Shepherd of the Valley – Howland
Shepherd of the Valley – Howland is an Independent Living Home in Ohio
Shepherd of the Valley… is an Independent Living Home in Ohio
Shepherd of the Valley – Howland
Shepherd of the Valley – Howland is an Independent Living Home in Ohio
Shepherd of the Valley… is an Independent Living Home in Ohio
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.
Home Information
SHEPHERD OF THE VALLEY HOWLAND
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Occupancy trails most facilities in the state, suggesting excess open capacity. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue sits below most peers, indicating modest billing throughput. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights hover around the statewide average, supporting a diversified mix.
OccupancyBeds
35
Occupancy
66.8%
Total Bed Days Available
29200
Avg. Length of Stay
57 days
Avg. Residents per Day
47
FinanceHome Revenue
$5,553,694.00
Payroll Costs
$2,738,032.00
Profit
$417,650.00
Total Home Costs
$5,435,395.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
49.3%
House Specifics:CCN
366258
Owner Name
SALVINO, TAMARA
Rural vs. Urban
Urban
County
Trumbull
Type of Control
Governmental — City
OperationsTotal Admissions
263
Total Discharges
245
% Medicaid Admissions
0%
% Medicare Admissions
44%
% Private Pay Admissions
56%
% Medicaid Discharges
1%
% Medicare Discharges
33%
% Private Pay Discharges
66%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
4 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
4 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
4 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
4 / 5
Nurse Hours / Resident / Day
Total nurse staffing hours per resident per day.
Total nurse staffing hours per resident per day.
4.34 hrs
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
884
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
2579
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
10600
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
18+ 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
Accept Medicaid
Total Residents
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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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 Social Services (for ALFs) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Latest inspection
Date:July 24, 2025
Inspection oversight
Immediate jeopardy identified:No
Substandard quality of care cited:No
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
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Comparison Chart
Compare Independent Living around Warren
Shepherd of the Valley – Howland
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
Warren
80
No
A+
19
SALVINO, TAMARA
66.8%
$5,553,694.00
$2,738,032.00
49.3%
47.00
4/5
4.3352
4/5
4/5
4/5
Clearview Lantern Suites
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
Warren
63
Yes
A+
22
-
-
-
-
-
-
-
-
-
-
-
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 |
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for Ohio Seniors
Program
State Program Name
Eligibility
Benefits
PASSPORT Waiver
Ohio Medicaid PASSPORT
- General: Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- OH Specifics: Administered through regional agencies; waitlists possible.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).
Ohio Home Care Program (non-Medicaid)
OH HCP
- General: Age 60+, Ohio resident, at risk of decline.
- Income Limits: ~$2,000/month (individual, varies).
- Asset Limits: $5,000 (individual).
- OH Specifics: Limited funding; regional variation.
- Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Assisted Living Waiver (ALW)
Ohio Assisted Living Waiver
- General: Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
- Income Limits (2025): ~$2,829/month (individual); QIT required.
- Asset Limits: $2,000 (individual), $3,000 (couple).
- OH Specifics: Covers ~300 facilities; room/board not included (separate cost).
- Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).
Program of All-Inclusive Care for the Elderly (PACE)
Ohio PACE (e.g., McGregor PACE)
- General: Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
- Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
- Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
- OH Specifics: Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.
Medicare Savings Program (MSP)
Ohio Medicare Savings Program
- General: Age 65+ or disabled, OH resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- OH Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Home Energy Assistance Program (HEAP)
Ohio HEAP
- General: Age 60+ prioritized, OH resident, low-income household.
- Income Limits (2025): ~$3,970/month (individual, 185% FPL).
- Asset Limits: Not assessed; income-focused.
- OH Specifics: Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
Ohio Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
- Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits: Not assessed; need-based.
- OH Specifics: 12 AAAs; rural/low-income priority; volunteer respite option.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
Ohio SCSEP
- General: Age 55+, unemployed, low-income, OH resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- OH Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Ohio VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- OH Specifics: High veteran demand; supports care in multiple settings.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Homestead Exemption
Ohio Homestead Exemption
- General: Age 65+ (or disabled), OH resident, homeowner, low-income.
- Income Limits (2025): ~$38,500/year (individual, adjusted annually).
- Asset Limits: Not assessed; home ownership required.
- OH Specifics: Reduces taxable value by $25,000; applies to primary residence.
- Services: Tax reduction (~$400-$800/year avg., varies by county).
Save the Dream Ohio (Homeowner Assistance Fund)
Ohio Save the Dream
- General: Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
- Income Limits (2025): ~$147,600/year (family of 4, 150% AMI; varies by county).
- Asset Limits: Not assessed; hardship-focused.
- OH Specifics: Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.
- Services: Mortgage aid ($25,000 max), utility/property tax aid ($5,000 avg.).
Claim What’s Yours Financial Aid for Ohio Seniors
Ohio Medicaid PASSPORT
PASSPORT Waiver
Requirements:
- General:Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- OH Specifics:Administered through regional agencies; waitlists possible.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).
OH HCP
Ohio Home Care Program (non-Medicaid)
Requirements:
- General:Age 60+, Ohio resident, at risk of decline.
- Income Limits:~$2,000/month (individual, varies).
- Asset Limits:$5,000 (individual).
- OH Specifics:Limited funding; regional variation.
Benefits without Contact:
- Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Ohio Assisted Living Waiver
Assisted Living Waiver (ALW)
Requirements:
- General:Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
- Income Limits (2025):~$2,829/month (individual); QIT required.
- Asset Limits:$2,000 (individual), $3,000 (couple).
- OH Specifics:Covers ~300 facilities; room/board not included (separate cost).
Benefits without Contact:
- Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).
Ohio PACE (e.g., McGregor PACE)
Program of All-Inclusive Care for the Elderly (PACE)
Requirements:
- General:Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
- Income Limits (2025):~$2,829/month (Medicaid-eligible); private pay option available.
- Asset Limits:$2,000 (individual), $3,000 (couple) for Medicaid enrollees.
- OH Specifics:Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.
Ohio Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, OH resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- OH Specifics:Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Ohio HEAP
Home Energy Assistance Program (HEAP)
Requirements:
- General:Age 60+ prioritized, OH resident, low-income household.
- Income Limits (2025):~$3,970/month (individual, 185% FPL).
- Asset Limits:Not assessed; income-focused.
- OH Specifics:Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Ohio Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
- Income Limits (2025):Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits:Not assessed; need-based.
- OH Specifics:12 AAAs; rural/low-income priority; volunteer respite option.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Ohio SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, OH resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- OH Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Ohio VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- OH Specifics:High veteran demand; supports care in multiple settings.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Ohio Homestead Exemption
Homestead Exemption
Requirements:
- General:Age 65+ (or disabled), OH resident, homeowner, low-income.
- Income Limits (2025):~$38,500/year (individual, adjusted annually).
- Asset Limits:Not assessed; home ownership required.
- OH Specifics:Reduces taxable value by $25,000; applies to primary residence.
Benefits without Contact:
- Services: Tax reduction (~$400-$800/year avg., varies by county).
Ohio Save the Dream
Save the Dream Ohio (Homeowner Assistance Fund)
Requirements:
- General:Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
- Income Limits (2025):~$147,600/year (family of 4, 150% AMI; varies by county).
- Asset Limits:Not assessed; hardship-focused.
- OH Specifics:Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.
Benefits without Contact:
- Services: Mortgage aid ($25,000 max), utility/property tax aid ($5,000 avg.).
Contact Us
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