Nursing home
Circle of Care
1985 East Pershing Street, Salem, OH 44460 · Map
For profit - Partnership · 55 certified beds
Circle of Care is a Medicare-certified nursing home in Salem, Ohio. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 5.31 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Apr 9, 2025 cited 19 deficiencies.
- 1 fine totaling $179,235In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Circle of Care compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.31 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.89 | 0.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.52 | 2.14 | 2.34 | above avg |
| Nursing staff turnover | 57.1% | 49.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 19.0 | 10.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 12, 2025 inspection was corrected by July 14, 2025
Penalties in CMS records: 1 fine totaling $179,235, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Circle of Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jun 12, 2025 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Apr 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Nursing and Physician Services Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
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 · Apr 9, 2025 · Full report (PDF) - Potential for harm
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 · Apr 9, 2025 · Full report (PDF) - Potential for harm
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 · Apr 9, 2025 · Full report (PDF) - Potential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 9, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1985 East Pershing Street
Salem, OH 44460 - CMS certification #
- 365977
- Ownership
- For profit - Partnership
- Certified beds
- 55
- Avg residents/day
- 38.4
- Provider type
- Medicare and Medicaid
- First certified
- 1994-09-07
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Circle of Care using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2017
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 1, 2017 to Sep 30, 2019. Violations found: Minimum wage, Overtime. Back wages: $4,898 owed to 34 employees. Employer as DOL recorded it: Circle of Care (Salem Healthcare and Rehabilitation, LLC). Case 1892436.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Salem Regional Medical Center, Salem. 1.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Salem North Healthcare Center, Salem. 0.5 miles away, straight line.
- Nearest home health agency office
- Salem Area Visiting Nurse Association, Salem. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44460 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc - Salem South, Salem, 0.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Center For Dialysis Care, Canfield, Canfield, 10.5 miles away, straight line (CMS rating 2 of 5 stars)
Fmc - North Lima, North Lima, 10.7 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 44460.
Akeso Home Hospice Inc, office in Canfield, 10.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Sanctuary Hospice, office in Canfield, 10.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Ohio Living Hospice - Greater Youngstown, office in Canfield, 10.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mercy Health Physicians Youngstown Specialty Care LLC, Youngstown. 17.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Circle of Care a good nursing home?
CMS gives Circle of Care an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Circle of Care staffed?
Circle of Care reports 5.31 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Circle of Care had inspection problems?
Its most recent CMS inspection cited 19 deficiencies.
How many beds does Circle of Care have?
Circle of Care is certified for 55 beds.