Circle of Care

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Provide and implement an infection prevention and control program.

  Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

• Have proper medical gas storage and administration areas.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 15, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 15, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 15, 2025

• Have proper power supply for life support equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

  Severity C of L: potential for minimal harm, widespreadCorrected May 15, 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.

  Severity B of L: potential for minimal harm, patternCorrected May 15, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 28, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2023

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

  Severity G of L: actual harm, isolatedCorrected May 31, 2022

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 31, 2022

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 31, 2022

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 31, 2022

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 31, 2022

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2022

• Report COVID19 data to residents and families.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2022

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2022

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2022

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

• Conduct risk assessment and an All-Hazards approach.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

• Have power receptacles that are properly grounded.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 28, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• Have an enclosure around a vertical opening shaft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• Have a properly installed and maintained dumbwaiter or escalator.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• Have proper power supply for life support equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 28, 2019

Circle of Care offers Skilled Nursing / Long Term Care.

Circle of Care is located at 1985 East Pershing Street in Salem, Ohio.

Circle of Care is a skilled nursing and long-term care facility in Salem, Ohio with a mixed reputation among families. Several reviewers describe serious concerns about hygiene, infection control, and staff responsiveness, while a couple of reviewers praised the caring, team-based approach to care planning.

Circle of Care had 6 government inspection visits in the last three years, with 69 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Circle of Care and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.