Liberalized Renal Diet for Dialysis Patients

What are the dietary needs for Dialysis Patients at a Long Term Care Facility?

Salem Circle of Care offers in-house dialysis for Long Term Care Residents. Dialysis patients require substitutions for their food and fluid intake, known as a Liberalized Renal diet, which requires receiving a specific diet to meet their required daily dietary needs. Our Dietary department facilitates with our consulting Nephrologist and dialysis team to provide individualized plans.

The liberalized Renal diet eliminates all or most potassium, sodium, and phosphorus. These food restrictions mean that dialysis patients need to remove potatoes, tomatoes, bananas, oranges, oranges juice, and other foods high in potassium, sodium, and phosphorus from their diet. Fluid Restriction is based on patient need as per Nephrologist order.

While the resident on a regular diet at dinner would receive a balanced dinner such as:
Sloppy Joe on a Bun, French fries w/ Ketchup. Broccoli & Cauliflower, Applesauce Red Gelatin, Drink of Choice

The resident on the Liberalized Renal would receive:
Hamburger on a Bun, Rice or Pasta, Broccoli & Cauliflower Salad, Applesauce, Coffee, Tea, or Water

About Dining at Salem Circle of Care

Our Residents enjoy Fine Dining in our Main Dining Area, where they can socialize w/ other residents while being served Homemade Soups & Salads along with our Daily Menu. Our Dietary Manager hosts Food Club 1x per month where the Dietary Manager reviews the monthly menu & the Residents choose a meal of the month of their favorite foods. Residents share their favorite recipes & discuss the latest food articles.

For more information about our dietary programs at Salem Circle of Care, please view our sample dining calendar, or contact us for more information about the residents’ specific needs.

Welcome to Circle of Care

Circle of Care Admissions Information

Circle of Care strives to provide quality health care with compassion, integrity, and respect for our residents, families, and community. Our facility offers multiple levels of care stemming from skilled nursing after a hospital stay, rehabilitation as a result of an accident, surgery or major illness, dementia and long-term care, as well as our ventilator and dialysis programming.

We provide health care for your loved ones in a nurturing environment fulfilling their fondest memories of home-cooked meals, warmth, the feeling of being safe and secure with loving people to care for them. Upon arrival, a care coordinator will schedule a conference with you and/or your family. Together we will map out expectations and goals for your stay and answer all your questions.

Our team has developed these personalized programs designed to get you back to the life you know and improve your Quality of Life. Below is a list of programs that we offer at Circle of Care.

Dementia/Long-term care:

Circle of Care is here to help lift the strain on your family by around-the-clock care for a family member or friend with dementia while providing a sense of purpose to live their life to the fullest.
We specialize in long-term care, including individuals with Alzheimer’s disease and dementia and those with palliative or hospice care requirements.

Skilled Nursing Care:

Skilled nursing is available around the clock, and specialized care can be provided to meet each resident’s individual needs. Our nursing team offers progressive post-acute care 24 hours a day. The care and services we provide are as individual as our residents.

Ventilator Therapy:

Adjusting to life with respiratory challenges, tracheostomy, or ventilator care can be overwhelming. Circle of Care has a dedicated ventilator unit with a 24-hour respiratory therapist on duty. Our respiratory and ventilator programs give a resident the best possible quality of life, aspiring with home-going goals when possible.


Residing at Circle of Care benefits our residents with the convenience of on-site dialysis. Under our care, our residents can dialyze in the comfort of their residence, avoiding the burden of the tiresome travel to an outpatient center. Our interdisciplinary team provides every aspect of treatment, coordinating closely with the therapy team, nursing team, and dietary staff to make the best of the coordination of your care.

Come visit us and be “Welcomed to the Circle of Care.” For more information about our facility, contact us today and we will be glad to assist in any way that we can!

The Business Office at Salem Circle of Care

At the Circle of Care, it is instilled in us to be welcoming and caring. As the Business Office Manager, I am typically the first face you may see. Since the start of the COVID pandemic, we have worked to keep our long-term care residents and employees as safe as possible. I have been responsible for ensuring the safety of our residents by screening employees and vendors, enforcing face masks, providing PPE, and encouraging the use of hand sanitizer.

I am often found here early in the morning and still late into the evening, as I strive to do my jobs and ensure that the residents and the employees are happy. Some of my responsibilities include making sure residents get their monthly spending money, processing payroll, daily insurance verifications, and so much more. 

