Nursing homeActive
Shepherd Of The Valley Howland
4100 North River Road, Howland, OH 44484330856923265 certified beds · 52 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-06-05
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-05 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-01-19 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2020-01-02 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F578Honor 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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 366258-20250605-F578
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 366258-20250605-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 366258-20250605-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 366258-20250605-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-02-27Record 366258-20230119-F812
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F561
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F610
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F689
F690Provide 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 DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-20Record 366258-20200102-F690
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.91
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day4.29
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.62
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover32%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover27%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.6% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.7% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.1% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.0% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Adamic, Paul Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Adamic, Paul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Deabate, Giuseppe Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Deabate, Giuseppe Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Earnheardt, Adam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Earnheardt, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Filip, Chrisitne Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Limongi, Richard Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Limongi, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Quaintance, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Salvino, Tamara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Salvino, Tamara Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Thompson, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Trumbull.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Warren Nursing & Rehab Warren | 1.1 mi | 2025-12-31 | 0475 |
| Gillette Nursing Home Warren | 1.6 mi | 2026-03-26 | 0130 |
| White Oak Manor Warren | 3.7 mi | 2026-04-22 | 0121 |
| Washington Square Healthcare Center Warren | 3.8 mi | 2026-06-30 | 0384 |
| Autumn Hills Care Center Niles | 4.7 mi | 2026-03-02 | 1281 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |