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Rappahannock Westminster Canterbury
Nursing Home, Assisted Living, Home Care, Independent Living & Memory Care · Irvington, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Entrance view of the Rappahannock Westminster Canterbury facility Cozy interior lounge area with seating and decor A dog walking outside in a grassy area with trees

Rappahannock Westminster Canterbury

Nursing Home, Assisted Living, Home Care, Independent Living & Memory Care · Irvington, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
132 Lancaster Drive, Irvington, VA 22480 View map
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Rappahannock Westminster Canterbury accepts Medicare and private pay.
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Rappahannock Westminster Canterbury accepts Medicare and private pay.

Overview of Rappahannock Westminster Canterbury

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Rappahannock Westminster Canterbury offers nursing home care, assisted living, home care, independent living, memory care, and nursing care in Irvington, VA. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains their own living space; independent living provides private living with community services and no daily care.

Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home care and nursing care provide residential access to licensed nursing support, including nursing care around the clock, while home care supports a resident in their own home. With several care levels available, the community may be a good fit for someone whose care needs may change over time.

The community has 70 beds. Total nurse staffing is 5h 23m per resident/day, representing the total nursing time allocated to each resident across a day. Medicare and private pay are accepted; Medicare can help cover short-term skilled care after a hospital stay, while private pay means paying directly for covered services.

The Life Enrichment Center offers a dedicated setting for resident activities, and the Fitness program provides on-site exercise opportunities. Fine Dining, the Residents’ Clinic, Support Services, the Rappahannock Club, Concierge, and Around Town are also available as named community programs and services. Pets are allowed, so a resident may keep a pet while living in the community. Ms. Cynethia Davis serves as the administrator.

Facility Direct Line (804) 438-4079

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 66.3% Above VA avg. ▲ 66.3% Above VA avg.VA average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 8.1% Above VA avg. ▲ 8.1% Above VA avg.VA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 102.4% Above VA avg. ▲ 102.4% Above VA avg.VA average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 29.9% Above VA avg. ▲ 29.9% Above VA avg.VA average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Virginia averages

Rank #17 / 70Nurse hours — State benchmarkedThis nursing home is ranked 17th out of 70 nursing homes we track in Virginia for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 70 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 17th out of 70 nursing homes we track in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

5h 23m

44% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 41m
+148% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
46m
−23% State avg: 1h 0m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 56m
+38% State avg: 2h 7m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 41m
+41% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
+10% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
1h 4m
+129% State avg: 28m per day · National avg: 28m per day

1 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +148% above Virginia average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 70 Rank #57 / 81Bed count — State benchmarkedThis nursing home is ranked 57th out of 81 nursing homes we track in Virginia for bed count. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #55 / 84Walk Score — State benchmarkedThis nursing home is ranked 55th out of 84 nursing homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
27 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
36
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
1,213 days

About this community

License Details

StatusActive
ExpirationDecember 25, 2026
CMS Certification Number495160
QualificationNon-Ambulatory | Assisted Living | Special Care Un

Ownership & Operating Entity

Rappahannock Westminster Canterbury is administered by Cynethia Davis.

Contact Information

Business Hours7am - 7am, 7

Amenities & Lifestyle

Specific ProgramsLife Enrichment Center, Residents’ Clinic, Support Services, Fitness, Fine Dining, Rappahannock Club, Concierge, Around Town, Blog & News

Contact Rappahannock Westminster Canterbury

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.

Inspection Scorecard Info This scorecard compares key inspection, violation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. VA average 0 Worse No metrics in this bucket. 3 Better Metrics better than Virginia average:
• Inspections with violations (100% below)
• Inspection violation rate (100% below)
• Total complaints (100% below)

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 514.0 This facility has had 64% fewer total inspections than the Virginia average (5 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 64% fewer
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 09.0 This facility has 100% fewer inspections with violations than a typical Virginia nursing home (0 vs. VA avg 9).↓ 100% better
Inspection violation rate Info Percentage of inspections that resulted in at least one violation. 0%58% This facility has 58 percentage points lower inspection violation rate than a typical Virginia nursing home (0% vs. VA avg 58%).↓ 58% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityVA Averagevs. VA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 07.0 This facility has 100% fewer total complaints than a typical Virginia nursing home (0 vs. VA avg 7).↓ 100% better
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

State average 4.2

Last Health inspection on Aug 2023

Total health citations
14 Rank #18 / 69Health citations — State benchmarkedThis nursing home is ranked 18th out of 69 nursing homes we track in Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 69 VA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 38.9

Citations per inspection
4.67 Rank #19 / 69Citations per inspection — State benchmarkedThis nursing home is ranked 19th out of 69 nursing homes we track in Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 69 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 9.06

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 14 citations resulted from standard inspections.

