Rappahannock Westminster Canterbury
132 Lancaster Drive, Irvington, VA 22480 · Lancaster County · (804) 438-4000
42 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 1985
Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495160 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 10, 2023, inspectors cited 10 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 14 health citations since April 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.92 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.55 of those hours.
25.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
104/19
301/22
1008/23
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
August 10, 2023Standard inspection · 10 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to store, prepare, and distribute food in accordance with professional standards for food service safety in 1 of 2 kitchens/food preparation/service areas inspected.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, staff interviews, and facility documentation review, the facility staff failed to maintain an effective pest control program ensure the facility is free of pests in the main kitchen, which has the ability to affect multiple Residents within the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to immediately inform the Resident's physician, and Resident representative of change in condition for 1 Residents (#14) in a survey sample of 19 Residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility failed to ensure that a Medicare Advanced Beneficiary Notice (ABN) was completed and issued to 2 Residents (#81, and #82) in a survey sample of 3 ABN Residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, facility documentation review, and clinical record review the facility staff failed to complete an assessment that accurately reflects the Resident's status for one Resident (Resident #30) in a survey sample of 19 Residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to follow professional standards of nursing for 1 resident (Resident #3) in a sample of 19 residents.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on staff interview and clinical record review, the facility staff and physician failed to complete a discharge summary to include recapitulation of stay for 1 resident (Resident #30) in the survey sample of 19 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation facility staff failed to provide treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection for 1 Resident (#19) in a survey sample of 19 Residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to accurately account for controlled medication for 1 resident (Resident #7) in a survey sample of 19 residents.
- D 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.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents were free from unnecessary psychotropic's for 1 Resident (#3) in a survey sample of 19 Residents.
January 13, 2022Standard inspection · 3 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on staff interview, facility documentation and clinical record review, the facility staff failed to provide consistent basic life support, including CPR for 1 Resident (Resident #35) in a survey sample of 27 Residents. This resulted in Immediate Jeopardy at Level 4 isolated on [DATE]. After reviewing the facility documentation, Immediate Jeopardy was determined to be removed at past non-compliance on [DATE].
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview and facility documentation review, the facility staff failed to store food in a manner to identify the food item and the date opened or to be used by, in 2 of 4 food storage areas inspected.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident interview, staff interviews and clinical record review, the facility staff failed to ensure the environment was free of accident hazards by allowing Resident access to medication/treatment and sharps for 1 Resident (Resident #6) in a survey sample of 27 Residents.
April 24, 2019Standard inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility documentation and clinical record review the facility staff failed to ensure freedom from accident hazard for 1 Resident in a survey sample of 18 Residents. For Resident # 91 the facility failed to ensure foot rests were in place on wheelchair while transporting Resident in wheelchair.
Fire safety inspections
2 fire safety citations on file: 2 on January 13, 2022.
Every fire safety citation2 citations
- D Provide properly protected cooking facilities.
- D Have proper power supply for life support equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.92 | 3.76 | 3.86 |
| Registered nurses | 1.55 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.28 | 3.29 | 3.42 |
| Nurse aides | 2.68 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 25.6% | 48.1% | 45.8% |
| Registered nurse turnover | 27.3% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.19 on weekdays and 4.28 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.74 in April to June 2025 to 4.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.92 | 1.55 | 5.19 | 4.28 | 0.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 4.97 | 1.46 | 5.22 | 4.33 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 4.81 | 1.44 | 5.12 | 4.03 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.74 | 1.32 | 5.05 | 3.97 | 0.0% | 0 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.8 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.9 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.2 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 14.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.5 | 1.8 |
Owners and operators
Legal business name: RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rappahannock Westminster-Canterbury, Inc. | 5% or greater direct ownership interest | Organization | 100% | 09/26/1980 |
| Chesapeake Bank | 5% or greater security interest | Organization | 12/27/2012 | |
| Union First Market Bank | 5% or greater security interest | Organization | 12/27/2012 | |
| Blandford, Cameron | Corporate director | Individual | 04/01/2021 | |
| Foster, Rebecca | Corporate director | Individual | 04/01/2017 | |
| Joy, Jeff | Corporate director | Individual | 06/20/2012 | |
| Kellum, Sandra | Corporate director | Individual | 04/01/2021 | |
| Limburg, Megan | Corporate director | Individual | 04/01/2019 | |
| Moseley, James | Corporate director | Individual | 04/01/2020 | |
| Bunting, Stuart | Corporate officer | Individual | 02/22/1999 | |
| Jones, Shanee | Corporate officer | Individual | 02/17/2021 | |
| Wallin, Wanda | Corporate officer | Individual | 02/17/2021 | |
| Williams, Phillip | Corporate officer | Individual | 02/17/2016 | |
| Jones, Shanee | Operational/managerial control | Individual | 02/17/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 10, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 10, 2023: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 10, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 10, 2023: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
Other nursing homes nearby
- Lancashire Post Acute Kilmarnock, 2.8 mi · 4 of 5 stars · 28 citations
- Dockside Health & Rehab Center Locust Hill, 7.5 mi · 4 of 5 stars · 39 citations
- Riverside Lifelong Health & Rehabilitation Salud Saluda, 12 mi · 2 of 5 stars · 31 citations
- Riverside Lifelong Health and Rehabilitation - M Mathews, 17.6 mi · 4 of 5 stars · 12 citations
- Walter Reed Post Acute Gloucester, 19.4 mi · 4 of 5 stars · 18 citations
- Riverside Lifelong Health & Rehabilitation Sanders Gloucester, 19.4 mi · 5 of 5 stars · 23 citations
- Three Rivers Health & Rehab Center West Point, 23.2 mi · 3 of 5 stars · 36 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Rappahannock Westminster Canterbury's Medicare star rating?
- CMS rates Rappahannock Westminster Canterbury 5 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rappahannock Westminster Canterbury get at its last inspection?
- 10 health deficiencies at the standard inspection on August 10, 2023. The Virginia average is 14.3.
- Has Rappahannock Westminster Canterbury been fined?
- CMS lists no fines in the last three years.
- Does Rappahannock Westminster Canterbury accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rappahannock Westminster Canterbury?
- CMS lists 14 owners and managers. Legal business name: RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.