What is Shenandoah Valley Westminster Canterbury's Medicare star rating?

CMS rates Shenandoah Valley Westminster Canterbury 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Shenandoah Valley Westminster Canterbury get at its last inspection?

3 health deficiencies at the standard inspection on May 1, 2026. The Virginia average is 14.3.

Has Shenandoah Valley Westminster Canterbury been fined?

CMS lists no fines in the last three years.

Does Shenandoah Valley 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 Shenandoah Valley Westminster Canterbury?

CMS lists 14 owners and managers. Legal business name: WESTMINSTER CANTERBURY OF WINCHESTER INC.

Shenandoah Valley Westminster Canterbury: Inspections

The record in brief

At its most recent standard inspection, on May 1, 2026, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 22 health citations since September 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.65 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

25.0% 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.

709/21

1203/23

305/26

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 22 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

May 1, 2026Standard inspection · 3 citations

F

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 29, 2026

Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure eight consecutive hours of RN (registered nurse) coverage for one of 46 days reviewed for nurse staffing.
F

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 29, 2026

Inspectors wroteBased on staff interview, and facility document review, it was determined that the facility staff failed to maintain COVID-19 staff vaccination status.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 29, 2026

Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain one of one kitchen and one of three nourishment areas in a sanitary manner.

March 23, 2023Standard inspection · 12 citations

F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview and facility document review, it was determined that the failed to designate a qualified individual(s) onsite, who was responsible for implementing programs and activities to prevent and control infections.
E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to implement the comprehensive care plan for six of 17 residents in the survey sample, Residents #4, #36, #22, #6, #17 and #34.
E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide care and services for a pressure injury for one of 17 residents in the survey sample, Resident #6.
E

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to provide a complete pain management program including implementation of non-pharmacological interventions prior to the administration of as needed pain medications for three of 17 residents in the survey sample, Residents #4, #97 and #34.
E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure residents were free from unnecessary medications for two of 17 residents in the survey sample, Residents #97 and #98. 1. For Resident #97 (R97), the facility staff administered the as needed pain medication, oxycodone, outside of the physician ordered parameters, which was for pain rated between seven to ten (7 to 10 on a pain scale of 1-10) on 3/20/23. The staff administered oxycodone for a pain rating of three (3 out of 10 on the pain scale). A review of R97's clinical record revealed a physician's order dated 3/14/23 for oxycodone 5 mg (milligrams) every four hours as needed for pain on a scale from seven to ten and a physician's order dated 3/15/23 for acetaminophen 500 mg every six hours as needed for pain on a scale from one to six. [...]
E

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 5, 2023

Inspectors wrote3. For Resident #98 (R98), the facility staff failed to monitor the resident for adverse side effects from the antidepressant medication duloxetine (1). A review of R98's clinical record revealed a physician's order dated 3/15/23 for duloxetine 30 mg (milligrams) in the morning for depression. A review of R98's March 2023 MAR (medication administration record) revealed the resident was administered duloxetine 30 mg every morning from 3/16/23 through 3/20/23. Further review of R98's clinical record failed to reveal the resident was monitored for side effects from duloxetine. On 3/22/23 at 10:53 a.m., an interview was conducted with LPN (licensed practical nurse) #2. LPN #2 stated that when a resident receives an antidepressant medication, nurses should look to ensure the medication isn't causing any harm or issues. [...]
D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to issue a bed hold notice to one of 17 residents in the survey sample, Resident #34.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide residents (or their representatives) with a summary of the baseline care plan for two of 17 residents in the survey sample, Residents #97 and #98.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to revise a resident's care plan for one of 17 residents in the survey sample, Resident #34.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to provide care and services to maintain a resident's highest level of well-being for one of 17 residents in the survey sample, Resident #35.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to store food in a sanitary manner in one of four kitchens, the Wisteria kitchen.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023

Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for one of 17 residents in the survey sample, Resident #14.

September 23, 2021Standard inspection · 7 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store food in a sanitary manner. The facility staff failed to discard an opened 16 ounce carton of liquid egg yolks with an expiration date of 9/14/21, failed to discard an opened half gallon carton of whole milk with a best if used by date of 9/10/21 and failed to discard a container of mushrooms labeled with a use by date of 9/14/21.
D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide documented evidence of facility-initiated transfer requirements for two of 22 residents in the survey sample, Residents #48 and #12. The facility staff failed to provide evidence that all required information was provided to the hospital staff when Resident #48 was transferred to the hospital on [DATE], and failed to provide Resident #12's comprehensive care plan goals to the receiving hospital upon the residents transfer to the hospital on [DATE].
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for two of 22 residents in the survey sample, Residents #13 and #2. 1. The facility staff failed to review and revise Resident #13's comprehensive care plan to address the care needs and use of oxygen. 2. The facility staff failed to review and revise Resident #2's comprehensive care plan to reflect interventions documented in the nurses notes to ensure implementation after the resident sustained a fall on 4/1/21.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on staff interview, facility document review, and clinical record review it was determined the facility staff failed to ensure one of 22 residents in the survey sample, received the care and services in accordance with professional standards and the comprehensive care plan for Resident #32. The facility staff failed to administer the physician ordered diuretic medication, Furosemide to Resident #32 as ordered.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care and services according to professional standards of practice for one of 22 residents in the survey sample, Resident #12. The facility staff administered oxygen to Resident #12 without specific physician ordered parameters for titration of the oxygen flow rate.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to ensure the drug regimen for one of 22 residents in the survey sample, was free of unnecessary medications, Resident #32. 1. The facility staff administered an antihypertensive medication to Resident #32 for a weight of 128, when the physician's order directed staff to administer the medication for a weight greater than / over 128 pounds. 2. The facility staff administered the as needed narcotic pain medication Hydrocodone - Acetaminophen, to Resident #32 , with no assessed pain rating and or for a pain rating below the physician ordered Pain Scale of 6-10, on 8/15/21, and on multiple dates in September 2021.
D

