Rappahannock Westminster Canterbury

Nursing Home, Assisted Living, Home Care, Independent Living & Memory Care · Irvington, VA

CMS overall rating

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

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 info@rw-c.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Virginia state averages

Total nursing care / resident

5h 22m per day

This facility Virginia avg (3h 45m per day)

vs Virginia avg

+43%

2 of 6 metrics below state avg

Standout metric Weekend RN is +154% above state avg

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	▲ 113% 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.	42m per day	▼ 31% 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 49m per day	▲ 33% 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.	4h 20m per day	▲ 30% 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	▼ 7% 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 11m per day	▲ 154% State avg: 28m per day · National avg: 28m per day

Capacity and availability

1,213 days

70-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 27 / 100

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

About this community

Occupancy

Occupancy rate

51%

Lower than the Virginia average: 85.7%

Occupied beds

36 / 70

Average occupied beds in Virginia homes 98 beds

Facility TypeAssisted Living Facility

StatusActive

ExpirationDecember 25, 2026

CMS Certification Number495160

Rappahannock Westminster Canterbury is administered by Ms. Cynethia Davis.

Since 2021 · 5 years of data 5 inspections

Inspection Scorecard 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

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	VA Average	vs. VA Avg
Total inspections Combined count of all inspections conducted at this facility.	5	14	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

Inspection Reports Summary 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

Inspections since 2019

Total health inspections 3

State average 4.2

Last Health inspection on Aug 2023

Total health citations

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 7 years)

Critical health citations

150% worse than State average

State average: 0.4

Serious health citations

100% better than State average

State average: 1

1 critical citation State average: 0.4

0 serious citations State average: 1

13 moderate citations State average: 36.3

0 minor citations State average: 0.8

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

Total staff 80

Employees 75

Contractors 5

Staff to resident ratio 40.00 : 1

2302% more staff per resident than Virginia average

Avg staff/day 27

Average shift 7.9 hours

0% compared with Virginia average

Total staff hours (quarter) 19,654

Nursing staff breakdown

9.4 hours

9.3 hours

7.9 hours

Contractor staffing

410 contractor hours this quarter

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

Staff by category


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

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

No penalties in the past 3 years

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

High-risk clinical events score 14.0

38% worse than Virginia average

Virginia average: 10.1

Functional decline score 24.4

24% worse than Virginia average

Virginia average: 19.7

Long-stay resident measures

Above average Virginia avg: 3.9

Need for Help with Daily Activities Increased 24.7%

47% worse than Virginia average

Virginia average: 16.8%

Walking Ability Worsened 25.8%

31% worse than Virginia average

Virginia average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 22.7%

In line with Virginia average

Virginia average: 22.6%

Falls with Major Injury 4.2%

15% worse than Virginia average

Virginia average: 3.6%

High Risk Residents with Pressure Ulcers 8.0%

49% worse than Virginia average

Virginia average: 5.4%

Urinary Tract Infection 0.8%

46% better than Virginia average

Virginia average: 1.5%

Lost Too Much Weight 7.5%

27% worse than Virginia average

Virginia average: 5.9%

Depressive Symptoms 0.0%

100% better than Virginia average

Virginia average: 14.9%

Antipsychotic Use 13.3%

In line with Virginia average

Virginia average: 12.9%

Pneumococcal Vaccine 100.0%

10% better than Virginia average

Virginia average: 91.3%

Influenza Vaccine 100.0%

6% better than Virginia average

Virginia average: 94.0%

Hospitalizations per 1,000 days 1.16

21% better than Virginia average

Virginia average: 1.46

ED visits per 1,000 days 2.99

112% worse than Virginia average

Virginia average: 1.41

Short-stay resident measures

Pneumococcal Vaccine 85.5%

14% better than Virginia average

Virginia average: 74.9%

Antipsychotic medication increase 0.0%

100% better than Virginia average

Virginia average: 1.2%

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

Total residents 2

Medicare

50% of residents

Medicaid

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.

Financial Trends

Historical financial and operational data for Rappahannock Westminster Canterbury from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 03/2024.

