Ohio › Columbiana County › Salem
Circle of Care
1985 East Pershing Street, Salem, OH 44460
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 55 beds, Circle of Care serves Salem in Columbiana County, Ohio and has taken Medicare and Medicaid residents since 1994.
CMS gives it 1 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (18, 12, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 76.4 per 100 beds, more than the state median of 33.3.
CMS lists 2 penalties in the period covered: fines totalling $179K and 1 payment denial.
Reported nurse staffing is 5.2 hours per resident per day (0.8 RN), above the Ohio median of 3.6; nursing staff turnover is 47.3%.
Compared with county, state and nation
| Measure | This facility | Columbiana Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 30 | 27 | 28.7 |
| Citations per 100 beds | 76.4 | 40.0 | 33.3 | 26.8 |
| Total nurse hours per resident day | 5.2 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 47.3% | 38.2% | 48.5% | 45.8% |
| Fines listed | $179,235 | $0 | $0 | — |
County and state figures are medians across facilities (11 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2025, 2 May 2022.
Severity mix: L ×1 G ×1 D ×25 E ×5 F ×8 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 14 Jul 2025 |
| 9 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Complaint investigation | 15 May 2025 |
| 9 Apr 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0714 | Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | E | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0758 | 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. | D | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 May 2025 |
| 9 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 15 May 2025 |
| 9 Apr 2025 | F0625 | 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. | B | Standard survey | 15 May 2025 |
| 23 Apr 2024 | F0758 | 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. | D | Complaint investigation | 28 May 2024 |
| 3 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 25 Aug 2023 |
| 2 May 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 31 May 2022 |
| 2 May 2022 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | Standard survey | 31 May 2022 |
| 2 May 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 May 2022 |
| 2 May 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 31 May 2022 |
| 2 May 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 31 May 2022 |
| 2 May 2022 | F0885 | Report COVID19 data to residents and families. | E | Standard survey | 31 May 2022 |
| 2 May 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 31 May 2022 |
| 2 May 2022 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 31 May 2022 |
| 2 May 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 31 May 2022 |
| 2 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 May 2022 |
| 2 May 2022 | F0693 | 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. | D | Standard survey | 31 May 2022 |
| 3 Jul 2019 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0688 | 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. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0693 | 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. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Aug 2019 |
| 3 Jul 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Aug 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Apr 2025 | Payment denial | — | 14 days |
| 9 Apr 2025 | Fine | $179,235 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 47.3%, RNs 53.8%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.3% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.7% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: Salem Healthcare And Rehabilitation Center.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Columbiana County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Orchards of East Liverpool, The | East Liverpool | 50 | 5 | 4 | 3 | 33 | 66.0 | — | 17 Dec 2025 |
| Auburn Skilled Nursing and Rehab | Salem | 44 | 4 | 3 | 2 | 20 | 45.5 | — | 20 Feb 2026 |
| Blossom Nursing and Rehab Center | Salem | 100 | 4 | 4 | 3 | 22 | 22.0 | — | 8 May 2026 |
| Covington Skilled Nursing & Rehab Center | East Palestine | 65 | 4 | 4 | 2 | 22 | 33.8 | — | 1 May 2025 |
| Salem North Healthcare Center | Salem | 86 | 4 | 3 | 2 | 21 | 24.4 | $23K | 28 Apr 2026 |
| Parkside Health Care Center | Columbiana | 75 | 3 | 3 | 3 | 30 | 40.0 | — | 14 May 2026 |
| Valley Oaks Care Center | East Liverpool | 67 | 3 | 3 | 1 | 14 | 20.9 | — | 23 Mar 2026 |
| Salem West Healthcare Centerabuse iconSFF Candidate | Salem | 80 | 2 | 1 | 3 | 51 | 63.8 | — | 30 Apr 2026 |
All 11 facilities in Columbiana County
Questions and answers
How many deficiencies has Circle of Care been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Circle of Care been fined?
Yes. CMS lists fines totalling $179K in the period covered, plus 1 payment denial.
How does staffing at Circle of Care compare?
Reported total nurse staffing is 5.2 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Circle of Care?
Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.
When was Circle of Care last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2025; the most recent standard health survey was 9 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.