Shepherd of the Valley Rehabilitation and Wellness
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 30 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (12 vs median 5.0)
Bottom 25% in WY · Below recommended RN staffing · Worst in EVERGREEN HEALTHCARE GROUP chain · $78,536 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While the facility offers effective rehabilitation services and has some very kind staff, the reports of understaffing and medication management issues are concerning. We strongly recommend that you visit in person during off-hours or weekends to observe staffing levels and ask management specifically how they ensure medication schedules are strictly followed.
Google Reviews
Google Reviews
30 reviews on Google“Shepherd of the Valley Rehabilitation and Wellness receives highly polarized feedback, with some families praising the kindness of specific staff members and the quality of rehabilitation therapy. However, there are recurring, serious reports of understaffing, neglect, and poor communication that leave residents and their families feeling ignored or mistreated. Prospective families should be aware of significant inconsistencies in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation therapy
- Kind and attentive individual staff members
- Clean and well-maintained facility environment
- Positive experiences with activity volunteers
Concerns
- Chronic understaffing leading to neglect (mentioned by 4 reviewers)
- Medication management and administration errors (mentioned by 2 reviewers)
- Poor communication and responsiveness to family concerns (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 33 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the recent focus on enhancing communication, what is the best way for our family to stay updated on our loved one's daily progress and any changes in their care plan?
- 2I noticed the facility has a strong reputation for rehabilitation therapy; how do you ensure that same level of dedicated attention is maintained for residents who are here for long-term nursing care?
- 3Could you walk us through your current process for medication management to ensure accuracy and timely administration for residents?
- 4We appreciate that you actively engage with online feedback; how do you use that input from families to improve your day-to-day staffing and care delivery?
- 5With 192 residents, how do you ensure that individual needs are met promptly, especially during busy shifts or transitions?
- 6We saw some wonderful comments about your activity volunteers; what does a typical week look like for residents who enjoy staying active and social?
Personalized based on this facility's data
Key Review Excerpts
“Grandpa is currently thriving at Shepard and his condition actually seems to be improving. The foods good and the rooms are clean.”
“I am a resident and what id like to say is that most of the staff are nice but this place is horribly understaffed so alot of us get neglected and we are not getting the proper care we need.”
“They were bad about giving her the pain meds that had been ordered and that she needed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
7
measures
5
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents who fell and were seriously hurt
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns of neglect and abuse violations triggered by family complaints, with recent issues including failure to protect residents from abuse (May 2025), inadequate wound care, and poor treatment planning. The most recurring problems involve resident protection from harm, care planning failures, and medication management issues. While most deficiencies show correction plans, the persistent complaints about basic resident safety and the facility's failure to provide appropriate care according to medical orders suggest ongoing quality concerns that families should carefully evaluate.
Mar 13, 2026Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Jan 29, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 22, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 20, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 31, 2024Routine11
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Oct 31, 2024Complaint1
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal Penalties
Fine
Mar 13, 2026
$26,685
Fine
May 22, 2025
$12,438
Fine
Mar 20, 2025
$15,857
Fine
Aug 15, 2024
$7,718
Fine
Mar 22, 2024
$34,333
Fine
May 18, 2023
$8,190
Ownership & Operations
Who Operates This Facility
Shepherd of the Valley Rehabilitation and Wellness
for profit
Chain Affiliation
Evergreen Healthcare Group
43 facilities nationwide
Chain avg rating: 2.3/5 · Rank 33 of 41 (Worst)
Ownership & Management
Owners
Yenowitz, Yitzchok
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit shepherdvalleycare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.