Occupancy Rate 71.0% ↓ 9.9pp vs 2023

Net Patient Income -$7.8M ↓ ~$406.1K vs 2023

Payroll Costs $13.2M ↑ ~$850.5K vs 2023

Operating Margin -50.2% ↑ 0.3pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	89.1%	86.7%	83.5%	76.1%	84.3%	92.6%	88.3%	86.0%	83.2%	69.7%	76.6%	80.9%	71.0%
Beds	42	42	42	42	42	42	42	42	42	42	42	42	42
Net Income	-$307,693	$142,026	-$185,167	-$216,178	-$708,632	-$887,175	-$480,630	-$253,652	-$97,683	$2,552,247	$1,092,412	$957,518	-$2,075
Gross Revenue	$11,657,880	$11,889,049	$11,993,745	$12,153,811	$12,817,948	$13,873,224	$14,496,598	$15,014,888	$15,778,142	$15,199,854	$15,554,457	$16,760,131	$17,791,392
Operating Expenses	$14,965,964	$15,180,150	$14,928,386	$15,621,095	$16,917,040	$17,888,711	$19,600,870	$20,104,090	$20,195,974	$20,111,831	$20,402,815	$22,031,812	$23,339,174
Net Patient Income	-$4,877,758	-$5,037,482	-$4,730,574	-$5,184,734	-$6,021,932	-$6,198,643	-$7,204,672	-$7,060,127	-$6,656,865	-$6,734,962	-$6,708,718	-$7,396,367	-$7,802,487
Net Patient Revenue	$10,088,206	$10,142,668	$10,197,812	$10,436,361	$10,895,108	$11,690,068	$12,396,198	$13,043,963	$13,539,109	$13,376,869	$13,694,097	$14,635,445	$15,536,687
Payroll Costs	$7,587,919	$7,844,298	$8,005,074	$8,232,462	$9,277,304	$9,875,786	$10,769,320	$10,906,863	$11,112,987	$11,325,656	$11,351,879	$12,320,620	$13,171,074
Operating Margin %	-48.4%	-49.7%	-46.4%	-49.7%	-55.3%	-53.0%	-58.1%	-54.1%	-49.2%	-50.4%	-49.0%	-50.5%	-50.2%
Medicare %	4.4%	5.4%	5.6%	7.3%	5.8%	7.5%	5.0%	5.2%	7.3%	3.4%	4.0%	3.7%	4.5%
Medicaid %	16.0%	12.7%	13.5%	13.6%	14.2%	10.0%	12.1%	15.4%	10.9%	14.7%	11.3%	9.1%	1.3%
Private %	79.6%	81.9%	80.9%	79.1%	80.1%	82.6%	82.9%	79.4%	81.9%	81.9%	84.7%	87.2%	94.2%
Net Patient Revenue/Day	$736	$763	$796	$895	$840	$823	$916	$989	$1,058	$1,253	$1,166	$1,180	$1,423
Cost/Day	$1,092	$1,143	$1,166	$1,339	$1,305	$1,260	$1,449	$1,525	$1,579	$1,883	$1,737	$1,776	$2,137
Avg Length of Stay	221.0 days	182.0 days	203.3 days	174.1 days	332.4 days	394.5 days	314.6 days	253.5 days	328.0 days	355.9 days	405.0 days	427.8 days	1,213.2 days

Finances and operations

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

Net patient revenue

$15.5M

Net patient income

-$7.8M

Nonprofit Nonprofit Corporation

Net patient revenue

$15.5M

Net patient income

-$7.8M

Other income

$7.8M

Payroll costs

$13.2M 84.8% of net patient revenue

Other operating costs

$10.2M

Total costs

$23.3M

What does this home offer?

Pets Allowed

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.

Coverage residents most often arrive under.

Medicare 67%

Private pay 33%

Coverage residents most often leave under.

Medicare 28%

Private pay 69%

Medicaid 3%

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.

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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 to lowest based on our ranking methodology.


