ElderGrade
A

99/100

Excellent

Rappahannock Westminster Canterbury

132 Lancaster Drive, Irvington, VA 22480

CMS 5/5 stars #1 of 2 in Lancaster County (804) 438-4000
Certified beds
42
Occupancy
86%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • No citations recorded in the last 3 years

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.38 total nurse hours per resident per day (national median 3.77)
  • 1.55 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 26% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.92 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.55 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.28 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 25.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 14 citations

Last standard health inspection: August 10, 2023 (3 years ago).

E Aug 10, 2023 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Aug 10, 2023 F0925

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0580

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.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0661

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

No actual harm, potential for more than minimal harm

D Aug 10, 2023 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
CHESAPEAKE BANK Organization 5% OR GREATER SECURITY INTEREST
UNION FIRST MARKET BANK Organization 5% OR GREATER SECURITY INTEREST
BLANDFORD, CAMERON Individual CORPORATE DIRECTOR
FOSTER, REBECCA Individual CORPORATE DIRECTOR
JOY, JEFF Individual CORPORATE DIRECTOR
KELLUM, SANDRA Individual CORPORATE DIRECTOR
LIMBURG, MEGAN Individual CORPORATE DIRECTOR
MOSELEY, JAMES Individual CORPORATE DIRECTOR
BUNTING, STUART Individual CORPORATE OFFICER
JONES, SHANEE Individual CORPORATE OFFICER
WALLIN, WANDA Individual CORPORATE OFFICER
WILLIAMS, PHILLIP Individual CORPORATE OFFICER

What families say

Write a review

No family reviews yet for Rappahannock Westminster Canterbury. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Rappahannock Westminster Canterbury

What is the ElderGrade for Rappahannock Westminster Canterbury? +

Rappahannock Westminster Canterbury holds an ElderGrade of A (99 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Rappahannock Westminster Canterbury? +

Residents receive an average of 4.92 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rappahannock Westminster Canterbury been cited for harming residents? +

Yes. 1 of the 14 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Rappahannock Westminster Canterbury accept Medicaid? +

Yes, Rappahannock Westminster Canterbury is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.