Circle of Care is “HOME” for our residents, and I try to be the friendly, likable, funny, helpful “neighbor” they deserve to have. Many residents do not have family that keeps in touch, so we all try to make conversation, crack jokes, and be a listening ear. After all, we are “family.”

I highly praise the employees of Circle of Care and the dedication and time they give to the residents. Since being under new ownership and newer administration, we have made improvements by leaps and bounds. I have been here for three years now and feel more at ‘home’ now than ever. Our owner and administrator genuinely care about the Circle of Care team and the residents.

No one ever ‘wants’ to have to go into a nursing home, but I recommend Circle of Care if and when that time comes. Whether for short-term rehab therapy or for a more permanent longer stay, I hope you consider joining our family at Circle of Care!

Jamie Smith,
Business Office Manager
Salem Circle of Care

Social Care at Circle of Care

Social services play a critical role for many residents in long-term care facilities such as Circle of Care. The social worker’s role in a long-term care facility is to act as a liaison for the residents and their families with the facility, ensuring that the resident receives social support, emotional support, and a connection to the outside world.

At Circle of Care, our social worker helps create an individualized plan for each new resident that covers a path from admission to the time of discharge. Part of this plan includes communicating between the family and the facility any concerns, such as dietary, activities, rehabilitation, and any psychological help the resident may need. This individual routinely checks in with residents to make sure they are happy and comfortable during their stay at our facility. Concerns that they may find are addressed with both the resident’s family and the facility in a respectful and timely many.

In addition to identifying the psychosocial, mental, and emotional needs of a resident, our social workers can also assist with business office issues such as insurance processes, including transitioning to Medicaid or helping residents switch to a different insurance.

When making tough decisions, the social worker is happy to walk the family through any process, including discharges home or to other facilities or transitioning to end-of-life care such as hospice services. Our social worker works with other agencies in the community, such as local hospice services, home health agencies, hospitals, and other facilities in the area, to ensure that our residents receive the best care possible before, during, and after their stay at the facility.

For more information about social work in the state of Ohio, please visit the official website for the Ohio Association of Social Workers. If you are looking for a career in social work at our facility, please visit our employment page to apply.

Top Notch Facility Care at Circle of Care

Our resident’s safety and comfort are a top priority here at Circle of Care. Let’s face it, this year has been met with the most stressful safety concerns ever witnessed, and our priority is to keep our residents and staff as safe as possible. We have many safety measures in place, including installing a new safety device is called RZERO Arc. The R-Zero uses UV-C lighting to kill more than 99.99% of pathogens, including COVID-19. It is more effective than manual disinfection, which has proven to miss 50% of surfaces. The Arc unit is superior compared to similar UV-C devices as it kills 109% more germ-killing light. This device is easy to move and navigate through the facility; it’s easier to operate than your microwave with just four buttons. 

Another product acquired by our facility this year is called REME-HALO, I encourage anyone to look up additional information on the specific harmful bacteria it destroys; here is the link for additional information . The award-winning REME HALO air purifier is the next generation of indoor air quality (IAQ) technology and capable of purifying every cubic inch of air that your central air conditioning system reaches. Designed to eliminate sick building syndrome risks by reducing odors and air pollutants, the REME HALO home in-duct air purifier is the best solution for whole building air purification. We Have 8 REME-HALOS strategically placed throughout our building. Invented to recreate nature’s process of purifying the air, it’s like bringing fresh outdoor air inside without ever having to open your windows. The REME-HALO is proactive and sends ionized oxidizers into the room to destroy the pollutants at the source before they can reach residents, staff, and visitors. 

We had our annual fire inspection earlier this month, and I am incredibly proud to report that there were zero violations. We do provide monthly fire drills on all varying shifts to inform staff on protocols and to ensure all staff is informed and prepared in the event of a fire. I’m also certified in Life Safety to assist in the building’s safety in its entirety, including daily rounds of maintenance and upkeep of the generator, sprinkler system, electrical system, and availability to issues or concerns that the staff reports to me daily. 

Michael Faudree 
Maintenance Director 
Circle of Care 

Looking for more information about Our Facility? Contact Us today to schedule a walk-through or make inquiries. Interested in working for us? Apply now on our Careers Page.

Respiratory Therapy at Circle of Care

Circle of Care in Salem, Ohio offers 24-hour on-site respiratory therapists and 15 private rooms for ventilator/tracheostomy & pulmonary rehab. We’ve put together this article to share what makes Circle of Care unique and how we provide high-quality care for residents facing cardiovascular challenges.

