Total health inspections
4
Ohio average 6.7
Last Health inspection on Jun 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Shepherd of the Valley – Howland
Independent Living Home
Shepherd of the Valley – Howland
Independent Living Home
Live a vibrant retirement experience with Shepherd of the Valley – Howland a renowned senior care provider in Youngstown, Ohio, offering skilled nursing, short-term rehabilitation, and long-term care. With physical, occupational and speech therapy tailored specifically to residents’ needs, the community ensures individuals needing recovery assistance are able to get back to their routines as quickly as possible. The community provides beautifully maintained accommodations to give residents a peaceful and neat living environment that fosters comfort and healing.
Apart from compassionate care services, residents are also offered daily opportunities for recreation, entertainment, and socialization through a wide variety of activities, programs, and events. Nutrients-packed meals that are both tasty and healthy are served daily to provide residents the energy they need to stay healthy. The community also handles residents’ tedious tasks to give residents more time to spend with their loved ones or on things they love.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
35
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
63.6%
Residents per day (avg)
47
Occupancy rate
63.6%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
60% of new residents, often for short stays.
Typical stay
1 - 2 months
Finances and operations
Voluntary non-profit home
Church
Home revenue
$8.8M
Surplus of revenue
$706.7K
Voluntary non-profit home
Church
Home revenue
$8,812,116.00
Surplus of revenue
$706,681.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.1M
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 19 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
License Status
ActiveFacility Type
RESIDENTIAL CARE FACILITY
Additional licensing details
CMS Certification Number:
366258
County:
TRUMBULL
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
LINDA PENNY
Contact:
Mr. Rich Limongi, Executive Director
Contact Information
Email:
[email protected]
Fax:
(330) 856-2571
What does this home offer?
Accept Medicaid: Yes
Total Residents: 80
Building Type: 3-story
Types of Care at Shepherd of the Valley – Howland
Nursing Home
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Inspection History
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
Latest inspection
Date:July 24, 2025
Inspection oversight
Immediate jeopardy identified:No
Substandard quality of care cited:No
Resident satisfaction survey results
Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.
Average score
86 / 100
Ohio average: 86 / 100
2022 – 2023 Period
Care and services
88 / 100
Ohio average: 89 / 100
Environment
98 / 100
Ohio average: 95 / 100
Moving in
78 / 100
Ohio average: 82 / 100
Facility culture
89 / 100
Ohio average: 86 / 100
Caregivers
86 / 100
Ohio average: 89 / 100
Spending time
75 / 100
Ohio average: 80 / 100
Meals and dining
87 / 100
Ohio average: 81 / 100
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility24/100
Ohio average46/100
Did (Do) you know who to speak to about your therapy progress?
This facility75/100
Ohio average85/100
Did (Does) the therapy help you meet your goals?
This facility80/100
Ohio average88/100
Did (Do) the therapists help you set goals?
This facility83/100
Ohio average89/100
Can you decide how to spend your day?
This facility100/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Can you enjoy the outdoors if you want to?
This facility95/100
Ohio average91/100
Do you feel you have enough privacy?
This facility95/100
Ohio average95/100
Are you able to get around the building if you want to?
This facility95/100
Ohio average95/100
Do you feel safe here?
This facility100/100
Ohio average98/100
Can you find a place to be alone if you want to be alone?
This facility100/100
Ohio average96/100
Is it easy for you to get around in your room (or apartment)?
This facility100/100
Ohio average96/100
Is it very clean here?
This facility100/100
Ohio average96/100
Are your personal items safe here?
This facility100/100
Ohio average92/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Did you receive a thorough orientation to SHEPHERD OF THE VALLEY
This facility—/100
Ohio average—/100
HOWLAND?
This facility75/100
Ohio average70/100
Were you given enough information to learn how things work here?
This facility75/100
Ohio average82/100
Did you feel warmly welcomed as a new resident?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do the people who work here tell you when rules, policies, and procedures change?
This facility75/100
Ohio average78/100
Are you as involved in decisions about your care as you want to be?
This facility82/100
Ohio average85/100
Are you friends with anyone who lives here?
This facility82/100
Ohio average81/100
Are you encouraged to speak up about things you don’t like here?
This facility85/100
Ohio average81/100
Overall, are you satisfied with the care you receive here?
This facility90/100
Ohio average94/100
Do the people who work here seem happy to work here?
This facility90/100
Ohio average92/100
Would you highly recommend SHEPHERD OF THE VALLEY
This facility—/100
Ohio average—/100
HOWLAND to someone who needs this type of care?
This facility90/100
Ohio average89/100
Do the people who work here go above and beyond to give you a good life?
This facility95/100
Ohio average87/100
Are your concerns taken care of in a timely way?
This facility100/100
Ohio average86/100
Do the people who work here help you with technology, if needed?
This facility100/100
Ohio average89/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do the people who work here ever get angry at you?
This facility77/100
Ohio average88/100
Do the people who care for you explain your care and services to you?
This facility77/100
Ohio average85/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility80/100
Ohio average90/100
Do the people who work here do everything they can to protect you from getting sick?
This facility81/100
Ohio average94/100
Do the people who work here check on you often enough to see if you need anything?
This facility82/100
Ohio average81/100
Do the people who work here do things the way you want them done?
This facility90/100
Ohio average88/100
Do the same people take care of you most of the time?
This facility91/100
Ohio average84/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility95/100
Ohio average96/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility95/100
Ohio average95/100
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility95/100
Ohio average85/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility95/100
Ohio average92/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are you as connected to the community as you want to be?
This facility48/100
Ohio average71/100
Are there enjoyable things to do on the weekends, if you want?
