Shepherd of the Valley Howland: Staffing, Turnover, and Inspection Record
Shepherd of the Valley Howland is a 65-bed nonprofit nursing home in Howland, Ohio. In the CMS August 2026 release it reported 2.18 nurse aide hours per resident per day, 4% above the Ohio average of 2.09, and 32.1% nursing staff turnover (Ohio average 48.7%).
Shepherd of the Valley Howland
4100 North River RoadHowland, OH 44484
Trumbull County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Shepherd of the Valley Howland, nurse aides logged 2.18 hours per resident per day, 4% above the Ohio average. With about 52 residents a day, that works out to roughly 113 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Ohio avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.18 | 2.09 | 2.32 |
| Licensed practical nurses | 1.20 | 0.95 | 0.86 |
| Registered nurses | 0.91 | 0.64 | 0.69 |
| All nursing staff | 4.29 | 3.69 | 3.86 |
| All nursing staff, weekends | 3.62 | 3.28 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.1% of nursing staff at Shepherd of the Valley Howland left over the year CMS measured, against a Ohio average of 48.7% and a US average of 45.8%. Registered nurse turnover was 27.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Ohio average 10.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Shepherd of the Valley Howland holds 4 of 5 overall; the Ohio average is 3.2.
About Shepherd of the Valley Howland
- Ownership: Non profit - Corporation
- Legal name: Shepherd of the Valley Lutheran Retirement Services, Inc.
- Medicare and Medicaid certified since: Jan 14, 2003
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Shepherd of the Valley Howland
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Warren Nursing & Rehab Warren · SFF candidate | 1.1 | 107 | 2.93 | 5.32 | 53.2% | 1 | $20,137 |
| Gillette Nursing Home Warren | 1.6 | 99 | 2.22 | 3.77 | — | 4 | None |
| White Oak Manor Warren · many days without an RN | 3.7 | 52 | 2.06 | 3.30 | 48.4% | 2 | $3,282 |
| Washington Square Healthcare Center Warren | 3.8 | 83 | 1.82 | 3.18 | 45.9% | 2 | $46,963 |
| Community Skilled Healthcare Warren · SFF candidate · abuse citation | 4.1 | 99 | 1.97 | 3.68 | 59.8% | 1 | $198,318 |
| Autumn Hills Care Center Niles | 4.7 | 120 | 1.56 | 3.00 | 52.8% | 3 | None |
| Ohio Living Lake Vista Cortland | 5.0 | 39 | 2.73 | 4.42 | 49.0% | 5 | None |
| Cortland Center Cortland | 5.2 | 68 | 2.02 | 3.66 | 37.3% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.