4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
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.
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.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Ohio averages
Total nursing care
This home is ranked 38th out of 175 homes we track in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 55m
11% above state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
2 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Ohio average: 78.7%Key information about the people who lead and staff this community.
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.
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 95 / 100
Ohio average: 82 / 100
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 80 / 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.
State average 6.7
Last Health inspection on Jun 2025
State average 30.9
State 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.
100% better than State averageState average: 0.3
100% better than State averageState average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
46% more staff per resident than Ohio average
9% worse than Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
27 total: 14 full-time employees and 13 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
60 total: 33 full-time employees and 27 contractors.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,202 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 33 | 27 | 60 | 10,198 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 14 | 13 | 27 | 5,378 | 92 | 100% | 8.5 |
| Registered Nurse | 7 | 1 | 8 | 3,303 | 92 | 100% | 9.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 1,028 | 71 | 77% | 6.9 |
| Speech Language Pathologist | 0 | 7 | 7 | 801 | 78 | 85% | 5.8 |
| RN Director of Nursing | 2 | 0 | 2 | 632 | 63 | 68% | 8.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 626 | 92 | 100% | 3.8 |
| Administrator | 1 | 0 | 1 | 420 | 54 | 59% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 412 | 52 | 57% | 7.9 |
| Qualified Social Worker | 0 | 3 | 3 | 402 | 64 | 70% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 366 | 68 | 74% | 4.9 |
| Dietitian | 1 | 0 | 1 | 198 | 50 | 54% | 4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 192 | 62 | 67% | 2.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 96 | 12 | 13% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 52 | 59 | 64% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 4 | 4% | 5.4 |
| Medical Director | 0 | 1 | 1 | 13 | 13 | 14% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
125% worse than Ohio averageOhio average: 6.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
44% worse than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
2.5%
35% better than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
2.5%
351% worse than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
4.3%
31% better than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.9%
96% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
1.6%
81% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with Ohio averageOhio average: 94.5%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.9%
28% better than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
25% better than Ohio averageOhio average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.0%
16% worse than Ohio averageOhio average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
26% better than Ohio averageOhio average: 12.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
48% worse than Ohio averageOhio average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.0%
18% worse than Ohio averageOhio average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.0%
In line with Ohio averageOhio average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Shepherd of the Valley – Howland from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #119 / 172Payroll costs — State benchmarkedThis home is ranked 119th out of 172 homes we track in Ohio. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Ohio average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #51 / 172Payroll % of net patient revenue — State benchmarkedThis home is ranked 51st out of 172 homes we track in Ohio. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Building Type: 3-story
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.8 miles from city center
