Shepherd of the Valley Howland
4100 North River Road, Howland, OH 44484
Shepherd of the Valley Howland, a 65-bed non profit - corporation nursing facility in Howland, OH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #232 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3308569232
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #232 of 912
- In-state rank among rated OH homes
- 4.29
- Above average · nurse hrs/day · nat'l 3.86
- 11
- Inspection findings
The verdict
Shepherd of the Valley Howland, a 65-bed non profit - corporation nursing facility in Howland, OH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #232 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #232 of 912
- In-state rank among rated OH homes
- 4.29
- Nurse hrs/resident-day · national 3.86
- 11
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 922 OH nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 366258
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 65
- Residents
- 52
- In Hospital
- No
- County
- Trumbull
- Last Inspection
- Jun 5, 2025
Staffing Data
How the 4.29 total nursing hours per resident-day are staffed:
- RN Hours
- 0.91 (nat'l avg: 0.69)
- LPN Hours
- 1.20
- CNA Hours
- 2.18
- Total Nursing Hours
- 4.29 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 32.1%
- RN Turnover
- 27.3%
What the CMS Record Reveals About Shepherd of the Valley Howland
According to CMS Nursing Home Compare, Shepherd of the Valley Howland ranks #232 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Shepherd of the Valley Howland operates 65 certified beds in Howland, OH with approximately 52 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).
The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 4.29 total nursing hours (national average 3.86) and 0.91 RN hours.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Shepherd of the Valley Howland falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 32.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (11 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 1, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jul 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 27, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 20, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 20, 2020
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 20, 2020
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 20, 2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 20, 2020
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Feb 20, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 27.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.1% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 36.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 94.3% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Shepherd of the Valley Howland, both outside OH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside OH (65 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside OH (3.92 here).
Nearby Nursing Homes in OH
921 other nursing homes are on record in OH; 6 are shown here.
Abbyshire Place Health and Rehabilitation Center L
Bidwell, OH
Accord Care Community Orrville LLC
Orrville, OH
Adams County Manor
West Union, OH
Adams Lane Healthcare and Rehabilitation Center
Zanesville, OH
Addison Healthcare Center
Masury, OH
Addison Heights Health and Rehabilitation Center
Maumee, OH
Understanding Nursing Home Data
What the CMS records show for Shepherd of the Valley Howland
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The OH registry aggregates state averages and the highest-rated homes in this cohort. View OH registry
- Peer homes near 65 beds show how CMS stars vary at a similar scale in OH. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Shepherd of the Valley Howland?
Where does Shepherd of the Valley Howland rank among nursing homes in OH?
What are the staffing levels at Shepherd of the Valley Howland?
How many beds does Shepherd of the Valley Howland have?
Does Shepherd of the Valley Howland have any deficiencies on record?
Has Shepherd of the Valley Howland received any fines or penalties?
Who owns Shepherd of the Valley Howland?
When was Shepherd of the Valley Howland last inspected?
What quality measures are tracked for Shepherd of the Valley Howland?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
