CCN 365977 · Columbiana County, Ohio
Circle of Care
1985 East Pershing Street, Salem, OH 44460
Circle of Care is a 55-bed for-profit nursing home in Salem, Ohio, first certified for Medicare or Medicaid in 1994. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 39.5 residents a day, about 72% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 55
- Average residents per day
- 39.5 (71.8% of beds)
- Ownership type
- For profit - Partnership
- Certification
- Medicare and Medicaid
- Legal business name
- Salem Healthcare and Rehabilitation Center
- Certified since
- Sep 7, 1994
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 5.15 | 3.57 | 3.68 |
| RN hours per resident per day | 0.84 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 4.37 | ||
| Nursing staff turnover | 47.3% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 71.8% | 87.2% | 85.7% |
| Fines reported by CMS | 1 totaling $179,235 | ||
| Health deficiencies, latest standard survey | 18 (Apr 9, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Circle of Care does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Nielson, KennethIndividual | Direct Ownership Interest | 50% | 09/17/2012 |
| Backenroth, AbrahamIndividual | Operational / Managerial Control | n/a | 03/10/2025 |
| Jordan, MichaelIndividual | Operational / Managerial Control | n/a | 03/29/2025 |
| Shivers, RichardIndividual | Operational / Managerial Control | n/a | 09/01/2021 |
| Webster, GeoffreyIndividual | Operational / Managerial Control | n/a | 10/13/2025 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.