Shepherd of the Valley Liberty
1501 Tibbetts Wick Road, Girard, OH 44420 · Trumbull County · 79 certified beds · avg 66 residents/day · certified since Sep 3, 1974
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 5, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 23, 2026 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint |
| Sep 22, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 22, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Sep 22, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 22, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Sep 22, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 22, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 22, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 5, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 29, 2021 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jul 29, 2021 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Jul 29, 2021 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | F |
| 2023 | 6 | 1 | G ▲ |
| 2025 | 8 | 0 | F |
| 2026 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.90 | 3.45 | 3.95 | top 18% in Ohio; top 44% in the U.S. |
| Registered Nurse hours | 1.27 | 0.60 | 0.69 | top 3% in Ohio; top 8% in the U.S. |
| Weekend total nurse staffing | 3.38 | 3.07 | 3.50 | top 22% in Ohio; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.94 | 0.42 | 0.48 | top 2% in Ohio; top 7% in the U.S. |
| Total nursing staff turnover (%) | 50.6 | 48.7 | 45.8 | bottom 45% in Ohio; bottom 35% in the U.S. |
| RN turnover (%) | 30.0 | 43.9 | 42.9 | top 28% in Ohio; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.34, RN 1.41, weekend 3.76. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adamic, Paul | Individual | Corporate Officer | NOT APPLICABLE | 06/20/2022 |
| Deabate, Giuseppe | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Earnheardt, Adam | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Filip, Chrisitne | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/19/2008 |
| Limongi, Richard | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Mattix, Frederick | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/27/1990 |
| Mattix, Frederick | Individual | Corporate Director | NOT APPLICABLE | 08/27/1990 |
| Quaintance, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Shepherd of the Valley Lutheran Retirement Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Thompson, Richard | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Liberty Health Care Center INC | 2.4 mi | Youngstown, OH | ★★☆☆☆ | 2/5 | |
| Autumn Hills Care Center | 2.6 mi | Niles, OH | ★★★☆☆ | 3/5 | |
| Heritage Manor Jewish HM for | 3.6 mi | Youngstown, OH | ★★★★★ | 5/5 | |
| Windsor Health Care Center | 4.3 mi | Youngstown, OH | ★★★★☆ | 3/5 | |
| Omni Manor Nursing Home | 4.9 mi | Youngstown, OH | ★★★★☆ | 3/5 | |
| Park Vista Nursing and Rehab | 4.9 mi | Youngstown, OH | ★☆☆☆☆ | 1/5 | |
| Vista Center at the Ridge | 5.3 mi | Mineral Ridge, OH | ★★☆☆☆ | 2/5 | |
| White Oak Manor | 6.0 mi | Warren, OH | ★★☆☆☆ | 2/5 | |
| Austintown Healthcare Center | 6.5 mi | Youngstown, OH | ★★★★★ | 4/5 | |
| Briarfield at Ashley Circle | 6.7 mi | Youngstown, OH | ★★★★☆ | 4/5 | |
| Shepherd of the Valley Howland | 6.9 mi | Howland, OH | ★★★★☆ | 4/5 | |
| Aventura at Humility House | 6.9 mi | Austintown, OH | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365298.