Circle of Care
1985 East Pershing Street, Salem, OH 44460 · Columbiana County · 55 certified beds · avg 40 residents/day · certified since Sep 7, 1994
1/5
Health inspection rating (on-site)
2
Serious findings on record
$179,235
Fines, last 3 years
4.89
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Apr 9, 2025 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: May 15, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 2, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 31, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (42)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 9, 2025 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 9, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Apr 9, 2025 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 9, 2025 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not make sure the doctor properly assigned and supervised tasks delegated to a physician assistant, nurse practitioner, or clinical nurse specialist. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 9, 2025 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 9, 2025 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 23, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Aug 3, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| May 2, 2022 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 2, 2022 | F · Potential for harm, facility-wide | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| May 2, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 2, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 2, 2022 | E · Potential for harm, repeated | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| May 2, 2022 | E · Potential for harm, repeated | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 2, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 3, 2019 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jul 3, 2019 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 3, 2019 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 3, 2019 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (11 → 18).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 0 | F |
| 2022 | 11 | 1 | G ▲ |
| 2023 | 1 | 0 | D |
| 2024 | 1 | 0 | D |
| 2025 | 19 | 1 | L ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $179,235, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 9, 2025 | Fine | $179,235 |
| Apr 9, 2025 | Payment Denial | 14 days from May 1, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.89 | 3.45 | 3.95 | top 4% in Ohio; top 15% in the U.S. |
| Registered Nurse hours | 0.79 | 0.60 | 0.69 | top 15% in Ohio; top 28% in the U.S. |
| Weekend total nurse staffing | 4.15 | 3.07 | 3.50 | top 6% in Ohio; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.42 | 0.48 | top 38% in Ohio; top 43% in the U.S. |
| Total nursing staff turnover (%) | 47.3 | 48.7 | 45.8 | top 46% in Ohio; bottom 44% in the U.S. |
| RN turnover (%) | 53.8 | 43.9 | 42.9 | bottom 33% in Ohio; bottom 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.15, RN 0.84, weekend 4.37. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Backenroth, Abraham | Individual | Direct Ownership Interest | NOT APPLICABLE | 03/10/2025 |
| Nielson, Kenneth | Individual | 5% or Greater Direct Ownership Interest | 50% | 09/17/2012 |
| Backenroth, Abraham | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/06/2025 |
| Backenroth, Abraham | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Backenroth, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2023 |
| Jordan, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/29/2025 |
| Jordan, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2025 |
| Nielson, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Shivers, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2021 |
| Shivers, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2025 |
| Webster, Geoffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/13/2025 |
| Webster, Geoffrey | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Who is your infection preventionist, and what training do they have?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "Who besides the doctor provides medical care here, and how does the doctor supervise their work?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Salem North Healthcare Center | 0.5 mi | Salem, OH | ★★★★☆ | 3/5 | |
| Salem West Healthcare Center | 0.5 mi | Salem, OH | ★★☆☆☆ | 1/5 | abuseSFF |
| Blossom Nursing and Rehab Center | 1.7 mi | Salem, OH | ★★★★☆ | 4/5 | |
| Auburn Skilled Nursing and Rehab | 6.2 mi | Salem, OH | ★★★★☆ | 3/5 | |
| St Mary's Alzheimer's Center | 7.7 mi | Columbiana, OH | ★★★★☆ | 3/5 | |
| Parkside Health Care Center | 8.4 mi | Columbiana, OH | ★★★☆☆ | 3/5 | |
| Canfield Acres LLC DBA Windsor House at Canfield | 8.7 mi | Canfield, OH | ★★★★☆ | 4/5 | |
| Vista Center, the | 8.9 mi | Lisbon, OH | ★★☆☆☆ | 1/5 | |
| Crandall Nursing Home | 9.7 mi | Sebring, OH | ★★★★☆ | 4/5 | |
| Aventura at Assumption Village | 10.4 mi | North Lima, OH | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365977.