Shepherd of the Valley Howland
4100 North River Road, Howland, OH 44484 · Trumbull County · (330) 856-9232
65 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366258 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 11 health citations since January 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.29 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.
32.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
June 5, 2025Standard inspection · 4 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, interview and review of the facility policy, the facility failed to ensure Resident #36's advance directives were accurate. This affected one (Resident #36) out of two residents reviewed for advance directives. The facility census was 44.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, interview and review of the facility policy, the facility failed to ensure Resident #27's bowel elimination was monitored effectively. This affected one (Resident #27) out of one resident reviewed for constipation. The facility census was 44.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to post oxygen safety signs per acceptable standards of nursing practice. This affected three (Residents #101, #103 and #105) out of three residents reviewed for respiratory care. There were eight (Residents #4, #5, #10, #13, #33, #101, #103 and #105) who received oxygen therapy. The facility census was 44.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to perform adequate infection control practices during urinary catheter care for Resident #3. This affected one (Resident #3) out of two residents reviewed for urinary catheter care. There were two (Residents #3 and #36) who had urinary catheters. The census was 44.
January 19, 2023Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items were dated when opened. This had the potential to affect the 52 residents who ate food from the kitchen. Resident #37 was identified by the facility as receiving nothing by mouth. The facility census was 53.
January 2, 2020Standard inspection · 6 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure Resident #40 received reading material as requested and was not given the opportunity to implement her normal bowel regimen. The facility failed to ensure Resident #256 received showers as preferred. This affected two of three residents reviewed for choices. The facility census was 55.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an injury of unknown origin to the State agency as required. This finding affected two (Residents #12 and #257) of five resident records reviewed for accidents. The facility census was 55.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review the facility failed to thoroughly investigate an injury of unknown origin for Resident #257. This affected one of two residents reviewed for IUO. The facility census was 55.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review and interview, the facility did not ensure Resident #252's wound care was completed as indicated in the physician orders. This finding affected one (Resident #252) of two residents reviewed for pressure ulcers. The facility census was 55.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure Resident's #40, #256 and #257 were transferred according to their care plans for optimal safety. This affected three of five residents revealed for accidents. The facility census was 55.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure proper justification for the continued use of Resident #256 indwelling urinary catheter. This affected one of one residents reviewed for indwelling catheters. The facility census was 55.
Fire safety inspections
7 fire safety citations on file: 1 on June 5, 2025, 4 on January 19, 2023, 2 on January 2, 2020.
Every fire safety citation7 citations
- E Install a fire alarm system that can be heard throughout the facility.
- F Install an approved automatic sprinkler system.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install properly constructed and protected linen or trash chutes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.29 | 3.69 | 3.86 |
| Registered nurses | 0.91 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.62 | 3.28 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 32.1% | 48.7% | 45.8% |
| Registered nurse turnover | 27.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.55 on weekdays and 3.62 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.47 in April to June 2025 to 4.29 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.29 | 0.91 | 4.55 | 3.62 | 0.4% | 0 of 90 | 52 |
| Oct to Dec 2025 | 4.30 | 0.81 | 4.51 | 3.73 | 1.9% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.13 | 0.88 | 4.38 | 3.50 | 1.3% | 0 of 92 | 49 |
| Apr to Jun 2025 | 4.47 | 0.92 | 4.78 | 3.68 | 0.4% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.7 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.7 | 12.9 | 12.0 |
Owners and operators
Legal business name: SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adamic, Paul | W-2 managing employee | Individual | 06/20/2022 | |
| Filip, Chrisitne | W-2 managing employee | Individual | 06/28/2013 | |
| Limongi, Richard | W-2 managing employee | Individual | 01/01/2015 | |
| Salvino, Tamara | W-2 managing employee | Individual | 11/18/1998 | |
| Deabate, Giuseppe | Corporate director | Individual | 01/01/2019 | |
| Earnheardt, Adam | Corporate director | Individual | 01/01/2020 | |
| Limongi, Richard | Corporate director | Individual | 01/01/2015 | |
| Quaintance, Robert | Corporate director | Individual | 01/01/2023 | |
| Salvino, Tamara | Corporate director | Individual | 11/18/1998 | |
| Thompson, Richard | Corporate director | Individual | 01/01/2019 | |
| Adamic, Paul | Corporate officer | Individual | 06/20/2022 | |
| Deabate, Giuseppe | Corporate officer | Individual | 01/01/2020 | |
| Earnheardt, Adam | Corporate officer | Individual | 01/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 5, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 2, 2020: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 5, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Warren Nursing & Rehab Warren, 1.1 mi · 1 of 5 stars · 61 citations
- Gillette Nursing Home Warren, 1.6 mi · 4 of 5 stars · 15 citations
- White Oak Manor Warren, 3.7 mi · 2 of 5 stars · 18 citations
- Washington Square Healthcare Center Warren, 3.8 mi · 2 of 5 stars · 61 citations
- Community Skilled Healthcare Warren, 4.1 mi · 1 of 5 stars · 68 citations
- Autumn Hills Care Center Niles, 4.7 mi · 3 of 5 stars · 41 citations
- Otterbein Cortland Cortland, 5 mi · 5 of 5 stars · 6 citations
- Cortland Center Cortland, 5.2 mi · 5 of 5 stars · 12 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Shepherd of the Valley Howland's Medicare star rating?
- CMS rates Shepherd of the Valley Howland 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shepherd of the Valley Howland get at its last inspection?
- 4 health deficiencies at the standard inspection on June 5, 2025. The Ohio average is 10.5.
- Has Shepherd of the Valley Howland been fined?
- CMS lists no fines in the last three years.
- Does Shepherd of the Valley Howland accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Shepherd of the Valley Howland?
- CMS lists 13 owners and managers. Legal business name: SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.