01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-18 | 3 | 2023-06-01 | 2 |
| Cycle 2 | 2023-06-01 | 3 | 2021-07-08 | 2 |
| Cycle 3 | 2021-07-08 | 1 | 2019-04-11 | 0 |
CMS CCN 3664532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Shepherd Of The Valley Poland
301 West Western Reserve Road · Poland, OH 44514 · Mahoning County
Certified beds32CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
11 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-08 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint2025-09-18 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-09-18 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-11-202024-12-27 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-01-21 · complaint2024-12-27 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-21 · complaint2023-06-01 · HEALTHF0808Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Correction field: Deficient, Provider has date of correction · 2023-06-132023-06-01 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-06-132023-06-01 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-06-132021-07-08 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2021-07-202021-07-08 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2021-07-202021-07-08 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2021-07-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FILIP, CHRISITNEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2017
- LIMONGI, RICHARDIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2017
- STANSLOSKI, KELLYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2017
- CHERMERLY TANNER, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- DEABATE, GIUSEPPEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- EARNHEARDT, ADAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- GILBERT, DEBORAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- LEITCH, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- ROSENBLUM, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- THOMPSON, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- BROWN, VICTORIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2017
- DEABATE, GIUSEPPEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- EARNHEARDT, ADAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- ROSENBLUM, BARBARAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2021
- THOMPSON, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2019
- SHEPHERD OF THE VALLEY LUTHERAN RETIREMENT SERVICES, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.53per resident day
RN hours1.05per resident day
Weekend nurse hours3.51per resident day
Staff turnover25.8%CMS reported field
06 / LOCAL RECORDS
Open the Poland ledger →