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Assisted Living in Virginia

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.

Rappahannock Westminster Canterbury

Assisted Living in Virginia

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.

Rappahannock Westminster Canterbury

132 Lancaster Drive, IRVINGTON, VA 22480 View map
Overview of Rappahannock Westminster Canterbury
Rappahannock Westminster-Canterbury is a retirement community located in Irvington, Virginia. It offers a maintenance-free lifestyle in a beautiful setting. The community provides various services and amenities to enhance the quality of life for its residents.

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.
4/5
Virginia average: 3.8/5
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.
3/5
Virginia average: 3.4/5
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.
5/5
Virginia average: 3.6/5
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.
2/5
Virginia average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 22m per day

This home provides 12% more nursing time per resident than the Virginia average.

Virginia average: 4h 47m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 70

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Virginia average
Occupancy rate 51.4%
Residents per day (avg) 34
Occupancy rate
51.4%
Residents per day (avg)
34

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.

Might be optimal for
Short stays Recovery Medicare-covered care

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

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$25.6M
Operating deficit
-$2.1K
Voluntary non-profit community Operated by a church.
Home revenue
$25,591,804.00
Operating deficit
$-2,075.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.1M
47.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.5M
Total costs $25.6M
Bed community size
70-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
51%
In line with Virginia average
Occupied beds
36 / 70
Average residents 98 per day

License Details

Facility TypeAssisted Living Facility
StatusActive

Additional Licensing Details

CMS Certification Number495160

Ownership & Operating Entity

Rappahannock Westminster Canterbury is administrated by Ms. Cynethia Davis.

Amenities & Lifestyle

0 amenities
Specific ProgramsAbout, Life Care, Life Enrichment Center, Community, Health Services, Residents’ Clinic, Support Services, Lifestyle, Fitness, Activities, Events, Amenities, Fine Dining, Rappahannock Club, Concierge, Around Town, Blog & News, Resources
Contact Rappahannock Westminster Canterbury

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.

5 inspections

0 inspections with violations (0%)

Virginia average: 14 inspections

Virginia average: 64.3% of inspections with violations

Latest inspection

Date December 16, 2024
Monitoring

5 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Virginia average: 14 citations

Health Inspection History

Inspections
Total health inspections 3

State average 4.2


Last Health inspection on Aug 2023

Total health citations 14

State average 38.4

Citations per inspection
4.67

State 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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
150% worse than State average

State average: 0.4


Serious Health citations More info 0
100% better than State average

State average: 1

1 critical citation More info State average: 0.4

0 serious citations More info State average: 1

13 moderate citations More info State average: 36.3

0 minor citations More info State average: 0.8
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Aug 10, 2023
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 10, 2023
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 10, 2023
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 10, 2023
Corrected

Compare Assisted Living around Virginia The information below is reported by the Virginia Department of Social Services and Department of Health.

Filter by care type
Brookdale Staunton
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.

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.

Staunton
144
Yes
16
-
April Sprouse
66.7%
A+
8
62.5%
8
Sancerre Atlee Station
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.

Mechanicsville
120
Yes
30
Studio / 1 Bed / 2 Bed
Lauren Friedman
17.5%
A
18
38.9%
18
Brookdale Harrisonburg
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.

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.

Harrisonburg
114
No
62
-
Ms. Jennifer Mcnamara
43.0%
A+
10
70%
10
Brookdale Danville Piedmont
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.

Danville
99
No
45
-
Carole Maxwell
45.5%
A+
6
100%
6
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
42
No
-
-
Ms. Cynethia Davis
51.4%
-
5
0%
5

Places of interest near Rappahannock Westminster Canterbury

Address 0.0 miles from city center

Address 132 Lancaster Drive, IRVINGTON, VA 22480

Calculate Travel Distance to Rappahannock Westminster Canterbury

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 73
Employees 69
Contractors 4
Staff to resident ratio 36.50:1
2089% better than Virginia average

Virginia average ratio: 1.67:1

Avg staff/day 26
Average shift 7.7 hours
0% compared with Virginia average

Virginia average: 8 hours

Total staff hours (quarter) 18,206
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.4%

261 contractor hours this quarter

Respiratory Therapy Technician: 2 Feeding Assistant: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant340348,08391100%7.6
Registered Nurse7072,80691100%9.6
Licensed Practical Nurse100101,86591100%9.2
Other Dietary Services Staff5051,83391100%7.8
Clinical Nurse Specialist4047335662%8.2
Administrator1015126470%8
Dietitian1014886167%8
RN Director of Nursing1014775763%8.4
Nurse Practitioner1014725965%8
Medical Director1013122629%12
Respiratory Therapy Technician1232396167%2.3
Physical Therapy Assistant1012205763%3.9
Qualified Social Worker2021203033%3.4
Feeding Assistant0112433%8
Occupational Therapy Assistant0112433%8
34 Certified Nursing Assistant
% of Days 100%
7 Registered Nurse
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
4 Clinical Nurse Specialist
% of Days 62%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 67%
1 RN Director of Nursing
% of Days 63%
1 Nurse Practitioner
% of Days 65%
1 Medical Director
% of Days 29%
3 Respiratory Therapy Technician
% of Days 67%
1 Physical Therapy Assistant
% of Days 63%
2 Qualified Social Worker
% of Days 33%
1 Feeding Assistant
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
2 residents
Residents by payment source
Medicare
1 resident (50%)
Medicaid
1 resident (50%)
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.

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
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%

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%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Virginia Seniors

Get financial aid guidance

Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled, Virginia resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high demand in urban areas.

Virginia Respite Care Grant Program

VA Respite Grant

Caregiver of someone 60+, Virginia resident.

~$2,500/month (individual, varies).

$40,000 (individual).

Limited grants; rural/urban balance.

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+), VA resident, need significant care (2+ ADLs), not Medicaid-eligible.

Varies by locality; typically < ~$2,510/month (200% FPL).

Limited assets (excludes home, car); varies by DSS.

Serves ~5,000 annually; focuses on low-income independence.

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+), VA resident, living in approved ALF/foster care, SSI-eligible or low-income.

~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.

$2,000 (individual).

Serves 4,000; personal needs allowance ($90/month).

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled, VA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized, VA resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Fuel, Crisis, Cooling components; serves ~100,000 households.

Senior Community Service Employment Program (SCSEP)

Virginia SCSEP

Age 55+, unemployed, low-income, VA resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, VA resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Relief for the Elderly and Disabled

Virginia Property Tax Relief

Age 65+ or disabled, VA resident, homeowner, income/asset limits vary by locality.

~$50,000-$75,000/year (household, e.g., Fairfax: $72,000; Richmond: $50,000).

Varies (e.g., Fairfax: $400,000 net worth; Richmond: $100,000).

Offered in 90% of localities; saves ~$500-$2,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+, VA resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50-$75/season); serves ~15,000 via AAAs.