Virginia › Lancaster County › Irvington
Rappahannock Westminster Canterbury
132 Lancaster Drive, Irvington, VA 22480
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Rappahannock Westminster Canterbury is a Non-profit, corporation nursing home in Irvington, Virginia, certified for 42 beds and caring for about 36 residents a day.
CMS gives it 5 of 5 stars overall, above the Virginia median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (10, 3, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 33.3 per 100 beds, about the same as the state median of 34.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.9 hours per resident per day (1.5 RN), above the Virginia median of 3.4; nursing staff turnover is 25.6%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Lancaster Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 28 | 32 | 28.7 |
| Citations per 100 beds | 33.3 | 33.3 | 34.5 | 26.8 |
| Total nurse hours per resident day | 4.9 | 4.9 | 3.4 | 3.9 |
| RN hours per resident day | 1.5 | 1.5 | 0.5 | 0.7 |
| Nursing staff turnover | 25.6% | 61.6% | 48.3% | 45.8% |
| Fines listed | $0 | $40,290 | $0 | — |
County and state figures are medians across facilities (2 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Aug 2023, 13 Jan 2022.
Severity mix: J ×1 D ×10 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 23 Sep 2023 |
| 10 Aug 2023 | F0758 | 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. | D | Standard survey | 23 Sep 2023 |
| 13 Jan 2022 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 23 Nov 2021 |
| 13 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Feb 2022 |
| 13 Jan 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Feb 2022 |
| 24 Apr 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jun 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 25.6%, RNs 27.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.8% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.7% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Rappahannock Westminster-Canterbury, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rappahannock Westminster-Canterbury, Inc. | 5% or greater direct ownership interest | 100% | 09/26/1980 |
| Chesapeake Bank | 5% or greater security interest | NOT APPLICABLE | 12/27/2012 |
| Union First Market Bank | 5% or greater security interest | NOT APPLICABLE | 12/27/2012 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lancaster County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lancashire Post Acute | Kilmarnock | 120 | 4 | 3 | 2 | 28 | 23.3 | $40K | 20 Feb 2026 |
All 2 facilities in Lancaster County
Questions and answers
How many deficiencies has Rappahannock Westminster Canterbury been cited for?
14 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Rappahannock Westminster Canterbury been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Rappahannock Westminster Canterbury compare?
Reported total nurse staffing is 4.9 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Rappahannock Westminster Canterbury?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Rappahannock Westminster-Canterbury, Inc.. Individual owners and managers are not listed on this site.
When was Rappahannock Westminster Canterbury last inspected?
The most recent survey or investigation in the CMS record is dated 10 Aug 2023; the most recent standard health survey was 10 Aug 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.