Shepherd of the Valley Poland — nursing home in Poland, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 32 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 26.0 CMS, MDS-derived
CMS Certification Number: 366453
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 27, 2017
Ownership type: Non profit - Church related
Operator (legal business name): Shepherd of the Valley Lutheran Retirement Services, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (330) 726-7110
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest May 8, 2026

Citations

11

7 health · 4 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D6	E2	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 366453
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 32
First approved: Apr 27, 2017
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Ohio.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 8, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Sep 18, 2025	Health	Health Standard	2	Potential harm	—	Open →
Dec 27, 2024	Health	Health Complaint	2	Actual harm	—	Open →
Jun 1, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 1, 2023	Health	Health Standard	1	Potential harm	—	Open →
Jul 8, 2021	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 8, 2021	Health	Health Standard	1	Potential harm	—	Open →
Apr 11, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D6	E2	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 8, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 29, 2026	Complaint
Sep 18, 2025	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2025
Sep 18, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 20, 2025
Dec 27, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jan 21, 2025	Complaint
Dec 27, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 21, 2025	Complaint
Jun 1, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 13, 2023
Jun 1, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 13, 2023
Jun 1, 2023	F-0808	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 13, 2023
Jul 8, 2021	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2021
Jul 8, 2021	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 20, 2021
Jul 8, 2021	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 20, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.4

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.53

State avg 3.71US avg 3.90

Registered nurse (RN)1.04

State avg 0.64US avg 0.69

Licensed practical nurse1.39

State avg 0.95US avg 0.86

Nurse aide2.11

State avg 2.12US avg 2.35

Weekend total nurse3.58

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.32 (case-mix index 1.47).

Staff turnover

Total nursing staff turnover17.2%

State avg 49.0%US avg 45.3%

Registered nurse turnover14.3%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 18, 2025
Cycle 1 health score: 12
Total weighted score: 16

Operating entity

Shepherd of the Valley Lutheran Retirement Services, Inc

CMS legal business name of the certified provider. Operates 4 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

16

Organizations

1

Individuals

15

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Shepherd of the Valley Lutheran Retirement Services, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2017
Diane Chermerly Tanner	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Giuseppe Deabate	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Adam Earnheardt	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2020
Deborah Gilbert	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
William Leitch	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Barbara Rosenblum	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Richard Thompson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Victoria Brown	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2017
Giuseppe Deabate	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2020
Adam Earnheardt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2020
Barbara Rosenblum	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2021
Richard Thompson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2019
Chrisitne Filip	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2017
Richard Limongi	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2017
Kelly Stansloski	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2017

Other facilities operated by Shepherd of the Valley Lutheran Retirement Services, Inc

All 3 →

Facility	Beds	Last inspection	Citations (window)	Fines
Shepherd of the Valley Liberty 1501 Tibbetts Wick Road, Girard, OH 44420 CCN 365298	79	Mar 23, 2026	281 harm	—
Shepherd of the Valley-Boardman 7148 West Blvd, Youngstown, OH 44512 CCN 365580	57	Dec 31, 2025	321 harm3 open	—
Shepherd of the Valley Howland 4100 North River Road, Howland, OH 44484 CCN 366258	65	Jun 5, 2025	18	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 301 West Western Reserve Road, Poland, OH 44514
ZIP: 44514
County: Mahoning County FIPS 39099
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Caprice Health Care Center 9184 Market St, North Lima, OH 44452 CCN 366062	0.7 km	75	Mar 10, 2026	17	—
Briarfield Place 8400 Market Street, Boardman, OH 44512 CCN 366485	1 km	58	Feb 26, 2026	19	—
Willow Woods Rehabilitation and Nursing 9625 Market Street, North Lima, OH 44452 CCN 365708	1.2 km	85	May 20, 2026	472 harm1 open	$50k
Aventura at Assumption Village 9800 Market Street, North Lima, OH 44452 CCN 365783SFF Candidate	1.5 km	150	Jul 22, 2026	671 IJ1 harm	$137k
Greenbriar Center 8064 South Avenue, Boardman, OH 44512 CCN 365853	3.5 km	120	Feb 25, 2026	523 harm	$14k
Hampton Woods Nursing Center, Inc 1525 East Western Reserve Road, Poland, OH 44514 CCN 366329	3.9 km	70	Apr 6, 2026	362 harm	—
Center for Rehabilitation at Hampton Woods the 1517 East Western Reserve Road, Poland, OH 44514 CCN 366442	3.9 km	26	Dec 31, 2025	21	—
Shepherd of the Valley-Boardman 7148 West Blvd, Youngstown, OH 44512 CCN 365580	4.3 km	57	Dec 31, 2025	321 harm3 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	366453	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	366453	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 366453

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction