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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Rappahannock Westminster Canterbury is a 70-bed assisted living and skilled nursing community in Irvington, Virginia. It’s part of a non-profit continuing care retirement campus operated by Rappahannock Westminster-Canterbury, Inc., under church auspices. The facility accepts Medicare and private pay and serves residents in Lancaster County with assisted living, memory care, and respite care.
The state inspection record is exceptionally clean. Five inspections conducted between November 2021 and December 2024 produced zero deficiencies at every visit, against a Virginia average of 9.1 deficiencies per year. The latest visit, a December 2024 monitoring inspection, found full compliance across all reviewed areas. Similarly clear was the November 2023 renewal inspection conducted with 36 residents. No fines, enforcement actions, or complaint investigations are reported. CMS health inspection data covering three inspections since 2019 shows 14 total citations, ranked 15th of 86 Virginia nursing home, well below the 38.4 state average. Staffing stands out as a consistent strength. Total nursing hours reach 5 hours and 22 minutes per resident per day, placing the facility 13th of 85 Virginia skilled nursing facilities and 12 percent above the state average. Registered nurse hours are 1 hour and 27 minutes per resident per day, more than double Virginia’s average of 41 minutes, implying stronger clinical oversight 24/7. Weekend RN coverage runs 1 hour and 6 minutes per day, 136 percent above the state average.
Programs include a Life Enrichment Center, Residents’ Clinic, and fine dining through the Rappahannock Club.
Rappahannock Westminster Canterbury suits residents seeking long-term care in a quiet, rural CCRC with strong nursing oversight and a spotless compliance record. The average private-pay length of stay exceeds four years, reflecting a long-term resident profile. Families prioritizing RN presence and a clean inspection history will find this community among the stronger options in the region.
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.
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.
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.
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.
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.
This home is ranked 13th out of 85 homes in Virginia. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 27m per day | ▲ 112% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
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 per day | ▼ 23% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
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 36m per day | ▲ 23% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 58m per day | ▲ 20% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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 6m per day | ▲ 136% State avg: 28m per day · National avg: 28m per day |
Lower than the Virginia average: 85.7%Rappahannock Westminster Canterbury is administrated by Ms. Cynethia Davis.
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.
This scorecard compares key inspection, citation, 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.
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 14 | This facility has 64% fewer total inspections than a typical Virginia nursing home (5 vs. VA avg 14).↓ 64% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 16, 2024, found no deficiencies with applicable standards or laws. Earlier inspections also showed compliance without any cited issues or violations. No complaint investigations were reported, and enforcement actions such as fines or license suspensions were not listed in the available reports. The facility has consistently met regulatory requirements across all inspections. This record indicates stable compliance over time with no noted concerns.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsVirginia average 4.2
Last Health inspection on Aug 2023
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 14 citations resulted from standard inspections.
150% worse than Virginia averageVirginia average: 0.4
100% better than Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2302% better than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
410 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 0 | 35 | 9,127 | 92 | 100% | 7.9 |
| Registered Nurse | 12 | 0 | 12 | 2,612 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 7 | 0 | 7 | 1,825 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,791 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,668 | 83 | 90% | 9.5 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 3 | 0 | 3 | 448 | 54 | 59% | 8.1 |
| Dietitian | 1 | 0 | 1 | 444 | 56 | 61% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 427 | 53 | 58% | 8.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 262 | 63 | 68% | 4.2 |
| Respiratory Therapy Technician | 1 | 2 | 3 | 251 | 63 | 68% | 2.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 140 | 14 | 15% | 10 |
| Qualified Social Worker | 2 | 0 | 2 | 96 | 30 | 33% | 3.1 |
| Medical Director | 1 | 0 | 1 | 36 | 3 | 3% | 12 |
| Feeding Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
24% worse than Virginia averageVirginia average: 19.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.7%
47% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
25.8%
31% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
In line with Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
15% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.0%
49% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.8%
46% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
7.5%
27% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
13.3%
In line with Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
10% better than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.16
21% better than Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.99
112% worse than Virginia averageVirginia average: 1.41
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.5%
14% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Virginia averageVirginia average: 1.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
67% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
2Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Rappahannock Westminster Canterbury based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #26 / 85Payroll — State benchmarkedThis home is ranked 26th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Irvington's city center to Rappahannock Westminster Canterbury's address, calculated via Google Maps.
Add your location
Rappahannock Westminster Canterbury is located in IRVINGTON, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Our Lady of the Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Roanoke (Gainsboro) | 127 | 87.4% | +2% | 3.79 | -42% | +1% | $0 | 14 | 4.7 | - | 111 | A+ | 68 | David Rawlings | $17.2M | $8.2M | 47.6% | 495357 | ||||
| Rappahannock Westminster Canterbury |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Irvington | 70 | 51.4% | -40% | 5.37 | +56% | +43% | $0 | 14 | 4.7 | 1 | 34 | - | 27 | Rappahannock Westminster-Canterbury, Inc. | $25.6M | $13.3M | 51.9% | 495160 |
Rappahannock Westminster Canterbury has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Rappahannock Westminster Canterbury's occupancy is 51%.
Ms. Cynethia Davis is the administrator of Rappahannock Westminster Canterbury.
Rappahannock Westminster Canterbury has 70 beds.
Rappahannock Westminster Canterbury has had 5 recently reported deficiencies.
Yes — there are 3 photos of Rappahannock Westminster Canterbury in the photo gallery on this page.
Rappahannock Westminster Canterbury is located at 132 Lancaster Drive.
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