# Shepherd of the Valley Howland

Shepherd of the Valley Howland is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Howland, OH, CMS Certification Number 366258, with 65 certified beds and about 45 residents per day. CMS rates it 5/5 overall (health inspections 4/5, staffing 5/5, quality measures 5/5).

## Key facts
- Status: Active CMS certification
- Address: 4100 North River Road, Howland, OH 44484 (Trumbull County)
- Ownership type: Non profit - Corporation

- Operator (legal business name): [Shepherd of the Valley Lutheran Retirement Services, Inc](https://carefield.site/operator/op-shepherd-of-the-valley-lutheran-retirement-services-inc)
- CMS chain: not part of a CMS-reported chain

- Phone: 3308569232
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/366258

## Inspection record
6 inspections in the CMS window (latest 2025-06-05); 18 citations (11 health, 7 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-06-05 — [K-0341](https://carefield.site/deficiency/cms-k0341) Install a fire alarm system that can be heard throughout the facility. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-01-19 — [K-0131](https://carefield.site/deficiency/cms-k0131) Meet requirements for sections of health care facilities separated by fire resistive construction. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-01-19 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-01-19 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-01-19 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-01-19 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [K-0541](https://carefield.site/deficiency/cms-k0541) Install properly constructed and protected linen or trash chutes. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0561](https://carefield.site/deficiency/cms-f0561) Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2020-01-02 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.81183 (state avg 3.71117, US 3.90085)
- RN: 1.04093
- Nursing staff turnover: 31%

## Nearby nursing homes
- [Warren Nursing & Rehab](https://carefield.site/facility/cms-365539) — 1.8 km, CMS overall 1/5
- [Gillette Nursing Home](https://carefield.site/facility/cms-366129) — 2.5 km, CMS overall 5/5
- [White Oak Manor](https://carefield.site/facility/cms-365748) — 5.9 km, CMS overall 3/5
- [Washington Square Healthcare Center](https://carefield.site/facility/cms-365784) — 6.2 km, CMS overall 2/5
- [Community Skilled Healthcare](https://carefield.site/facility/cms-365412) — 6.6 km, CMS overall 1/5
- [Autumn Hills Care Center](https://carefield.site/facility/cms-365672) — 7.6 km, CMS overall 1/5
- [Otterbein Cortland](https://carefield.site/facility/cms-366339) — 8 km, CMS overall 5/5
- [Cortland Center](https://carefield.site/facility/cms-365814) — 8.4 km, CMS overall 4/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366258&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-366258 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.