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Rappahannock Westminster Canterbury
Nursing Home, Assisted Living, Home Care, Independent Living, Memory Care & Nursing 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 & Nursing 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 Calculator: See prices in your area
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 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.

Facility Direct Line (804) 438-4079
Facility Direct Line (804) 438-4079 info@rw-c.org

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.
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.
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.
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.

Staffing hours breakdown

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 — compared to state averages

Total nursing care / resident Info 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 22m per day
Rank #14 / 89Nurse hours — State benchmarkedThis home is ranked 14th out of 89 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 89 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

2 of 6 metrics below state avg

Standout metric Weekend RN is +154% above state avg
Staff typeHours / Day / Residentvs 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 27m per day ▲ 113% 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. 42m per day ▼ 31% 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 49m per day ▲ 33% 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 20m per day ▲ 30% 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. 5m per day ▼ 7% 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 11m per day ▲ 154% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
1,213 days
Bed community size
70-bed community Rank #249 / 371Bed count — State benchmarkedThis home is ranked 249th out of 371 homes in Virginia. 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.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 27 / 100 Rank #326 / 449Walk Score — State benchmarkedThis home is ranked 326th out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
51%
Rank #259 / 314Occupancy rate — State benchmarkedThis home is ranked 259th out of 314 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 314. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Virginia average: 85.7%
Occupied beds
36 / 70
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
CMS Certification Number495160

Ownership & Operating Entity

Rappahannock Westminster Canterbury is administered by Ms. Cynethia Davis.

Amenities & Lifestyle

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

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.

Since 2021 · 5 years of data 5 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2021 vs. Virginia state average
Overall vs. VA average 0 Worse No metrics in this bucket. 1 Better Metrics better than Virginia average:
• Total inspections (64% below)
Latest Inspection December 16, 2024 Monitoring

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 routine and focused inspections. Excludes complaint investigations. 514 This facility has 64% fewer total inspections than a typical Virginia assisted living residence (5 vs. VA avg 14).↓ 64% better

Inspection Reports Summary Info 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 violations of applicable standards or laws.
  • The November 28, 2023 renewal inspection also found no deficiencies after reviewing records, medication storage, and staff-resident interactions.
  • All inspections since November 2021 consistently reported full compliance with no deficiencies or complaints.
Show Inspection Reports

Health Inspection History

Inspections since 2019
Total health inspections 3

State average N/A

Last Health inspection on Aug 2023

Total health citations
14 Rank #15 / 90Health citations — State benchmarkedThis home is ranked 15th out of 90 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 90 VA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.67 Rank #19 / 90Citations per inspection — State benchmarkedThis home is ranked 19th out of 90 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 90 facilities with citation data. Lower is better.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

1 critical citation State average: N/A
0 serious citations State average: N/A
13 moderate citations State average: N/A
0 minor citations State average: N/A
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. 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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

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%
5 Clinical Nurse Specialist
% of Days 90%
1 Administrator
% of Days 65%
3 Nurse Practitioner
% of Days 59%
1 Dietitian
% of Days 61%
1 RN Director of Nursing
% of Days 58%
1 Physical Therapy Assistant
% of Days 68%
3 Respiratory Therapy Technician
% of Days 68%
1 Occupational Therapy Aide
% of Days 15%
2 Qualified Social Worker
% of Days 33%
1 Medical Director
% of Days 3%
1 Feeding Assistant
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
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 State average

State 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 State average

State average: 19.7

Long-stay resident measures
Above average State 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 State average

State average: 16.8%

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

State 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 State average

State 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 State average

State 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 State average

State average: 5.4%

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

State average: 1.5%

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

State average: 5.9%

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

State average: 14.9%

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

State average: 12.9%

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

State average: 91.3%

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

State average: 94.0%

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

State 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 State average

State 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 State average

State average: 74.9%

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

State 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
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 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 #43 / 89Revenue — State benchmarkedThis home is ranked 43rd out of 89 homes in Virginia. Shows this facility's annual revenue compared to the Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #27 / 89Payroll — State benchmarkedThis home is ranked 27th out of 89 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.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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 #26 / 89Payroll % — State benchmarkedThis home is ranked 26th out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 Ms. 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

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.

Calculate Travel Distance to Rappahannock Westminster Canterbury

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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. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Rappahannock Westminster Canterbury?

Rappahannock Westminster Canterbury's occupancy is 51%.

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?

Ms. Cynethia Davis is the administrator of Rappahannock Westminster Canterbury.

How many beds does Rappahannock Westminster Canterbury have?

Rappahannock Westminster Canterbury has 70 beds.

Has Rappahannock Westminster Canterbury had any recent deficiencies?

Rappahannock Westminster Canterbury has had 5 recently reported deficiencies.

Are there photos of Rappahannock Westminster Canterbury?

Yes — there are 3 photos of Rappahannock Westminster Canterbury in the photo gallery on this page.

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