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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.
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.
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.
This home is ranked 31st out of 203 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 49m per day | ▲ 28% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 18m per day | ▲ 34% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 12m per day | ▲ 3% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 44m per day | ▲ 14% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 5m per day | ▲ 58% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 20m per day | ▼ 21% State avg: 25m per day · National avg: 28m per day |
Higher than the Ohio average: 78.7%Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 2 | This facility has 450% more total citations than a typical Ohio nursing home (11 vs. OH avg 2).↑ 450% worse |
|
Citations per year
Average citations per year since 2020.
| 1.8 | 0.3 | This facility has 500% more citations per year than a typical Ohio nursing home (1.8 vs. OH avg 0.3).↑ 500% worse |
|
Citations per inspection
Average citations per inspection.
| 3.7 | 1 | This facility has 270% more citations per inspection than a typical Ohio nursing home (3.7 vs. OH avg 1).↑ 270% worse |
Inspections
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 2 | This facility has 50% more total inspections than a typical Ohio nursing home (3 vs. OH avg 2).↑ 50% worse |
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.
Ohio average 6.7
Last Health inspection on Jun 2025
Ohio average 30.9
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.
100% better than Ohio averageOhio average: 0.3
100% better than Ohio averageOhio 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #140 / 203Payroll — State benchmarkedThis home is ranked 140th out of 203 homes in Ohio for payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: 3-story
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
4.8 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
Shepherd of the Valley – Howland is located in Warren, Ohio.
Here are the financial assistance programs available to residents in Ohio.
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%.
The team at Shepherd of the Valley – Howland can be reached at [email protected].
Shepherd of the Valley – Howland has 35 beds.
Yes — there are 4 photos of Shepherd of the Valley – Howland in the photo gallery on this page.
Shepherd of the Valley – Howland is located at 4100 N River Rd NE, Warren, OH 44484, United States.
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