Rappahannock Westminster Canterbury
132 Lancaster Drive · Irvington, VA · 22480 · 8044384000
42 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.46 | 0.55–0.75 |
| Weekend hours / resident-day | 4.33 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D 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.
Corrected September 23, 2023 · Resident Rights
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Potential for harm · D August 10, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 23, 2023 · Resident Rights
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Potential for harm · D August 10, 2023
Ensure each resident receives an accurate assessment.
Corrected September 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 23, 2023 · Quality of Life and Care
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Potential for harm · D August 10, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 23, 2023 · Pharmacy Service
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Potential for harm · D August 10, 2023
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.
Corrected September 23, 2023 · Pharmacy Service
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Potential for harm · E August 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2023 · Nutrition and Dietary
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Potential for harm · E August 10, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 23, 2023 · Environmental
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Immediate jeopardy · J January 13, 2022
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 23, 2021 · Quality of Life and Care
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Potential for harm · D January 13, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 8, 2022 · Quality of Life and Care
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Potential for harm · E January 13, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 8, 2022 · Nutrition and Dietary
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Potential for harm · D April 24, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2019 · Quality of Life and Care
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495160 · certified since November 25, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.