Warren · 3.7 mi
White Oak Manor
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View facility →Shepherd of the Valley Howland
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⌖ Howland, OH · Trumbull County
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Medicare overall rating 4 of 5 stars
Certified beds65
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Shepherd of the Valley Howland
Shepherd of the Valley Howland is a 65-bed nonprofit nursing home in Howland, OH. Medicare rates it 4 out of 5 stars overall (above average); the average in Ohio is 3.2.
- Inspections: 4 problems at its last full inspection (Jun 2025), fewer than the Ohio average of 10.5. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 17 min a day with each resident, more than the Ohio average of 3 hr 41 min. About 32% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameShepherd Of The Valley Howland
LocationTrumbull County, Ohio
Phone(330) 856-9232
Address4100 North River Road, Howland, OH 44484 · Trumbull County
Medicare provider number366258
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 14, 2003 (23 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
6 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone since Jun 2025No citations for actual harm or immediate jeopardy since Jun 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection4 (Jun 2025)Ohio average: 10.5.Strength
- Nurse staffing per resident4 hr 17 min a dayOhio average: 3 hr 41 minStrength
- Registered nurse time per resident55 min a dayOhio average: 38 minStrength
- Nursing staff turnover32% a yearOhio average: 49%Strength
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Ohio average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital27.4%State average: 24.9%About average
- Needed an emergency room visit13.7%State average: 12.9%About average
- Newly given antipsychotic drugs0.0%State average: 1.2%Better than average
Physical therapist time: about 5 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 3 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.8%State average: 3.2%About average
- Pressure sores (bedsores)0.0%State average: 3.4%Better than average
- Given antipsychotic drugs1.6%State average: 8.8%Better than average
Source: Medicare (CMS) quality measures, compared with the Ohio average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Ohio, Medicaid pays for 48% of resident days at a typical home.
- 10% Medicaid
- 20% Medicare
- 70% Private pay, insurance and other
Beds in use, on average83%Ohio typical: 85%
Facility operating cost per resident day$341Ohio typical: $331
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 4 stars now, down from 5 stars in January 2019. It has ranged from 3 to 5 stars and changed 9 times.
Overall rating4★
Health inspections4★
Staffing4★
Quality of care4★
Nurse hours per resident per day4.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 4 | 5 | 4.1 |
| Jan 2020 | 4 | 3 | 2 | 5 | 3.3 |
| Jan 2021 | 3 | 3 | 3 | 4 | 3.8 |
| Jan 2022 | 5 | 3 | 4 | 5 | 4.2 |
| Jan 2023 | 5 | 3 | 5 | 5 | 5.0 |
| Jan 2024 | 4 | 4 | 4 | 4 | 3.9 |
| Feb 2025 | 4 | 4 | 4 | 3 | 3.7 |
| Feb 2026 | 4 | 4 | 4 | 4 | 4.1 |
| Sep 2026 | 4 | 4 | 4 | 4 | 4.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.