Nursing home
Shepherd of the Valley Howland
4100 North River Road, Howland, OH 44484 · Map
Non profit - Corporation · 80 certified beds
Shepherd of the Valley Howland is a Medicare-certified nursing home in Howland, Ohio. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.13 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Jun 5, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Shepherd of the Valley Howland compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.13 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.88 | 2.14 | 2.34 | below avg |
| Nursing staff turnover | 38.6% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 5, 2025 inspection was corrected by July 1, 2025
What inspectors found at Shepherd of the Valley Howland
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 19, 2023
Show all 11 deficiencies
- Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jan 2, 2020 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 2, 2020 - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 2, 2020 - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 2, 2020 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 2, 2020 - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Jan 2, 2020
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4100 North River Road
Howland, OH 44484 - CMS certification #
- 366258
- Ownership
- Non profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 49.1
- Provider type
- Medicare and Medicaid
- First certified
- 2003-01-14
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Shepherd of the Valley Howland using Google Maps.
Other public records
- Website says Respite stays, transportation, 3 meals a day
Full public records, with dates and sources
Care and services
From the community’s website
What Shepherd of the Valley Howland says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Scheduled, Local Transportation
(page, checked Oct 15, 2026) - 3 meals a day.
Our beautiful dining room serves Breakfast, Lunch and Dinner and fosters a homelike atmosphere that is ideal for socialization.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mh St Joseph Warren Hospital, Warren. 2.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Warren Nursing & Rehab, Warren. 1.1 miles away, straight line.
- Nearest home health agency office
- Tlc Home Healthcare LLC, Warren. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 3.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44484 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Warren, Cortland, 1.3 miles away, straight line (CMS rating 1 of 5 stars)
Warren Dialysis Center, Howland, 2.2 miles away, straight line (CMS rating 1 of 5 stars)
Fresenius Kidney Care-Warren, Warren, 6.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 44484.
Patriot Hospice Inc, office in Girard, 6.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of The Valley, Inc, office in Girard, 6.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Akeso Home Hospice Inc, office in Canfield, 16.8 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Mercy Health Physicians Youngstown, LLC, Youngstown. 11.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Shepherd of the Valley Howland a good nursing home?
CMS gives Shepherd of the Valley Howland an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Shepherd of the Valley Howland staffed?
Shepherd of the Valley Howland reports 4.13 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Shepherd of the Valley Howland had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Shepherd of the Valley Howland have?
Shepherd of the Valley Howland is certified for 80 beds.