Inspection Reports for
Shepherd of the Valley – Howland
4100 N River Rd NE, Warren, OH 44484, United States, OH, 44484
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
126% occupied
Based on a June 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Census: 44
Deficiencies: 4
Date: Jun 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, treatment, care, respiratory care, infection control, and bowel elimination in the nursing home.
Findings
The facility failed to ensure accurate advance directives documentation, effective bowel elimination monitoring and treatment, posting of oxygen safety signs, and proper infection control practices during urinary catheter care. These deficiencies affected multiple residents and indicated lapses in policy adherence and care standards.
Deficiencies (4)
F 0578: The facility failed to ensure Resident #36's advance directives were accurate as the electronic medical record and care plan indicated full code, but the DNRCC form indicated DNRCC-arrest.
F 0684: The facility failed to monitor Resident #27's bowel elimination effectively and did not follow physician orders or facility policy for administering laxatives and suppositories timely.
F 0695: The facility failed to post oxygen safety signs in rooms of residents receiving oxygen therapy, affecting three residents receiving oxygen.
F 0880: The facility failed to perform adequate infection control during urinary catheter care for Resident #3, including improper glove use and hand hygiene.
Report Facts
Facility census: 44
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents receiving oxygen therapy: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #606 | Licensed Practical Nurse | Named in relation to signing DNRCC form for Resident #36 |
| Director of Nursing | Director of Nursing | Interviewed regarding advance directives and bowel elimination policies |
| Assistant Director of Nursing / Registered Nurse #583 | Assistant Director of Nursing / Registered Nurse | Interviewed regarding bowel elimination policy and monitoring |
| Registered Nurse #567 | Registered Nurse | Observed and verified lack of oxygen safety signs |
| Hospice Registered Nurse #900 | Hospice Registered Nurse | Provided visit notes related to Resident #27's bowel movements |
| Certified Nursing Assistant #512 | Certified Nursing Assistant | Observed performing urinary catheter care with infection control deficiencies |
| Certified Nursing Assistant #544 | Certified Nursing Assistant | Observed assisting with urinary catheter care |
Inspection Report
Annual Inspection
Census: 53
Deficiencies: 1
Date: Jan 19, 2023
Visit Reason
The inspection was conducted as an annual survey to evaluate compliance with food safety standards in the nursing home.
Findings
The facility failed to ensure food items were dated when opened, which had the potential to affect 52 residents who ate food from the kitchen. Several undated food items were observed in various kitchen storage areas.
Deficiencies (1)
F0812: The facility failed to ensure food items were dated when opened, with multiple undated food items found in kitchen storage areas. This posed a risk to residents consuming the food.
Report Facts
Residents affected: 52
Facility census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary staff #35 | Confirmed undated food items during kitchen observation |
Inspection Report
Routine
Census: 55
Deficiencies: 6
Date: Jan 2, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and facility operations at Shepherd of the Valley Howland nursing home.
Findings
The facility failed to ensure resident rights to self-determination and choice, proper transfer techniques, timely reporting and investigation of injuries of unknown origin, appropriate wound care, and justification for continued use of an indwelling urinary catheter. Several residents did not receive care according to their preferences or care plans.
Deficiencies (6)
F 0561: The facility failed to ensure Resident #40 received requested reading materials and her normal bowel regimen with fleets enemas. Resident #256 did not receive showers as preferred. This affected two of three residents reviewed for choices.
F 0609: The facility failed to timely report an injury of unknown origin and conduct a thorough investigation for Resident #257's right hip fracture. This affected two of five residents reviewed for accidents.
F 0610: The facility failed to thoroughly investigate an injury of unknown origin for Resident #257. The investigation was incomplete and the injury was not reported to the State agency as required.
F 0686: The facility failed to ensure Resident #252's pressure ulcer wound care was completed as ordered on six occasions between 12/01/19 and 01/02/20.
F 0689: The facility failed to ensure Residents #40, #256, and #257 were transferred according to their care plans for optimal safety, including use of two staff or mechanical lifts as ordered.
F 0690: The facility failed to ensure proper justification for the continued use of Resident #256's indwelling urinary catheter. There was no evidence of appropriate diagnoses or physician evaluation supporting catheter use after admission.
Report Facts
Facility census: 55
Missed wound care opportunities: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #51 | Licensed Practical Nurse | Named in medication error and bowel regimen finding for Resident #40 |
| LPN #53 | Licensed Practical Nurse | Named in transfer and bowel regimen findings for Resident #40 |
| STNA #52 | State Tested Nurse Aide | Named in failure to provide reading materials and bowel regimen for Resident #40 |
| ADON #54 | Assistant Director of Nursing | Named in injury investigation and transfer findings |
| RN #56 | Registered Nurse | Interviewed regarding Resident #256's condition and catheter use |
| RN #57 | Restorative Registered Nurse | Named in catheter justification finding for Resident #256 |
| COTA #61 | Certified Occupational Therapy Assistant | Named in transfer safety findings for Resident #256 |
| STNA #62 | State Tested Nurse Aide | Named in mechanical lift use observation for Resident #256 |
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