Shenandoah Valley Westminster Canterbury

300 Westminster Canterbury Dr · Winchester, VA · 22603 · 5406650156

51 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.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 85
Federal penalties 15% 100
Trend 10% 28
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day5.293.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day4.93≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Potential for harm · D March 23, 2023

    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.

    Corrected May 5, 2023 · Resident Rights

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E 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.

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · E March 23, 2023

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

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · E March 23, 2023

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

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · E March 23, 2023

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

    Corrected May 5, 2023 · Pharmacy Service

  • Potential for harm · E March 23, 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 May 5, 2023 · Pharmacy Service

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Nutrition and Dietary

  • Potential for harm · D March 23, 2023

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

    Corrected May 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F March 23, 2023

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

    Corrected May 5, 2023 · Infection Control

  • Potential for harm · D September 23, 2021

    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.

    Corrected October 22, 2021 · Resident Rights

  • Potential for harm · D September 23, 2021

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

    Corrected October 22, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D September 23, 2021

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

    Corrected October 22, 2021 · Quality of Life and Care

  • Potential for harm · D September 23, 2021

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

    Corrected October 22, 2021 · Quality of Life and Care

  • Potential for harm · D September 23, 2021

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

    Corrected October 22, 2021 · Pharmacy Service

  • Potential for harm · E September 23, 2021

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

    Corrected October 22, 2021 · Nutrition and Dietary

  • Potential for harm · D September 23, 2021

    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.

    Corrected October 22, 2021 · Environmental

  • Potential for harm · D February 21, 2020

    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.

    Corrected April 4, 2020 · Resident Rights

  • Potential for harm · D February 21, 2020

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

    Corrected April 4, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2020

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

    Corrected April 4, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2020

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

    Corrected April 4, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2020

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

    Corrected April 4, 2020 · Quality of Life and Care

  • Potential for harm · D February 21, 2020

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

    Corrected April 4, 2020 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495165 · certified since January 14, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.