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 22, 2021

Inspectors wroteBased on observation, staff interview and facility document review, it was determined the facility staff failed to ensure the bed for one of 51 resident beds within the facility had been inspected on an annual basis, Resident #23's bed.

Fire safety inspections

9 fire safety citations on file: 2 on May 1, 2026, 3 on March 23, 2023, 4 on September 23, 2021.

Every fire safety citation9 citations

D
Meet other general requirements that are deficient.

K 300 · May 1, 2026 · Corrected (the home has a date of correction)
D
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · May 1, 2026 · Corrected (the home has a date of correction)
F
Address patient/client population and determine types of services needed.

E 7 · March 23, 2023 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · March 23, 2023 · Corrected (the home has a date of correction)
C
Provide family notifications of emergency plan.

E 35 · March 23, 2023 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · September 23, 2021 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 23, 2021 · Corrected (the home has a date of correction)
D
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · September 23, 2021 · Corrected (the home has a date of correction)
D
Meet requirements for the use of electrical equipment.

K 919 · September 23, 2021 · Corrected (the home has a date of correction)

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)	5.65	3.76	3.86
Registered nurses	0.63	0.69	0.69
All nursing staff on weekends	5.14	3.29	3.42
Nurse aides	3.51
Licensed practical nurses	1.51
Nursing staff turnover (share who left in a year)	25.0%	48.1%	45.8%
Registered nurse turnover	40.0%	48.2%	42.9%
Administrators who left	0

CMS expects 3.35 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 5.85 on weekdays and 5.14 on weekends, 12% 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 4.89 in April to June 2025 to 5.65 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	5.65	0.63	5.85	5.14	0.0%	0 of 90	44
Oct to Dec 2025	5.29	0.51	5.43	4.93	0.0%	0 of 92	45
Jul to Sep 2025	5.22	0.49	5.40	4.78	0.0%	4 of 92	44
Apr to Jun 2025	4.89	0.29	5.04	4.52	0.0%	12 of 91	46
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	27.1	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	0.7	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.5	3.6	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.8	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	29.9	15.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.3	4.7	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	7.1	14.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.4	22.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.9	11.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.5	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.5	1.5	1.8

Owners and operators

Legal business name: WESTMINSTER CANTERBURY OF WINCHESTER INC.

Name	Role	Type	Since
Heishmann, Andrew	Corporate director	Individual	02/13/2024
Thomas, Michelle	Corporate director	Individual	03/21/2005
Shiley, Gloria	Corporate officer	Individual	01/01/2008
Wernecke, Duane	Corporate officer	Individual	07/03/2012
Heishmann, Andrew	Operational/managerial control	Individual	02/13/2024
Patterson, Paige	Operational/managerial control	Individual	07/29/2022
Shiley, Gloria	Operational/managerial control	Individual	01/01/2008
Thomas, Michelle	Operational/managerial control	Individual	03/21/2005
Wernecke, Duane	Operational/managerial control	Individual	07/03/2012
Heishmann, Andrew	Adp of the SNF	Individual	02/13/2024
Patterson, Paige	Adp of the SNF	Individual	07/29/2022
Shiley, Gloria	Adp of the SNF	Individual	01/01/2008
Thomas, Michelle	Adp of the SNF	Individual	03/21/2005
Wernecke, Duane	Adp of the SNF	Individual	07/03/2012

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.

When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 23, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 23, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on May 1, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 23, 2023: "Ensure each resident’s drug regimen must be free from unnecessary drugs."

Other nursing homes nearby

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The Village at Orchard Ridge
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Evergreen Health and Rehabilitation Center
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Rose Hill Health and Rehab
Berryville, 11.1 mi · 1 of 5 stars · 75 citations
Heritage Hall Front Royal
Front Royal, 17.8 mi · 5 of 5 stars · 6 citations
Willow Tree Healthcare Center
Charles Town, 18.2 mi · 3 of 5 stars · 54 citations
Shenandoah Center
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Lynn Care Center
Front Royal, 18.8 mi · 2 of 5 stars · 54 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 Shenandoah Valley Westminster Canterbury's Medicare star rating?: CMS rates Shenandoah Valley Westminster Canterbury 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Shenandoah Valley Westminster Canterbury get at its last inspection?: 3 health deficiencies at the standard inspection on May 1, 2026. The Virginia average is 14.3.
Has Shenandoah Valley Westminster Canterbury been fined?: CMS lists no fines in the last three years.
Does Shenandoah Valley 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 Shenandoah Valley Westminster Canterbury?: CMS lists 14 owners and managers. Legal business name: WESTMINSTER CANTERBURY OF WINCHESTER 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.