility.
Category: Resident Rights Deficiencies
Corrected: May 31, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 31, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 31, 2022
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 31, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: May 31, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Aug 28, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 28, 2019
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.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 28, 2019
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.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 28, 2019
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 28, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 28, 2019
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 28, 2019
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 28, 2019
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 28, 2019
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Aug 28, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.7% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 24.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 77.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 83.9% | No |
Penalty History 1 penalties totaling $179K
| Date | Type | Amount |
|---|---|---|
| Apr 9, 2025 | Fine | $179K |
| Apr 9, 2025 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Circle of Care, both outside OH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside OH (55 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside OH (4.89 here).
Nearby Nursing Homes in OH
921 other nursing homes are on record in OH; 6 are shown here.
Abbyshire Place Health and Rehabilitation Center L
Bidwell, OH
Accord Care Community Orrville LLC
Orrville, OH
Adams County Manor
West Union, OH
Adams Lane Healthcare and Rehabilitation Center
Zanesville, OH
Addison Healthcare Center
Masury, OH
Addison Heights Health and Rehabilitation Center
Maumee, OH
Understanding Nursing Home Data
What the CMS records show for Circle of Care
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The OH registry aggregates state averages and the highest-rated homes in this cohort. View OH registry
- Peer homes near 55 beds show how CMS stars vary at a similar scale in OH. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Circle of Care?
Where does Circle of Care rank among nursing homes in OH?
What are the staffing levels at Circle of Care?
How many beds does Circle of Care have?
Does Circle of Care have any deficiencies on record?
Has Circle of Care received any fines or penalties?
Who owns Circle of Care?
When was Circle of Care last inspected?
What quality measures are tracked for Circle of Care?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
