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Independent Living in Warren

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Shepherd of the Valley – Howland

Independent Living in Warren

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Shepherd of the Valley – Howland

4100 N River Rd NE, Warren, OH 44484 View map
Overview of Shepherd of the Valley – Howland

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.

(330) 856-9232

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5
Ohio average: 3.4/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Ohio average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Ohio average: 2.9/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Ohio average: 4.4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 20m per day

This home provides 13% more nursing time per resident than the Ohio average.

Ohio average: 3h 50m per day

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.

Lower demand than the Ohio average
Occupancy rate 63.6%
Residents per day (avg) 47
Occupancy rate
63.6%
Residents per day (avg)
47

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

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 community
Operated by a church.
Home revenue
$8.8M
Surplus of revenue
$706.7K
Voluntary non-profit community Operated by a church.
Home revenue
$8,812,116.00
Surplus of revenue
$706,681.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
36.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
Total costs $8.1M
Bed community size
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 19 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

About this community

License Details

Facility TypeResidential Care Facility
StatusActive
CountyTRUMBULL

Additional Licensing Details

CMS Certification Number366258

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of NursingLINDA PENNY
ContactMr. Rich Limongi, Executive Director

Contact Information

Fax(330) 856-2571

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 80

Building type icon
Building type icon

Building Type: 3-story

Types of Care at Shepherd of the Valley – Howland

Nursing Home
Contact Shepherd of the Valley – Howland

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Payment & Funding Options

Methods of Payment other than Private: Medicaid Assisted Living Waiver for Services

Performance summary

Key indicators of commitment to quality care and safety.

Scores

Resident Satisfaction Score
86.46

Based on survey responses.

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

Health Inspection History

Inspections
Total health inspections 4

Ohio average 6.7


Last Health inspection on Jun 2025

Total health citations 12

Ohio average 30.9

Citations per inspection
3

Ohio average 4.59


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 More info 0
100% better than Ohio average

Ohio average: 0.3


Serious Health citations More info 0
100% better than Ohio average

Ohio average: 0.9

0 critical citations More info Ohio average: 0.3

0 serious citations More info Ohio average: 0.9

12 moderate citations More info Ohio average: 29

0 minor citations More info Ohio average: 0.7
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 05, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 05, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 05, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Jun 05, 2025
Corrected

Compare Independent Living around Warren The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

Filter by care type
Shepherd of the Valley – Howland
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Warren
65
No
19
A+
86
Clearview Lantern Suites
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Warren
63
Yes
22
A+
81

Places of interest near Shepherd of the Valley – Howland

Address 4.8 miles from city center

Address 4100 N River Rd NE, Warren, OH 44484

Calculate Travel Distance to Shepherd of the Valley – Howland

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 102
Employees 70
Contractors 32
Staff to resident ratio 2.27:1
6% better than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 36
Average shift 7.4 hours
9% worse than Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 24,352
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

10.7%

2,617 contractor hours this quarter

Licensed Practical Nurse: 7 Speech Language Pathologist: 7 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Registered Nurse: 2 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant290299,00891100%7.6
Licensed Practical Nurse167235,12491100%8.5
Registered Nurse102123,21691100%8.4
Other Dietary Services Staff4041,35491100%7.9
RN Director of Nursing3031,0526571%8
Physical Therapy Aide0449517077%6.6
Speech Language Pathologist0775987886%5.8
Nurse Practitioner1014966268%8
Dietitian1014766066%7.9
Administrator1014565763%8
Qualified Social Worker0333966470%6
Respiratory Therapy Technician0333946369%6.1
Mental Health Service Worker1013604549%8
Clinical Nurse Specialist3032142629%7.6
Physical Therapy Assistant0441776268%2.4
Occupational Therapy Aide101515965%0.9
Occupational Therapy Assistant0111733%5.8
Medical Director011131314%1
29 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
3 RN Director of Nursing
% of Days 71%
4 Physical Therapy Aide
% of Days 77%
7 Speech Language Pathologist
% of Days 86%
1 Nurse Practitioner
% of Days 68%
1 Dietitian
% of Days 66%
1 Administrator
% of Days 63%
3 Qualified Social Worker
% of Days 70%
3 Respiratory Therapy Technician
% of Days 69%
1 Mental Health Service Worker
% of Days 49%
3 Clinical Nurse Specialist
% of Days 29%
4 Physical Therapy Assistant
% of Days 68%
1 Occupational Therapy Aide
% of Days 65%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 14%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
45 residents
Residents by payment source
Medicare
19 residents (42.2%)
Medicaid
13 residents (28.9%)
Private pay or other
13 residents (28.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info 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 average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.0
73% worse than Ohio average

Ohio average: 12.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.4%
125% worse than Ohio average

Ohio average: 6.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.5%
30% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.9%
44% worse than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.5%
35% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
351% worse than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
31% better than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.9%
96% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.6%
81% better than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
8% better than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.1%
In line with Ohio average

Ohio average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.9%
28% better than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
25% better than Ohio average

Ohio average: 75.6%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Ohio Seniors

Get financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Administered through regional agencies; waitlists possible.

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+, Ohio resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; regional variation.

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.

~$2,829/month (individual); QIT required.

$2,000 (individual), $3,000 (couple).

Covers ~300 facilities; room/board not included (separate cost).

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled, OH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized, OH resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

12 AAAs; rural/low-income priority; volunteer respite option.

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

Age 55+, unemployed, low-income, OH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand; supports care in multiple settings.

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled), OH resident, homeowner, low-income.

~$38,500/year (individual, adjusted annually).

Not assessed; home ownership required.

Reduces taxable value by $25,000; applies to primary residence.

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.

~$147,600/year (family of 4, 150% AMI; varies by county).

Not assessed; hardship-focused.

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.