Goodwin House Alexandria	NH AL HC IL MC SNF	Alexandria (Alexandria West)	250 Facility 250 VA AVG 96 Rank #6 / 365	22.4% Facility 22.4% VA AVG 70.5 Rank #294 / 297	-68%	6.07 Facility 6.07 VA AVG 3.74 Rank #8 / 71	+19%	+62%	$0 Facility $0 VA AVG $54.3k Rank #1 / 75	14 Facility 14 VA AVG 38.4 Rank #13 / 70	4.7 Facility 4.7 VA AVG 8.9 Rank #16 / 70	-	56	-	62 Facility 62 VA AVG 44 Rank #97 / 446	Robert Liebreich	$31.7MFiscal year ending 09/2023 Facility $31.7MFiscal year ending 09/2023 VA AVG $18.3M Rank #4 / 71	$31.0MFiscal year ending 09/2023 Facility $31.0MFiscal year ending 09/2023 VA AVG $6.9M Rank #1 / 71	97.7%Fiscal year ending 09/2023 Facility 97.7%Fiscal year ending 09/2023 VA AVG 39.7% Rank #23 / 71	495057
Arleigh Burke Pavilion at Vinson Hall Retirement Community	NH AL HC IL MC RC SNF	Mclean (Kirby Road)	32 Facility 32 VA AVG 96 Rank #335 / 365	59.4% Facility 59.4% VA AVG 70.5 Rank #216 / 297	-16%	5.53 Facility 5.53 VA AVG 3.74 Rank #11 / 71	-11%	+48%	$0 Facility $0 VA AVG $54.3k Rank #1 / 75	13 Facility 13 VA AVG 38.4 Rank #11 / 70	4.3 Facility 4.3 VA AVG 8.9 Rank #13 / 70	-	19	-	52 Facility 52 VA AVG 44 Rank #160 / 446	Nmcgr	$10.7MFiscal year ending 12/2023 Facility $10.7MFiscal year ending 12/2023 VA AVG $18.3M Rank #30 / 71	$14.8MFiscal year ending 12/2023 Facility $14.8MFiscal year ending 12/2023 VA AVG $6.9M Rank #17 / 71	139.4%Fiscal year ending 12/2023 Facility 139.4%Fiscal year ending 12/2023 VA AVG 39.7% Rank #27 / 71	495410
Brandermill Woods Healthcare Communities	NH AL IL MC SNF	Midlothian (Brandermill)	91 Facility 91 VA AVG 96 Rank #177 / 365	60.4% Facility 60.4% VA AVG 70.5 Rank #213 / 297	-14%	5.62 Facility 5.62 VA AVG 3.74 Rank #10 / 71	+17%	+50%	$0 Facility $0 VA AVG $54.3k Rank #1 / 75	7 Facility 7 VA AVG 38.4 Rank #3 / 70	2.3 Facility 2.3 VA AVG 8.9 Rank #2 / 70	-	55	-	4 Facility 4 VA AVG 44 Rank #428 / 446	Frasier Brickhouse	$29.3MFiscal year ending 06/2024 Facility $29.3MFiscal year ending 06/2024 VA AVG $18.3M Rank #26 / 71	$11.8MFiscal year ending 06/2024 Facility $11.8MFiscal year ending 06/2024 VA AVG $6.9M Rank #28 / 71	40.5%Fiscal year ending 06/2024 Facility 40.5%Fiscal year ending 06/2024 VA AVG 39.7% Rank #49 / 71	495183
The Glebe Retirement Community	NH AL	Daleville	84 Facility 84 VA AVG 96 Rank #205 / 365	60.7% Facility 60.7% VA AVG 70.5 Rank #211 / 297	-14%	5.00 Facility 5.00 VA AVG 3.74 Rank #19 / 71	-24%	+33%	$0 Facility $0 VA AVG $54.3k Rank #1 / 75	7 Facility 7 VA AVG 38.4 Rank #3 / 70	7.0 Facility 7.0 VA AVG 8.9 Rank #32 / 70	-	51	-	16 Facility 16 VA AVG 44 Rank #373 / 446	Ellen Harvey-D'ardenne	$19.5MFiscal year ending 12/2023 Facility $19.5MFiscal year ending 12/2023 VA AVG $18.3M Rank #44 / 71	$8.7MFiscal year ending 12/2023 Facility $8.7MFiscal year ending 12/2023 VA AVG $6.9M Rank #38 / 71	44.4%Fiscal year ending 12/2023 Facility 44.4%Fiscal year ending 12/2023 VA AVG 39.7% Rank #38 / 71	495404
Rappahannock Westminster Canterbury	NH AL HC IL MC	Irvington	70 Facility 70 VA AVG 96 Rank #246 / 365	51.4% Facility 51.4% VA AVG 70.5 Rank #244 / 297	-27%	5.37 Facility 5.37 VA AVG 3.74 Rank #12 / 71	+56%	+43%	$0 Facility $0 VA AVG $54.3k Rank #1 / 75	14 Facility 14 VA AVG 38.4 Rank #13 / 70	4.7 Facility 4.7 VA AVG 8.9 Rank #16 / 70	1	36	-	27 Facility 27 VA AVG 44 Rank #325 / 446	Rappahannock Westminster-Canterbury, Inc	$15.5MFiscal year ending 03/2024 Facility $15.5MFiscal year ending 03/2024 VA AVG $18.3M Rank #38 / 71	$13.2MFiscal year ending 03/2024 Facility $13.2MFiscal year ending 03/2024 VA AVG $6.9M Rank #23 / 71	84.8%Fiscal year ending 03/2024 Facility 84.8%Fiscal year ending 03/2024 VA AVG 39.7% Rank #20 / 71	495160

Nursing Home Explorer

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.

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 51%.

Are pets allowed at Rappahannock Westminster Canterbury?

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

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.

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Rappahannock Westminster Canterbury

Overview of Rappahannock Westminster Canterbury

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Amenities & Lifestyle

Contact Rappahannock Westminster Canterbury

Inspection History

Inspection Scorecard 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.

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

35 Certified Nursing Assistant

12 Registered Nurse

7 Licensed Practical Nurse

5 Other Dietary Services Staff

5 Clinical Nurse Specialist

1 Administrator

3 Nurse Practitioner

1 Dietitian

1 RN Director of Nursing

1 Physical Therapy Assistant

3 Respiratory Therapy Technician

1 Occupational Therapy Aide

2 Qualified Social Worker

1 Medical Director

1 Feeding Assistant

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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