History of Respiratory Therapy

Respiratory therapy has roots going back to 1943 when Dr. Edwin R. Levine established a primitive inhalation therapy program to manage post-surgical patients at Reese Hospital in Chicago, which turned into the Inhalation Therapy Association, or the ITA. 

In 1986, the AARC (American Association for Respiratory Care) and the NBRC (National Board for Respiratory Care) were born, and we have our first modern licensure law governing the profession. Since its inception, respiratory care professionals have played a vital role in acute care and long-term care settings, providing excellent respiratory care practice backed by science. 

Salem, Ohio Respiratory Therapy and Ventilator Care

We here at the Circle of Care strive to deliver that same high level of care to all of our residents facing cardiovascular challenges. All of our Respiratory Therapists were trained at two or four-year colleges and are here to work with our Board-Certified Pulmonologist, Dr. Guy Blaser, to care for all of our residents with lung disorders and conditions. 

Our Respiratory Therapists are trained to aid physicians in evaluating, diagnosing, and caring for residents with cardiopulmonary problems. Circle of Care’s Respiratory Therapy and ventilator program is designed to give our residents the best possible quality of life. 

Why Choose Circle of Care for Respiratory Care?

We have a Respiratory Therapist in our facility 24 hours a day, 365 days a year! We have a combined 100 plus years of experience on our staff, with many of our Respiratory Therapists having backgrounds in both acute care and long-term care. We take great pride in providing any and all care to your loved ones in any situation they may be going through. You can rest assured your loved ones will be given top-of-the-line care if and when you choose us as your long-term care facility!!

To learn more about our rehabilitation services, visit our rehabilitation page, or contact us today for more information! 

Infection Control Practices

At the Circle of Care, our nursing Department is united in caring, courage, and compassion. Our team has gone above and beyond in helping our residents remain safe from the COVID-19 pandemic, and we are proud to announce our third deficiency-free Focused Infection Control Survey

Our nursing department works closely with our therapy department, respiratory therapists, dialysis nurses, and technicians to ensure optimal care for your loved ones. We believe in a holistic nursing approach and go the extra mile to engage our residents in their personal treatment plans to include their preferences for everyday living activities. We participate in the PAL Card Quality Improvement Project as a way of honoring our residents’ individual preferences and recognizing them each individually.

As part of our 2021 innovation plans, we haved added UV-C hospital grade disinfection to our facility in order to bolster our improved infection control practices at our skilled nursing home facility. 

We asked our Infection Preventionist, Debbie Pierce, to shed a little more light on what infection control has looked like in the past 12 months for Salem Circle of Care.

“My duties as an Infection Preventionist were never more important as they had been for the past year with the COVID-19 pandemic. It has been a daily task keeping up with and following CMS, CDC, and ODH guidelines which are ever-changing. We were the first CVS COVID-19 vaccination clinic in the area. Our residents and staff were vaccinated on-site receiving the two-dose Pfizer vaccination in three separate clinics finishing February 1, 2021. 

The daily diligence of staff for well over a year has kept our COVID cases at a minimum. This has been a trying time for our residents, families, and employees while measures were put in place to keep everyone safe throughout the pandemic. Our facility has maintained daily screening of staff and visitors upon entry for COVID-19 signs and symptoms and residents monitored daily by nursing.  

We continue state-supported COVID-19 testing for all employees and residents as ordered. This year has required alternative ways to allow residents to keep in touch with their loved ones, to socialize, and participate in activities with staff and co-residents. Our facility has put several methods in place to keep the environment safe: a Lumin UV sanitizer unit, a UV system installed through the facility’s HVAC system, and an R-Zero Arc UV-C mobile disinfection system that destroys 99.99% of pathogens.”

This past year, we have had three deficiency free Focused Infection Control Surveys from the Ohio Department of Health. Our residents and their safety will continue to remain our number one priority.”

  • Debbie Pierce LPN, Infection Preventionist, Director of Quality Improvement

100% Deficiency Free Infection Control Survey

Salem Circle of Care Scored 100% Deficiency Free on COVID-19 Focus Survey

Updated March 16, 2021

We’re excited to announce our third consecutive COVID-19 Focus Survey results from the Ohio Department of Health back deficiency-free! We’re proud of our team for all of their hard work keeping our residents safe!

