1 out of 5 stars overall. CIRCLE OF CARE (SALEM, OH) has a 1-star health inspection rating, 3-star staffing, and 4-star quality measures; reported nurse staffing is 4.93 hours per resident per day, above the 4.1 federal benchmark, and it has had $179,235 in fines in the last 24 months plus a recent federal penalty.
Last inspection: June 12, 2025Penalties, last 24 months: $179,235recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9327.
Staffing detail
Registered nurses
0.78
Licensed practical nurses
1.78
Nurse aides
2.37
Weekend nursing
4.53
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 73%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—4.8%—
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
3.7%7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.4%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%24.1%Worsening
Residents whose ability to walk got worse
—19.8%—
Long-stay residents on antianxiety or sleep medication
15.6%28.1%Worsening
Short-stay residents newly given an antipsychotic
—3.6%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.7%34%Worsening
Residents with depressive symptoms
0%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%88.6%Worsening
Short-stay residents given the seasonal flu vaccine
—83.9%—
Short-stay residents given the pneumonia vaccine
83.3%81.8%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited April 2025 — widespread issue, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $179,235 was recorded.
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $179,235 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Apr 9, 2025
14 days
Federal fine
Apr 9, 2025
$179,235
Operator & ownership
Ownership
For profit - Partnership
Occupancy
41 residents on an average day (75% of 55 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.