Shepherd of the Valley Howland in Howland, OH has an overall rating of 4 out of 5 stars, with 4-star health inspection, staffing, and quality ratings. Reported nurse staffing is 4.29 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: June 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.295.
Staffing detail
Registered nurses
0.81
Licensed practical nurses
1.29
Nurse aides
2.19
Weekend nursing
3.73
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.6%Steady
Residents with a fall causing major injury
3.7%Improving
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
2.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
31.1%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
33.8%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
94.3%Steady
Short-stay residents given the pneumonia vaccine
99.7%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Occupancy
50.6 residents on an average day (78% of 65 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.