CIRCLE OF CARE

Columbiana · OH · For profit - Partnership · 55 certified beds · CCN 365977 · SALEM HEALTHCARE AND REHABILITATION CENTER


CIRCLE OF CARE operates 55 certified beds in SALEM, Ohio. Its Medicare and Medicaid certification dates to 1994-09-07. It averages 39.5 residents a day.

What harm was found in the violations cited at CIRCLE OF CARE?

CMS lists 42 health-inspection deficiencies for CIRCLE OF CARE since 2019-07-03, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2025-06-12.

Survey dateTagDeficiencySeverity
2025-06-12F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-04-09F0880Provide and implement an infection prevention and control program.L
2025-04-09F0835, F0868, F0882Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-04-09F0712, F0714Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.E
2025-04-09F0569, F0644, F0655, F0656, F0657, F0689, F0694, F0756, F0758, F0842Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-04-09F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C
2025-04-09F0625Notify 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.B
2024-04-23F0758Implement 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.D
2023-08-03F0692Provide enough food/fluids to maintain a resident's health.D
2022-05-02F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2022-05-02F0606, F0812, F0880Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2022-05-02F0570, F0885Assure the security of all personal funds of residents deposited with the facility. / Report COVID19 data to residents and families.E
2022-05-02F0582, F0602, F0623, F0656, F0693Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from the wrongful use of the resident's belongings or money. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.D
2019-07-03F0868, F0880Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program.F
2019-07-03F0641Ensure each resident receives an accurate assessment.E
2019-07-03F0636, F0657, F0676, F0688, F0693, F0695, F0757Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D

Why was CIRCLE OF CARE fined?

DateTypeAmount
2025-04-09Fine$179,235

Has CIRCLE OF CARE had payment denied by Medicare?

Payment denial startLength in days
2025-05-0114

How is CIRCLE OF CARE staffed?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day5.150563.68589
Total nursing staff turnover (%)47.348.7
Average number of residents per day39.573.7

Who owns CIRCLE OF CARE?

CIRCLE OF CARE is registered with CMS as For profit - Partnership, operates under the legal business name SALEM HEALTHCARE AND REHABILITATION CENTER.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTNIELSON, KENNETHsince 09/17/2012
DIRECT OWNERSHIP INTERESTBACKENROTH, ABRAHAMsince 03/10/2025
MANAGING CONTROL - GOVERNING BODYBACKENROTH, ABRAHAMsince 10/06/2025
CORPORATE OFFICERNIELSON, KENNETHsince 01/01/2013
OPERATIONAL/MANAGERIAL CONTROLBACKENROTH, ABRAHAM, JORDAN, MICHAEL, SHIVERS, RICHARD, WEBSTER, GEOFFREYsince 03/10/2025
ADP OF THE SNFBACKENROTH, ABRAHAM, JORDAN, MICHAEL, SHIVERS, RICHARD, WEBSTER, GEOFFREYsince 03/10/2023

Were you or a family member harmed at CIRCLE OF CARE?