Circle of Care: Staffing, Turnover, and Inspection Record
Circle of Care is a 55-bed for-profit nursing home in Salem, Ohio. In the CMS August 2026 release it reported 2.16 nurse aide hours per resident per day, 3% above the Ohio average of 2.09, and 47.3% nursing staff turnover (Ohio average 48.7%).
Circle of Care
1985 East Pershing StreetSalem, OH 44460
Columbiana County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Circle of Care, nurse aides logged 2.16 hours per resident per day, 3% above the Ohio average. With about 40 residents a day, that works out to roughly 85 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Ohio avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.16 | 2.09 | 2.32 |
| Licensed practical nurses | 2.15 | 0.95 | 0.86 |
| Registered nurses | 0.84 | 0.64 | 0.69 |
| All nursing staff | 5.15 | 3.69 | 3.86 |
| All nursing staff, weekends | 4.37 | 3.28 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.3% of nursing staff at Circle of Care left over the year CMS measured, against a Ohio average of 48.7% and a US average of 45.8%. Registered nurse turnover was 53.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 9, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Ohio average 10.7). CMS lists 1 fine totaling $179,235 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 9, 2025 | Fine | $179,235 |
| Apr 9, 2025 | Payment Denial | 14 days from May 1, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Circle of Care holds 1 of 5 overall; the Ohio average is 3.2.
About Circle of Care
- Ownership: For profit - Partnership
- Legal name: Salem Healthcare and Rehabilitation Center
- Medicare and Medicaid certified since: Sep 7, 1994
- Councils: resident council
- Area: rural
Nursing homes near Circle of Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Salem North Healthcare Center Salem | 0.5 | 86 | 1.77 | 3.18 | 38.2% | 4 | $23,163 |
| Salem West Healthcare Center Salem · SFF candidate · abuse citation | 0.5 | 80 | 1.59 | 2.88 | 56.1% | 2 | None |
| Blossom Nursing and Rehab Center Salem | 1.7 | 100 | 1.92 | 3.37 | 37.7% | 4 | None |
| Auburn Skilled Nursing and Rehab Salem | 6.2 | 44 | 1.74 | 3.42 | 30.8% | 4 | None |
| St Mary's Alzheimer's Center Columbiana | 7.7 | 90 | 2.48 | 3.89 | 27.4% | 4 | $66,973 |
| Parkside Health Care Center Columbiana | 8.4 | 75 | 1.71 | 3.37 | 29.6% | 3 | None |
| Canfield Acres LLC DBA Windsor House at Canfield Canfield | 8.7 | 96 | 1.97 | 3.71 | 42.0% | 4 | None |
| The Vista Center Lisbon | 8.9 | 54 | 2.13 | 3.57 | 61.0% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.