Breakdown of citation severity (last 7 years)
Critical health citations
1
100% worse than State average

State average: 0.5

Serious health citations
0
100% better than State average

State average: 1

1 critical citation State average: 0.5
0 serious citations State average: 1
13 moderate citations State average: 36.7
0 minor citations State average: 0.7
Citations history (last 7 years)
Environmental moderate citation Aug 10, 2023
Corrected
Nutrition moderate citation Aug 10, 2023
Corrected
Pharmacy moderate citation Aug 10, 2023
Corrected
Pharmacy moderate citation Aug 10, 2023
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 80
Employees 75
Contractors 5
Staff to resident ratio 40.00 : 1
Avg staff/day 27
Average shift 7.9 hours
0% compared with Virginia average
Virginia average: 8 hours Virginia average shift: 8 hoursSee full Virginia ranking
Total staff hours (quarter) 19,654

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 35 CNA Staff are full-time employees. No contractors work on this role. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.1%

410 contractor hours this quarter

Respiratory Therapy Technician: 2 Feeding Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant350359,12792100%7.9
Registered Nurse120122,61292100%9.4
Licensed Practical Nurse7071,82592100%9.3
Other Dietary Services Staff5051,79192100%7.8
Clinical Nurse Specialist5051,6688390%9.5
Administrator1014806065%8
Nurse Practitioner3034485459%8.1
Dietitian1014445661%7.9
RN Director of Nursing1014275358%8.1
Physical Therapy Assistant1012626368%4.2
Respiratory Therapy Technician1232516368%2.6
Occupational Therapy Aide0111401415%10
Qualified Social Worker202963033%3.1
Medical Director1013633%12
Feeding Assistant0112433%8
Occupational Therapy Assistant0112433%8
35 Certified Nursing Assistant
% of Days 100%
12 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.0
38% worse than Virginia average

Virginia average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.4
24% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures
Significantly above average Virginia avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.7%
47% worse than Virginia average

Virginia average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.8%
31% worse than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.7%
In line with Virginia average

Virginia average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
15% worse than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.0%
49% worse than Virginia average

Virginia average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
46% better than Virginia average

Virginia average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
27% worse than Virginia average

Virginia average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.3%
In line with Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
10% better than Virginia average

Virginia average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.16
21% better than Virginia average

Virginia average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.99
112% worse than Virginia average

Virginia average: 1.41

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.5%
14% better than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Virginia average

Virginia average: 1.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

67% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

33% of new residents, often for short stays.

Typical stay 4 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 2
Medicare
1
50% of residents
Medicaid
1
50% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Nonprofit
Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$7.8M
Nonprofit Operated by a nonprofit corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$15.5M Rank #38 / 69Net patient revenue — State benchmarkedThis nursing home is ranked 38th out of 69 nursing homes we track in Virginia. Shows this facility's net patient revenue compared to the Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$7.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$7.8M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #21 / 69Payroll costs — State benchmarkedThis nursing home is ranked 21st out of 69 nursing homes we track in Virginia. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$13.2M 84.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #10 / 69Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 10th out of 69 nursing homes we track in Virginia. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$10.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$23.3M
How we calculate these figures

This home is administered by Cynethia Davis.

This home is owned by Rappahannock Westminster-Canterbury, Inc.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 495160

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (67% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
21 total

Coverage residents most often arrive under.

Medicare 67%
Private pay 33%
Discharges
9 total

Coverage residents most often leave under.

Medicare 28%
Private pay 69%
Medicaid 3%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Rappahannock Westminster Canterbury

