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Nursing homeFAID #9887

Circle of Care

1985 EAST PERSHING STREET, SALEM, OH, 44460

(330) 332-1588

55 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

1985 East Pershing Street

Salem, OH 44460

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

365977

Care type

Nursing home

County

Columbiana

Facility name

Circle of Care

Street address

1985 EAST PERSHING STREET

City / state / ZIP

Salem, OH 44460

Phone

(330) 332-1588

About this facility — Circle of Care

Circle of Care is a Medicare/Medicaid-certified skilled nursing facility in Salem, Ohio. It is licensed for 55 beds — below the median for skilled nursing facilities in Ohio (86 beds).

It is one of 10 senior care facilities in Salem and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Circle of Care 69 times across 10 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $179,235 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Partnership

Registered owners & officers

Nielson, Kenneth

Direct owner · Officer — 50% stake — since 2012

Backenroth, Abraham

Direct owner · Governing body · Operational control · Additional disclosable party — since 2023

Jordan, Michael

Operational control · Additional disclosable party — since 2025

Shivers, Richard

Operational control · Additional disclosable party — since 2021

Webster, Geoffrey

Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1994-09-07

CMS overall rating

1 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$179,235 total

Last standard inspection

2025-04-09

Nurse staffing

5.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$536 per day (≈ $16,290/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

26% Medicaid · 4% Medicare · 70% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

47% above the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-06-12Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-07-14

2025-04-09Health inspectionComplaint-triggered18 citations

F-0569

D · No harm found

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-05-15

F-0623

C · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-05-15

F-0625

B · No harm found

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 2025-05-15

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-05-15

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-05-15

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-15

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-15

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-15

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-05-15

F-0712

E · No harm found

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-05-15

F-0714

E · No harm found

Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

Corrected 2025-05-15

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-15

F-0758

D · No harm found

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 2025-05-15

F-0835

F · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-05-15

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-15

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-05-15

F-0880

L · Immediate jeopardyFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-05-15

F-0882

F · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-05-15

7 earlier / fire-safety inspections (50 citations)

2024-04-23Health inspectionComplaint-triggered1 citation

F-0758

D · No harm foundFrom a complaint

Corrected 2024-05-28

2023-08-03Health inspectionComplaint-triggered1 citation

F-0692

D · No harm foundFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-08-25

2022-05-02Health inspection11 citations

F-0570

E · No harm found

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2022-05-31

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-05-31

F-0602

D · No harm found

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2022-05-31

F-0606

F · No harm found

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2022-05-31

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-05-31

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-05-31

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-31

F-0693

D · No harm found

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.

Corrected 2022-05-31

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-31

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-05-31

F-0885

E · No harm found

Report COVID19 data to residents and families.

Corrected 2022-05-31

2019-07-03Health inspection10 citations

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-08-28

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2019-08-28

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-08-28

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2019-08-28

F-0688

D · No harm found

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.

Corrected 2019-08-28

F-0693

D · No harm found

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.

Corrected 2019-08-28

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-08-28

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-08-28

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2019-08-28

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2019-08-28

2025-04-09Fire-safety inspection7 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-15

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-15

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-15

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-05-15

K-0915

E · No harm found

Have proper power supply for life support equipment.

Corrected 2026-01-31

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-15

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-05-15

2022-05-02Fire-safety inspection2 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-31

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-05-31

2019-07-03Fire-safety inspection18 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2019-08-28

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2019-08-28

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-08-28

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-08-28

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-08-28

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-08-28

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2019-08-28

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-08-28

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-08-28

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-28

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2019-08-28

K-0532

E · No harm found

Have a properly installed and maintained dumbwaiter or escalator.

Corrected 2019-08-28

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2019-08-28

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-08-28

K-0912

F · No harm found

Have power receptacles that are properly grounded.

Corrected 2019-08-28

K-0915

E · No harm found

Have proper power supply for life support equipment.

Corrected 2019-08-28

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2019-08-28

K-0926

E · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2019-08-28

Federal penalties

2025-04-09Fine$179,235

2025-04-09Medicare payment denial — 14 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 365977.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered