Circle of Care is a small nursing home located in Salem, Ohio. Featuring an overall score of C, this is likely a decent facility. Based on our assessment, this place has some redeeming qualities. One of the better aspects of this nursing home's profile is its strong inspection grade, which is addressed in the next paragraph.
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Circle of Care
- Nursing Home
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Partnership
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Medical Transportation
- Speech Therapy
- Occupational Therapy
- Cardiac Therapy
- Tracheotomy Care
- Mental Health
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Aquatic Therapy
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Registered Staff Hours
This nursing home's best category grade came in the area of inspections. In this area, we gave this facility a grade of B. It actually outperformed most facilities in this area. Inspection ratings are tied to many pieces of information located in the a nursing home's recent inspection reports. Places that score well in this area have few deficiencies on those reports. Most importantly, these places generally do not have any severe deficiencies which are associated with risks to patient safety. This place was hit with 5 deficiencies on its inspection report, but none were considered to be severe deficiencies. This indicates that CMS didn't consider any of the deficiencies to be an imminent threat to patient safety or health. A few minor deficiencies shouldn't stop you from considering a nursing home.
This facility's second best category grade came in the area of nursing. In that category, we gave this nursing home a grade of B-. Our nursing rating is mostly based on the facility's level of nurse staffing. This facility provided just 0.5 hours of nursing care per resident per day. This figure is significantly below the national average. Finally, we also looked at several nursing quality-based metrics. Although this facility got docked a bit for its nursing hours per resident, it excelled in a few of these quality metrics. With less than five percent of its patients suffering from pressure ulcers, it did well in this statistic. This is generally a good indicator of quality nursing care. Pressure ulcers can often be avoided by offering better nursing care, such as employing a protocol of moving a patient even once per day.
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Short-term Care Quality
This facility's next most favorable area ended up being short-term care. In that area, we gave this facility a C. Our short-term care scores are arguably most critical for residents needing rehabilitation services. Rehabilitation generally requires more skilled nursing services. Skilled nursing means not just nursing services, but also physical and respiratory therapy, as well as other variations of therapy. We found that this facility was below average in the two key staffing areas we focus on. The facility supplied fewer physical therapist and registered nurse hours per resident than most other facilities. It is important to determine whether this also correlates to a lower quality of care. Finally, we looked at the percentage of patients that were able to return home from this nursing home. We found that 0 percent of this facility's patients were able to return home. This figure was actually quite a bit below average.
Long-term Care Quality
The last category we rated was long-term care, is this nursing home's least impressive area. We gave this nursing home a grade of D in that area. For residents looking for a permanent place to live as opposed to rehabilitation, long-term care is an important category. After we finished looking at the amount of care provided by nurses, we then analyzed the facility's vaccination data. We were pleased to learn that this nursing home vaccinated 99.21875 percent of its residents for pneumonia. To our surprise, this facility also keeps its residents out of the hospital. Indeed, it had just 0 hospitalizations per one thousand long-term resident days. Unfortunately, some of its other scores in this category weren't as favorable as these.
Rating Over Time
Compared to national and state averages across all facilities.
Circle of Care Quality Metrics
Minimizes Pressure Ulcers
In Circle of Care, 7.3% of Patients had Pressure Ulcers
This is the percentage of patients that have had a pressure ulcer. Pressure ulcers are considered to be a barometer of the quality of nursing care . Pressure ulcers, which are also known as bed sores, are routinely caused by patients staying in one position for too long.
Minimizes Serious Falls
In Circle of Care, 3.68% of Patients had Serious Falls
This tells you the percent of patients that sustained a major fall. Falls leading to severe injuries are considered to be a measure of the quality of nursing care at a nursing home. Falls which result in injury are often caused by lower levels of patient supervision.
Minimizes Urinary Tract Infections
In Circle of Care, 1.34% of Patients had UTIs
This datapoint is an indication of the percent of long-term residents who sustained urinary tract infections. While a higher rate infections may reflect poorly on a facility's hygiene protocols, it can be problematic to compare between nursing homes due to inconsistent reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Circle of Care, 12.59% of Patients use Anti-Psychotic Medication
This indicates the percentage of patients given antipsychotic medications. Antipsychotic medications are prescribed to patients for many conditions, such as dementia. Sadly, in some cases, excessive reliance on these medications may mean that a nursing home is using these medications to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Circle of Care, 21.99% of Patients use Anti-Anxiety Medication
This is the percentage of residents given antianxiety medications. Antianxiety medications are administered to patients experiencing anxiety and depression.
Managing Depression Among Residents
In Circle of Care, 21.39% of Patients
Measures the percentage of long-term patients who are demonstrating symptoms of depression. Some experts argue this is a reasonable measure of patient quality of care.
Appropriate Vaccine Usage
In Circle of Care, 88.91% of Patients
This datapoint measures the percent of long-term care patients who received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In Circle of Care, 14.84% Percentage of Patients
This metric is a measure of the percentage of long-term stay residents that needed increased assistance with activities of daily living over time. ADL's include activities such as dressing and bathing. Some experts believe that this is a reliable measure of a resident's well-being.
Ability to Keep Residents Mobile
In Circle of Care, 12.66% Percentage of Residents
This tells you the percentage of residents who maintained mobility over time. Retaining mobility is often a great sign for residents' well-being.
Short-term Care: Rehospitalizations
In Circle of Care, 12.66 Percentage of Residents Rehospitalized
This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.
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