| Shepherd of the Valley-boardman | |
| 7148 West Blvd, Youngstown, Ohio 44512 | |
| (330) 726-9061 | |
| Name | Shepherd of the Valley-boardman |
|---|---|
| Location | 7148 West Blvd, Youngstown, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 57 |
| Occupancy Rate | 77.72% |
| Medicare ID (CCN) | 365580 |
| Legal Business Name | Shepherd of the Valley Lutheran Retirement Services, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1093808529 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Shepherd of the Valley Lutheran Retirement Services, Inc. |
| Doing Business As | Shepherd of the Valley - Boardman |
| Address | 7148 West Blvd., Youngstown, OH 44512 |
| Phone Number | 330-726-9061 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.04 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.58 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.29 | 0.86 |
| Nurse aide hours per resident per day | 2.17 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.29 | 3.42 |
| RN hours per resident per day on the weekend | 0.28 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 66.7% | 45.8% |
| Registered nurse turnover | 62.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 31, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, widespread | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| Dec 31, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 26, 2026 |
| May 19, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 19, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| Nov 12, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Dec 31, 2024 |
| Aug 1, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 31, 2023 |
| Oct 31, 2019 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Dec 9, 2019 |
| Oct 31, 2019 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 9, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.53 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.53 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.2 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.92 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.87 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.38 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.39 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.12 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.21 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.29 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.67 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.24 | 15.38 |
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