Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Quality ratings
Based on health inspections, staffing and quality measures.
Based on deficiencies found during state health inspections.
Based on nurse staffing hours per resident per day.
Based on clinical outcomes for residents.
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
66.8%
Residents per day (avg)
47
Occupancy rate
66.8%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
44% of new residents, usually for short-term rehab.
Typical stay
8 days
Private pay
56% of new residents, often for short stays.
Typical stay
2 - 3 months
Finances and operations
Governmental home
City
Home revenue
$5.6M
Surplus of revenue
$417.7K
Governmental home
City
Home revenue
$5,553,694.00
Surplus of revenue
$417,650.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
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.
$2.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.4M
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
Active
Facility 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
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
Comparison Chart
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.Compare Independent Living around Warren
Shepherd of the Valley – Howland
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
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
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
-
-
-
-
-
-
-
-
-
-
-
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
Source: CMS Health Citations (Jan 2020 – Jun 2025)
4
Inspections
12
Total Citations
0
Critical (J-L)
0
Serious (G-I)
3
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
6
50% of total
Resident Rights
2
17% of total
Abuse, Neglect & Exploitation
2
17% of total
Infection Control
1
8% of total
Citation Sources
Standard Inspections
11
Complaint Investigations
1
State Comparison (OH)
Avg Citations (State)
30.9
This Facility: 12
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 05, 2025 | D | Infection Control | F0880 | Corrected |
| Jun 05, 2025 | D | Quality of Care | F0684 | Corrected |
| Jun 05, 2025 | D | Quality of Care | F0695 | Corrected |
| Jun 05, 2025 | D | Resident Rights | F0578 | Corrected |
| Feb 10, 2023 | D | Quality of Care | F0695 | Corrected |
| Jan 19, 2023 | F | Nutrition | F0812 | Corrected |
| Jan 02, 2020 | D | Abuse/Neglect | F0609 | Corrected |
| Jan 02, 2020 | D | Abuse/Neglect | F0610 | Corrected |
| Jan 02, 2020 | D | Quality of Care | F0686 | Corrected |
| Jan 02, 2020 | D | Quality of Care | F0689 | Corrected |
| Jan 02, 2020 | D | Quality of Care | F0690 | Corrected |
| Jan 02, 2020 | D | Resident Rights | F0561 | Corrected |
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 Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
6.8
Score
16% worse than avg
State avg: 5.8
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
22.0
Score
73% worse than avg
State avg: 12.7
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
15.4%
Lost Too Much Weight
4.3%
Urinary Tract Infection
2.5%
Depressive Symptoms
0.9%
Falls with Major Injury
4.9%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
1.6%
Influenza Vaccine
97.1%
High Risk Residents with Pressure Ulcers
2.5%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
28.5%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
99.9%
28% better than avg
State: 78.0%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
State: 1.3%
Influenza Vaccine
94.3%
25% better than avg
State: 75.6%
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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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
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.).
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