Rappahannock Westminster Canterbury
132 Lancaster Drive, Irvington, VA 22480 · Lancaster County · 42 certified beds · avg 36 residents/day · certified since Nov 25, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 13, 2022 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 23, 2021 (Past Non-Compliance)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 10, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 13, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Jan 13, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 13, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 24, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 3 | 1 | J ▲ |
| 2023 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.38 | 3.67 | 3.95 | top 10% in Virginia; top 8% in the U.S. |
| Registered Nurse hours | 1.69 | 0.66 | 0.69 | top 3% in Virginia; top 3% in the U.S. |
| Weekend total nurse staffing | 4.68 | 3.21 | 3.50 | top 10% in Virginia; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.07 | 0.46 | 0.48 | top 4% in Virginia; top 5% in the U.S. |
| Total nursing staff turnover (%) | 25.6 | 48.1 | 45.8 | top 7% in Virginia; top 8% in the U.S. |
| RN turnover (%) | 27.3 | 48.2 | 42.9 | top 15% in Virginia; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.92, RN 1.55, weekend 4.28. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rappahannock Westminster-Canterbury, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/26/1980 |
| Blandford, Cameron | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Bunting, Stuart | Individual | Corporate Officer | NOT APPLICABLE | 02/22/1999 |
| Chesapeake Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 12/27/2012 |
| Foster, Rebecca | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Jones, Shanee | Individual | Corporate Officer | NOT APPLICABLE | 02/17/2021 |
| Jones, Shanee | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/17/2021 |
| Joy, Jeff | Individual | Corporate Director | NOT APPLICABLE | 06/20/2012 |
| Kellum, Sandra | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Limburg, Megan | Individual | Corporate Director | NOT APPLICABLE | 04/01/2019 |
| Moseley, James | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Union First Market Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 12/27/2012 |
| Wallin, Wanda | Individual | Corporate Officer | NOT APPLICABLE | 02/17/2021 |
| Williams, Phillip | Individual | Corporate Officer | NOT APPLICABLE | 02/17/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lancashire Post Acute | 2.8 mi | Kilmarnock, VA | ★★★★☆ | 3/5 | |
| Dockside Health & Rehab Center | 7.5 mi | Locust Hill, VA | ★★★★☆ | 3/5 | |
| Riverside Lifelong Health & Rehabilitation Salud | 12.0 mi | Saluda, VA | ★★☆☆☆ | 2/5 | |
| Riverside Lifelong Health and Rehabilitation - M | 17.6 mi | Mathews, VA | ★★★★☆ | 4/5 | |
| Walter Reed Post Acute | 19.4 mi | Gloucester, VA | ★★★★☆ | 5/5 | |
| Riverside Lifelong Health & Rehabilitation Sanders | 19.4 mi | Gloucester, VA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495160.