Estimated distance in miles from Warren's city center to Shepherd of the Valley – Howland's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Ohio average is: 55.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookdale Westlake Village | NH AL IL MC SNF | Westlake | 60
Facility
60
OH AVG
75
Rank
#176 / 307 |
96.7%
Facility
96.7%
OH AVG
82.4
Rank
#5 / 136 | +17% | 4.23
Facility
4.23
OH AVG
3.54
Rank
#25 / 175 | +18% | +19% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 178 | 5
Facility
5
OH AVG
30.9
Rank
#8 / 178 | 1.3
Facility
1.3
OH AVG
4.6
Rank
#2 / 178 | - | 58 | A+ |
25
Facility
25
OH AVG
42
Rank
#503 / 675 | Labeed Diab | $20.1MFiscal year ending 12/2023
Facility
$20.1MFiscal year ending 12/2023
OH AVG
$9.6M
Rank
#5 / 172 | $10.2MFiscal year ending 12/2023
Facility
$10.2MFiscal year ending 12/2023
OH AVG
$5.2M
Rank
#8 / 172 | 50.8%Fiscal year ending 12/2023
Facility
50.8%Fiscal year ending 12/2023
OH AVG
55.7%
Rank
#106 / 172 | 366373 | ||||
| The Knolls of Oxford | NH AL IL MC SNF | Oxford | 50
Facility
50
OH AVG
75
Rank
#213 / 307 |
89.4%
Facility
89.4%
OH AVG
82.4
Rank
#49 / 136 | +8% | 3.92
Facility
3.92
OH AVG
3.54
Rank
#38 / 175 | -31% | +11% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 178 | 4
Facility
4
OH AVG
30.9
Rank
#3 / 178 | 2.0
Facility
2.0
OH AVG
4.6
Rank
#10 / 178 | - | 45 | - | - | Ronald Beymer | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
OH AVG
$9.6M
Rank
#138 / 172 | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
OH AVG
$5.2M
Rank
#106 / 172 | 69.5%Fiscal year ending 12/2023
Facility
69.5%Fiscal year ending 12/2023
OH AVG
55.7%
Rank
#14 / 172 | 366282 | ||||
| Otterbein SeniorLife | NH AL HC HOS IL MC SNF | Lebanon | 154
Facility
154
OH AVG
75
Rank
#10 / 307 |
91.8%
Facility
91.8%
OH AVG
82.4
Rank
#38 / 136 | +11% | 3.75
Facility
3.75
OH AVG
3.54
Rank
#48 / 175 | -1% | +6% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 178 | 25
Facility
25
OH AVG
30.9
Rank
#79 / 178 | 5.0
Facility
5.0
OH AVG
4.6
Rank
#123 / 178 | 1 | 141 | - | - | Otterbein Homes | $19.8MFiscal year ending 12/2023
Facility
$19.8MFiscal year ending 12/2023
OH AVG
$9.6M
Rank
#6 / 172 | $10.3MFiscal year ending 12/2023
Facility
$10.3MFiscal year ending 12/2023
OH AVG
$5.2M
Rank
#7 / 172 | 52%Fiscal year ending 12/2023
Facility
52%Fiscal year ending 12/2023
OH AVG
55.7%
Rank
#97 / 172 | 365346 | ||||
| Locust Ridge | NH MC RC SNF | Williamsburg | 61
Facility
61
OH AVG
75
Rank
#173 / 307 |
90.2%
Facility
90.2%
OH AVG
82.4
Rank
#45 / 136 | +9% | 4.10
Facility
4.10
OH AVG
3.54
Rank
#30 / 175 | +35% | +16% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 178 | 18
Facility
18
OH AVG
30.9
Rank
#45 / 178 | 4.5
Facility
4.5
OH AVG
4.6
Rank
#104 / 178 | - | 55 | A+ | - | Gary Vannostrand | $5.9MFiscal year ending 12/2023
Facility
$5.9MFiscal year ending 12/2023
OH AVG
$9.6M
Rank
#139 / 172 | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
OH AVG
$5.2M
Rank
#151 / 172 | 45.2%Fiscal year ending 12/2023
Facility
45.2%Fiscal year ending 12/2023
OH AVG
55.7%
Rank
#148 / 172 | 365336 | ||||
| Shepherd of the Valley – Howland | NH AL IL MC RC SNF | Warren | 35
Facility
35
OH AVG
75
Rank
#259 / 307 | - | - | 3.92
Facility
3.92
OH AVG
3.54
Rank
#38 / 175 | -35% | +11% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 178 | 12
Facility
12
OH AVG
30.9
Rank
#27 / 178 | 3.0
Facility
3.0
OH AVG
4.6
Rank
#38 / 178 | - | 44 | A+ |
19
Facility
19
OH AVG
42
Rank
#554 / 675 | Tamara Salvino | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
OH AVG
$9.6M
Rank
#129 / 172 | $3.9MFiscal year ending 12/2023
Facility
$3.9MFiscal year ending 12/2023
OH AVG
$5.2M
Rank
#119 / 172 | 59.7%Fiscal year ending 12/2023
Facility
59.7%Fiscal year ending 12/2023
OH AVG
55.7%
Rank
#51 / 172 | 366258 |
Linda Penny is the Director of Nursing at Shepherd of the Valley – Howland.
Shepherd of the Valley – Howland has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
Shepherd of the Valley – Howland's occupancy is 100%.
Shepherd of the Valley – Howland has been operating for approximately 54 years, based on available licensing and registration records.
No, Shepherd of the Valley – Howland has a no-pet policy.
The team at Shepherd of the Valley – Howland can be reached at TSALVINO@SHEPHERDOFTHEVALLEY.COM.
Shepherd of the Valley – Howland is registered as a non-profit in OH.
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