This facility55/100
Ohio average63/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility68/100
Ohio average83/100
Do you have enough opportunities to go on outings and special events?
This facility68/100
Ohio average73/100
Do you usually enjoy how you spend your time?
This facility76/100
Ohio average87/100
Do you have something to look forward to most days?
This facility77/100
Ohio average77/100
Do you feel included in life here?
This facility90/100
Ohio average89/100
Do you like the activities here?
This facility90/100
Ohio average83/100
Are you able to do the activities offered here, if you want?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do you have input on the food that is served?
This facility77/100
Ohio average68/100
Do you look forward to mealtimes?
This facility82/100
Ohio average80/100
Do you get enough fresh food options here?
This facility86/100
Ohio average81/100
Does the menu change often enough?
This facility86/100
Ohio average77/100
Do you like the food here?
This facility90/100
Ohio average81/100
Do you get enough to eat here?
This facility100/100
Ohio average95/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Compare Independent Living around Warren
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Shepherd of the Valley – Howland
+28%
+22%
-19%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Warren
65
No
A+
19
SALVINO, TAMARA
63.6%
$8,160,860.00
$3,193,484.00
39.1%
47.00
4.3352
12
+28%+22%-19%
Clearview Lantern Suites
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Warren
63
Yes
A+
22
-
-
-
-
-
-
-
-
-
-
Shepherd of the Valley – Howland
Type of care:
AL
IL
MC
SNF
Community:
Warren
Bed Count:
65
Pets Allowed:
No
Operator:
SALVINO, TAMARA
CCN:
366258
Occupancy:
63.6%
Home Revenue:
$8,160,860.00
Payroll Costs:
$3,193,484.00
Payroll %:
39.1%
Avg Residents/Day:
47.00
Overall Rating:
Adj Nurse Hours:
4.3352
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+28%
+28%
Staffing vs State Avg:
+22%
+22%
Occupancy vs State Avg:
-19%
-19%Places of interest near Shepherd of the Valley – Howland
4.8 miles from city center
4100 N River Rd NE, Warren, OH 44484
Calculate Travel Distance to Shepherd of the Valley – Howland
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
102
Total Staff
70
Employees
32
Contractors
24,352
Total Hours (Quarter)
36
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 8.4 | Yes |
| Licensed Practical Nurse | 23 | 8.5 | Yes |
| Certified Nursing Assistant | 29 | 7.6 | No |
Staff by Category
Administration ⓘ
2 staff
6.7hs shift avg
Nursing Staff ⓘ
67 staff
8hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.9hs shift avg
Therapy Services ⓘ
20 staff
4.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
6hs shift avg
Dietary Services ⓘ
5 staff
7.9hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
10.7%
of total hours from contractors
2,617 contractor hours this quarter
Registered Nurse: 2
Licensed Practical Nurse: 7
Physical Therapy Aide: 4
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Speech Language Pathologist: 7
Physical Therapy Assistant: 4
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 29 | 0 | 29 | 9,008 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 16 | 7 | 23 | 5,124 | 91 | 100% | 8.5 |
| Registered Nurse | 10 | 2 | 12 | 3,216 | 91 | 100% | 8.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,354 | 91 | 100% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 1,052 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 951 | 70 | 77% | 6.6 |
| Speech Language Pathologist | 0 | 7 | 7 | 598 | 78 | 86% | 5.8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 476 | 60 | 66% | 7.9 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 396 | 64 | 70% | 6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 394 | 63 | 69% | 6.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 214 | 26 | 29% | 7.6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 177 | 62 | 68% | 2.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 51 | 59 | 65% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 3 | 3% | 5.8 |
| Medical Director | 0 | 1 | 1 | 13 | 13 | 14% | 1 |
Health Inspection History
Inspections
Total health citations
12
Citations per inspection
3
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Ohio averageOhio average: 0.3
Serious Health citations
0
0
100% better than Ohio averageOhio average: 0.9
0 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Jun 05, 2025
Corrected
Quality of Care moderate citation
Jun 05, 2025
Corrected
Quality of Care moderate citation
Jun 05, 2025
Corrected
Resident Rights moderate citation
Jun 05, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Shepherd of the Valley
Resident Census by Payment Source
45
Total Residents
Medicare
19
(42.2%)
ⓘ
Medicaid
13
(28.9%)
ⓘ
Private Pay/Other
13
(28.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
16% worse than Ohio averageOhio average: 5.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
73% worse than Ohio averageOhio average: 12.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
125% worse than Ohio averageOhio average: 6.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.5%
30% worse than Ohio averageOhio average: 22.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
44% worse than Ohio averageOhio average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
35% better than Ohio averageOhio average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.5%
Percent of long-stay residents with a urinary tract infection
2.5%
351% worse than Ohio averageOhio average: 0.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
31% better than Ohio averageOhio average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
Percent of long-stay residents who have depressive symptoms
0.9%
96% better than Ohio averageOhio average: 24.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.6%
Percent of long-stay residents who received an antipsychotic medication
1.6%
81% better than Ohio averageOhio average: 8.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than Ohio averageOhio average: 92.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Ohio averageOhio average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
28% better than Ohio averageOhio average: 78.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
25% better than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Shepherd of the Valley – Howland based on CMS SNF Cost Reports.
Occupancy Rate
63.6%
↑ 15.5pp vs 2022
Net Income
$706,681
↑ ~$289K vs 2022
Total Payroll
$4,452,939
↑ ~$801K vs 2022
Profit Margin
8.7%
↑ 1.1pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Ohio Seniors
Get financial aid guidanceContact Us
Who we are
Your Senior Care Partner, Every Step of the Way
We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.
Contact us Today
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Shepherd of the Valley – Howland
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
