East of Lisbon the road turns southeast and passes the Federal Correctional Institution, Elkton.

[4][5][6] SR 154 turns back east, with the correctional institution on the north side of the roadway, highway passes through a mix of farmland and woodland and enters Elkton.

East of SR 7 the road heads northeast passing through woodland and running parallel to a railroad track.

[7][8] The NHS is a system of routes determined to be the most important for the nation's economy, mobility and defense.

This measurement is a calculation of the traffic level along a segment of roadway for any average day of the year.

In 2009, ODOT figured that the lowest traffic levels were present on the section between County Road 419 (CR 419) and Rogers, where only 1,120 vehicles used the highway daily.

[11][12] Paving of the road between Lisbon and Elkton and from Rogers to Pennsylvania state line happened in 1929.