Ohio › Trumbull County › Howland
Shepherd of the Valley Howland
4100 North River Road, Howland, OH 44484
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 65 beds, Shepherd of the Valley Howland serves Howland in Trumbull County, Ohio and has taken Medicare and Medicaid residents since 2003.
CMS gives it 4 of 5 stars overall, above the Ohio median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (4, 1, 6 by cycle, most recent first), none at the actual-harm level. That is 16.9 per 100 beds, fewer than the state median of 33.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (0.9 RN), close to the Ohio median of 3.6; nursing staff turnover is 32.1%.
Compared with county, state and nation
| Measure | This facility | Trumbull Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 21 | 27 | 28.7 |
| Citations per 100 beds | 16.9 | 25.0 | 33.3 | 26.8 |
| Total nurse hours per resident day | 4.3 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 32.1% | 48.4% | 48.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 19 Jan 2023.
Severity mix: D ×10 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0578 | 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. | D | Standard survey | 1 Jul 2025 |
| 5 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jul 2025 |
| 5 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Jul 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Jul 2025 |
| 19 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Feb 2023 |
| 2 Jan 2020 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Feb 2020 |
| 2 Jan 2020 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 20 Feb 2020 |
| 2 Jan 2020 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 Feb 2020 |
| 2 Jan 2020 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Feb 2020 |
| 2 Jan 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Feb 2020 |
| 2 Jan 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Feb 2020 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 32.1%, RNs 27.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Shepherd Of The Valley Lutheran Retirement Services, Inc..
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Trumbull County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Addison Healthcare Center | Masury | 55 | 5 | 4 | 3 | 13 | 23.6 | — | 19 Mar 2026 |
| Cortland Center | Cortland | 68 | 5 | 4 | 2 | 12 | 17.6 | — | 29 Jan 2026 |
| Ohio Living Lake Vista | Cortland | 39 | 5 | 5 | 5 | 6 | 15.4 | — | 27 Jan 2026 |
| Gillette Nursing Home | Warren | 99 | 4 | 5 | 1 | 15 | 15.2 | — | 31 Jul 2025 |
| Autumn Hills Care Center | Niles | 120 | 3 | 3 | 1 | 41 | 34.2 | — | 2 Mar 2026 |
| Laurie Ann Nursing Home | Newton Falls | 60 | 3 | 3 | 3 | 15 | 25.0 | — | 18 Jun 2025 |
| Meadowbrook Manor | Fowler | 54 | 3 | 3 | 1 | 22 | 40.7 | $25K | 28 Apr 2026 |
| O'Brien Memorial Health Care C | Masury | 87 | 3 | 3 | 3 | 23 | 26.4 | $69K | 2 Jun 2026 |
All 17 facilities in Trumbull County
Questions and answers
How many deficiencies has Shepherd of the Valley Howland been cited for?
11 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Shepherd of the Valley Howland been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Shepherd of the Valley Howland compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Shepherd of the Valley Howland?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Shepherd of the Valley Howland last inspected?
The most recent survey or investigation in the CMS record is dated 5 Jun 2025; the most recent standard health survey was 5 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.