The Ohio Department of Health (ODH) has completed three COVID-19 Focused Infection Control Survey to determine if our facility was in compliance with Federal requirements related to implementing proper infection prevention and control practices to prevent the development and transmission of COVID-19. The Survey found that our facility was in compliance with the requirements and no deficiencies were cited!

Congratulations to our team for all of their hard work!

“Congratulations to our staff at Circle of Care in securing a deficiency-free focused survey! As the Infection Preventionist, I see how our day to day infection control practices have kept our residents and fellow staff members safe. I am proud of our team and this monumental accomplishment”

Deb, Infection Control Nurse

PPE Equipment at Salem Circle of Care

“Our team is committed to giving first-rate care to all our residents at a holistic level. I want to thank each and every member of my team for their caring, hard work, and dedication. We couldn’t do it without all of you!”

– Jeanna, Director of Nursing

About Circle of Care Salem Healthcare & Rehabilitation

Circle of Care is a 62 Bed Skilled Nursing Facility located in Columbiana County featuring state of the art rehabilitation care, long-term care, and options for hospice care. We are located directly across from Salem Regional Medical Center, which allows for easy access if there is ever an emergency. Circle of Care has experienced staff with a strong focus on quality care. We offer a full calendar of life-enriching services and activities.

Our COVID-19 Policies

Circle of Care Skilled Nursing Facility is staying proactive in the wake of the COVID-19 pandemic. We are making efforts to prevent the virus from entering our facility due to the impact it would have on our residents. To learn more about our policies and procedures, visit our COVID-19 Facility Guide.

Long Term Skilled Nursing Facility to begin using UV-C Disinfection Technology

In the wake of the COVID-19 Pandemic, skilled nursing facilities across the country have been hard at work implementing innovative new ways to help keep their residents safer from infectious diseases. As part of bolstering their cleaning procedures and upgrading their facility to promote safety, Circle of Care Skilled Nursing Facility in Salem, OH, has purchased a new Hospital Grade UV disinfection system from R-Zero.

UV-C is a special wavelength of ultraviolet light that destroys or inactivates bacteria, viruses, fungi, and mold without harsh chemicals. UV-C disinfection has been used in waste processing facilities and air conditioner units for decades and has become the gold standard to disinfect hospitals in recent years. R-Zero is a biosafety company working to make the same UV-C disinfection technology used by hospitals, accessible to smaller healthcare units such as Skilled Nursing Facilities. The R-Zero Arc is a mobile hospital-grade UV unit that can be easily moved around the facility to kill airborne and surface pathogens. Arc is proven to destroy 99.99% of pathogens (including those that cause Human Coronavirus) in just 7 minutes.

Circle of Care Skilled Nursing is proud to begin implementing this new advanced infection prevention measure in 2021 as part of many innovations to promote their long-term care residents’ health and safety.

For more information on R-Zero and their UV-C technology, please visit

Activities at Circle of Care During the COVID-19 Pandemic

This past year with COVID has drastically impacted the way the department ran in the past. All guidelines and infection control precautions need to be considered, examined, and implemented when selecting activities. The restrictions have led to our team stretching our creativity to run resident-favorite programs and holiday activities. 

Hallway activities have become routine and are always a huge hit. Our facility had a St. Patrick’s Day hallway party- staff dressed in green & costumes and went floor to floor delivering goodies and playing Irish music. The Easter Bunny made an appearance on Easter delivering each resident their basket. 

Because our facility could not host our annual community trick-or-treat, staff dressed up in costumes, and we did a reverse trick-or-treat, which was a huge hit. We will not let COVID get in the way of fun for our residents!

Senior Living and Community Involvement

Maintaining contact and interaction with the community is an essential aspect of a person’s well-being and facilitates feelings of connectedness and self-esteem. Our residents are transported via our facility bus to local shopping stores, county fairs, and places such as White House Fruit Farms. At this time, our residents have not been able to attend community events due to the pandemic. However, many local organizations have adapted, such as our local library that delivers books for our residents to enjoy. At Christmas time, our local 4H community brought handmade Christmas cards for our residents to enjoy.

How has COVID-19 Impacted Family Visitation Activities?

On March 15, 2020, all visitations from outside of the facility were put on hold, meaning families, entertainers, and non-employees were not permitted to enter the building. When outdoor visits were permitted in July, we did a total of 192 outdoor visits. The activities team has innovated by adapting alternative communication to our facility with video calls and window visits. 

*Appointments are required for all of these* currently, we can only offer video calls due to COVID restrictions. 

To keep up with activities at Salem Circle of Care, follow us on our Facebook page for photos!