Address 0.0 miles from city center Info Estimated distance in miles from Irvington's city center to Rappahannock Westminster Canterbury's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 76.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Goodwin House Alexandria ★ ★ ★ ★ ★
NH
AL
CCRC
HC
IL
MC
SNF
Alexandria (Alexandria West)
250
Facility 250
VA AVG 114
Rank #4 / 81
22.0%
Facility 22.0%
VA AVG 76.8%
Rank #70 / 70
-71%
6.17
Facility 6.17
VA AVG 3.74
Rank #6 / 70
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +19%+65%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
14
Facility 14
VA AVG 38.4
Rank #18 / 69
4.7
Facility 4.7
VA AVG 8.9
Rank #19 / 69
-55-
62
Facility 62
VA AVG 41
Rank #17 / 84
Robert Liebreich
$31.7MFiscal year ending 09/2023
Facility $31.7MFiscal year ending 09/2023
VA AVG $19.9M
Rank #10 / 69
$31.0MFiscal year ending 09/2023
Facility $31.0MFiscal year ending 09/2023
VA AVG $11.3M
Rank #1 / 69
97.7%Fiscal year ending 09/2023
Facility 97.7%Fiscal year ending 09/2023
VA AVG 76.3%
Rank #5 / 69
495057
Sunnyside Presbyterian Retirement Community ★ ★ ★ ★ ★
NH
AL
MC
SNF
Harrisonburg
91
Facility 91
VA AVG 114
Rank #45 / 81
80.2%
Facility 80.2%
VA AVG 76.8%
Rank #38 / 70
+4%
4.72
Facility 4.72
VA AVG 3.74
Rank #29 / 70
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -64%+26%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
5
Facility 5
VA AVG 38.4
Rank #2 / 69
1.7
Facility 1.7
VA AVG 8.9
Rank #1 / 69
-73-
88
Facility 88
VA AVG 41
Rank #4 / 84
Richard Morin
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
VA AVG $19.9M
Rank #49 / 69
$13.8MFiscal year ending 12/2023
Facility $13.8MFiscal year ending 12/2023
VA AVG $11.3M
Rank #19 / 69
122.3%Fiscal year ending 12/2023
Facility 122.3%Fiscal year ending 12/2023
VA AVG 76.3%
Rank #4 / 69
495387
Goodwin House Bailey’s Crossroads ★ ★ ★ ★ ★
NH
AL
HC
HOS
IL
MC
PC
SNF
Falls Church
500
Facility 500
VA AVG 114
Rank #1 / 81
60.8%
Facility 60.8%
VA AVG 76.8%
Rank #52 / 70
-21%
5.59
Facility 5.59
VA AVG 3.74
Rank #13 / 70
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +152%+49%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
16
Facility 16
VA AVG 38.4
Rank #23 / 69
5.3
Facility 5.3
VA AVG 8.9
Rank #22 / 69
-304-
65
Facility 65
VA AVG 41
Rank #14 / 84
Donald Calloway
$47.1MFiscal year ending 09/2023
Facility $47.1MFiscal year ending 09/2023
VA AVG $19.9M
Rank #2 / 69
$29.2MFiscal year ending 09/2023
Facility $29.2MFiscal year ending 09/2023
VA AVG $11.3M
Rank #2 / 69
62.2%Fiscal year ending 09/2023
Facility 62.2%Fiscal year ending 09/2023
VA AVG 76.3%
Rank #15 / 69
495171
Brandermill Woods Healthcare Communities ★ ★ ★ ★ ★
NH
AL
CCRC
IL
MC
SNF
Midlothian
91
Facility 91
VA AVG 114
Rank #45 / 81
60.4%
Facility 60.4%
VA AVG 76.8%
Rank #55 / 70
-21%
5.32
Facility 5.32
VA AVG 3.74
Rank #19 / 70
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +17%+42%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
7
Facility 7
VA AVG 38.4
Rank #4 / 69
2.3
Facility 2.3
VA AVG 8.9
Rank #4 / 69
-55-
4
Facility 4
VA AVG 41
Rank #82 / 84
Frasier Brickhouse
$29.3MFiscal year ending 06/2024
Facility $29.3MFiscal year ending 06/2024
VA AVG $19.9M
Rank #14 / 69
$11.8MFiscal year ending 06/2024
Facility $11.8MFiscal year ending 06/2024
VA AVG $11.3M
Rank #25 / 69
40.5%Fiscal year ending 06/2024
Facility 40.5%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #60 / 69
495183
Rappahannock Westminster Canterbury ★ ★ ★ ★ ★
NH
AL
HC
IL
MC
Irvington
70
Facility 70
VA AVG 114
Rank #57 / 81
--
5.38
Facility 5.38
VA AVG 3.74
Rank #17 / 70
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +56%+44%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
14
Facility 14
VA AVG 38.4
Rank #18 / 69
4.7
Facility 4.7
VA AVG 8.9
Rank #19 / 69
136-
27
Facility 27
VA AVG 41
Rank #55 / 84
Rappahannock Westminster-Canterbury, Inc
$15.5MFiscal year ending 03/2024
Facility $15.5MFiscal year ending 03/2024
VA AVG $19.9M
Rank #38 / 69
$13.2MFiscal year ending 03/2024
Facility $13.2MFiscal year ending 03/2024
VA AVG $11.3M
Rank #21 / 69
84.8%Fiscal year ending 03/2024
Facility 84.8%Fiscal year ending 03/2024
VA AVG 76.3%
Rank #10 / 69
495160

Rank badges are statewide and care-type specific: each nursing home is ranked against every other VA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about Rappahannock Westminster Canterbury

Is Rappahannock Westminster Canterbury in a walkable area?

Rappahannock Westminster Canterbury has a walk score of 27. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

When does Rappahannock Westminster Canterbury's license expire?

According to VA state health department records, Rappahannock Westminster Canterbury's license expires on December 25, 2026.

What is the occupancy rate at Rappahannock Westminster Canterbury?

Rappahannock Westminster Canterbury's occupancy is 71.0%.

Are pets allowed at Rappahannock Westminster Canterbury?

Yes, Rappahannock Westminster Canterbury allows residents to bring their pets.

What is the best email address for Rappahannock Westminster Canterbury?

The team at Rappahannock Westminster Canterbury can be reached at info@rw-c.org.

Does Rappahannock Westminster Canterbury operate as a for-profit or non-profit?

Rappahannock Westminster Canterbury is registered as a non-profit in VA.

Who is the administrator of Rappahannock Westminster Canterbury?

Cynethia Davis is the administrator of Rappahannock Westminster Canterbury.

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