Circle of Care

CMS star ratings

Overall★★★★★ 1/5

State avg 3.2

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 2.4

Quality measures★★★★★ 3/5

State avg 4.4

Long-stay quality★★★★★ 3/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 5.15 (state 3.69 · U.S. 3.86)
Registered nurses (RN): 0.84 (state 0.64 · U.S. 0.69)
Licensed practical nurses: 2.15 (state 0.95 · U.S. 0.86)
Nurse aides: 2.16 (state 2.09 · U.S. 2.32)
Weekend total: 4.37 (state 3.28 · U.S. 3.42)
Nursing staff turnover: 47.3 (state 48.7 · U.S. 45.8)%
RN turnover: 53.8 (state 43.9 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: April 9, 2025
Health deficiencies (last cycle): 18.0 (state 10.7 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 42 health · 27 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-06-12	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-07-14
2025-04-09	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	L Immediate jeopardy to resident health or safety	Corrected 2025-05-15
2025-04-09	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. F0714 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-15
2025-04-09	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2025-05-15
2025-04-09	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. F0625 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2025-05-15
2024-04-23	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. F0758 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-05-28
2023-08-03	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-08-25
2022-05-02	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2022-05-31
2022-05-02	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Assure the security of all personal funds of residents deposited with the facility. F0570 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Report COVID19 data to residents and families. F0885 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2022-05-02	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. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-05-31
2019-07-03	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	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. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28
2019-07-03	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $179,235 in fines.

Date	Type	Amount
2025-04-09	Payment Denial	14 days payment denial
2025-04-09	Fine	$179,235

Ownership & management

Name	Role	Since
Nielson, Kenneth (individual)	5%+ Direct Ownership Interest · 50%
Backenroth, Abraham (individual)	Administrator · NOT APPLICABLE
Jordan, Michael (individual)	Administrator · NOT APPLICABLE
Shivers, Richard (individual)	Administrator · NOT APPLICABLE
Webster, Geoffrey (individual)	Administrator · NOT APPLICABLE
Nielson, Kenneth (individual)	Corporate Officer · NOT APPLICABLE
Backenroth, Abraham (individual)	Direct Ownership Interest · NOT APPLICABLE
Backenroth, Abraham (individual)	Managing Control - Governing Body · NOT APPLICABLE
Backenroth, Abraham (individual)	Operational/managerial Control · NOT APPLICABLE
Jordan, Michael (individual)	Operational/managerial Control · NOT APPLICABLE
Shivers, Richard (individual)	Operational/managerial Control · NOT APPLICABLE
Webster, Geoffrey (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Circle of Care?

Circle of Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.

How many beds does Circle of Care have?

It has 55 certified beds and cares for about 40 residents per day.

Has Circle of Care been fined?

Yes. CMS lists 2 penalties totaling $179,235 in the last three years.

What is the phone number of Circle of Care?

(330) 332-1588. The facility is located at 1985 East Pershing Street, Salem, OH 44460.

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Contact & location

Facility details