Salem North Healthcare Center
250 Continental Drive, Salem, OH 44460 · Columbiana County · 86 certified beds · avg 64 residents/day · certified since Jan 1, 1997
Part of chain: COMMUNICARE HEALTH (110 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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, one-off · Oct 15, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Apr 28, 2026 | 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. · from a complaint |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 12, 2026 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 12, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 12, 2026 | 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. |
| Feb 12, 2026 | 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. |
| Dec 12, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Dec 12, 2024 | 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. · from a complaint |
| Oct 15, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 15, 2024 | 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 |
| Mar 12, 2024 | 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. · from a complaint |
| Dec 22, 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. |
| Dec 22, 2022 | 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. |
| Dec 22, 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. |
| Dec 22, 2022 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 5, 2020 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | D · Potential for 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. |
| Mar 5, 2020 | 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. |
| Mar 5, 2020 | 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 stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 6 | 0 | F |
| 2022 | 4 | 0 | F |
| 2024 | 5 | 1 | J ▲ |
| 2026 | 6 | 0 | E |
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 $23,163.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $23,163 |
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) | 3.01 | 3.45 | 3.95 | bottom 26% in Ohio; bottom 14% in the U.S. |
| Registered Nurse hours | 0.47 | 0.60 | 0.69 | bottom 33% in Ohio; bottom 33% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.07 | 3.50 | bottom 22% in Ohio; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.42 | 0.48 | bottom 14% in Ohio; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 38.2 | 48.7 | 45.8 | top 23% in Ohio; top 32% in the U.S. |
| RN turnover (%) | 30.0 | 43.9 | 42.9 | top 28% in Ohio; top 29% 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 3.18, RN 0.49, weekend 2.80. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Health Care Lease Facilities, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2018 |
| Sxcy Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2018 |
| Sxcy MSTR Lsco, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2018 |
| Barnhart, Cailey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2024 |
| Barnhart, Cailey | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| C.R. Stoltz Family Investment Company INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| C.R. Stoltz Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| Continental I Mgt Co., LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2018 |
| Continental I Mgt Co., LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Demidovich, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Demidovich, James | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Groves, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2023 |
| Health Care Lease Facilities, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| I. Rosedale Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| Odenthal, Richard | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| R.S. Wilheim Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| Romeo, Dominic | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Ronald S Wilheim 2012 Spousal Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| Rosedale Family Investment Company, INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
| RRW, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 West Healthcare Center | 0.0 mi | Salem, OH | ★★☆☆☆ | 1/5 | abuseSFF |
| Circle of Care | 0.5 mi | Salem, OH | ★☆☆☆☆ | 1/5 | |
| Blossom Nursing and Rehab Center | 2.1 mi | Salem, OH | ★★★★☆ | 4/5 | |
| Auburn Skilled Nursing and Rehab | 6.6 mi | Salem, OH | ★★★★☆ | 3/5 | |
| St Mary's Alzheimer's Center | 7.3 mi | Columbiana, OH | ★★★★☆ | 3/5 | |
| Parkside Health Care Center | 8.1 mi | Columbiana, OH | ★★★☆☆ | 3/5 | |
| Canfield Acres LLC DBA Windsor House at Canfield | 8.3 mi | Canfield, OH | ★★★★☆ | 4/5 | |
| Vista Center, the | 9.1 mi | Lisbon, OH | ★★☆☆☆ | 1/5 | |
| Aventura at Assumption Village | 9.9 mi | North Lima, OH | ★☆☆☆☆ | 1/5 | |
| Shepherd of the Valley Poland | 10.0 mi | Poland, OH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366104.