Circle of Care
1985 East Pershing Street · Salem, OH · 44460 · 3303321588
55 certified beds For profit - Partnership
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $179,235 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$179,235 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 4.53 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $179,235 |
Inspection citations (42 in the current record)
-
Potential for harm · D June 12, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 14, 2025 · Resident Rights
-
Immediate jeopardy · L April 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 15, 2025 · Infection Control
-
Potential for harm · D April 9, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 15, 2025 · Resident Rights
-
Potential for harm · D April 9, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 9, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 9, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
-
Potential for harm · D April 9, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 15, 2025 · Quality of Life and Care
-
Potential for harm · E April 9, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 15, 2025 · Nursing and Physician Services
-
Potential for harm · E April 9, 2025
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Corrected May 15, 2025 · Nursing and Physician Services
-
Potential for harm · D April 9, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 15, 2025 · Pharmacy Service
-
Potential for harm · D April 9, 2025
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.
Corrected May 15, 2025 · Pharmacy Service
-
Potential for harm · F April 9, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 15, 2025 · Administration
-
Potential for harm · F April 9, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 15, 2025 · Administration
-
Potential for harm · F April 9, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 15, 2025 · Infection Control
-
Potential for harm · D April 9, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 15, 2025 · Resident Assessment and Care Planning
-
No harm found · C April 9, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 15, 2025 · Resident Rights
-
No harm found · B April 9, 2025
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.
Corrected May 15, 2025 · Resident Rights
-
Potential for harm · D April 23, 2024 · found via complaint
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.
Corrected May 28, 2024 · Pharmacy Service
-
Potential for harm · D August 3, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 25, 2023 · Quality of Life and Care
-
Actual harm · G May 2, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 31, 2022 · Quality of Life and Care
-
Potential for harm · E May 2, 2022
Assure the security of all personal funds of residents deposited with the facility.
Corrected May 31, 2022 · Resident Rights
-
Potential for harm · D May 2, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 31, 2022 · Resident Rights
-
Potential for harm · D May 2, 2022
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 31, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 9, 2025 | Fine | $179,235 |
| April 9, 2025 | Payment Denial | 14 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365977 · certified since September 7, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.