Rappahannock Westminster Canterbury

Assisted Living in Virginia

CMS overall rating Info 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

Assisted Living in Virginia

CMS overall rating Info 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.
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Rappahannock Westminster Canterbury accepts Medicare and private pay.

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 ▲ 0.2 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 ▼ 0.4 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 ▲ 1.4 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 ▼ 2.0 Virginia average: 4.0/5

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 Virginia state averages

Total nursing care / resident Info This home is ranked 10th out of 59 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.
5h 22m per day
Rank #10 / 59Nurse hours — state benchmarkedThis home is ranked 10th out of 59 homes in Virginia.Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 59 Virginia SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Virginia avg (4h 47m per day)
vs Virginia avg
+12%

1 of 6 metrics below state avg

Standout metric RN (Weekend) is +136% above state avg
Staff typeHours / dayvs 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 ▲ 112% 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 per day ▼ 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 36m per day ▲ 23% State avg: 2h 7m per day · National avg: 2h 20m per day
Total Nursing (Weekend) 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. 3h 58m per day ▲ 20% 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 ■ Avg State avg: 5m per day · National avg: 4m per day
RN (Weekend) 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 6m per day ▲ 136% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
1,213 days

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.

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
$25.6M Rank #29 / 59Revenue — state benchmarkedThis home is ranked 29th out of 59 homes in Virginia.Shows this facility's annual revenue compared to the Virginia SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating deficit
-$2.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #16 / 59Payroll — state benchmarkedThis home is ranked 16th out of 59 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.
$12.1M
47.1% of revenue Rank #4 / 59Payroll % — state benchmarkedThis home is ranked 4th out of 59 homes in Virginia.Shows payroll as a percentage of revenue versus the Virginia average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
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%
Rank #55 / 62Occupancy rate — state benchmarkedThis home is ranked 55th out of 62 homes in Virginia.Shows this facility's occupancy rate versus the Virginia average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Lower than the Virginia average: 85.7%
Occupied beds
36 / 70
Average residents 98 per day

License Details

Facility TypeAssisted Living Facility
StatusActive
CMS Certification Number495160

Ownership & Operating Entity

Rappahannock Westminster Canterbury is administrated by Ms. Cynethia Davis.

Amenities & Lifestyle

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 Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

0 inspections with violations (0%)

Virginia average: 14 inspections

Virginia average: 64.3% of inspections with violations

Latest inspection

Date December 16, 2024
Monitoring

Inspection Report Summary for Rappahannock Westminster Canterbury

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.

Health Inspection History

Inspections
Total health inspections 3

State average 4.2


Last Health inspection on Aug 2023

Total health citations
14 Rank #12 / 60Health citations — state benchmarkedThis home is ranked 12th out of 60 homes in Virginia.Shows this facility's total health deficiency citations benchmarked to the Virginia state average, with a ranking across all 60 VA SNFs. Lower citation counts earn a better rank.

State average 38.4

Citations per inspection
4.67 Rank #13 / 60Citations per inspection — state benchmarkedThis home is ranked 13th out of 60 homes in Virginia.Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 60 SNFs with citation data. Lower is better.

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

Financial Assistance for
Assisted Living in Virginia

Rappahannock Westminster Canterbury is located in IRVINGTON, Virginia.
Here are the financial assistance programs available to residents in Virginia.

Get Financial aid guidance

Commonwealth Coordinated Care Plus (CCC Plus)

VA Medicaid CCC Plus

Age 65+ or disabled
General Virginia resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
VA

Managed care model; high demand in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Virginia Respite Care Grant Program

VA Respite Grant

Age Caregiver of someone 60+
General Virginia resident.
Income Limits ~$2,500/month individual, varies
Asset Limits $40,000 individual
VA

Limited grants; rural/urban balance.

Benefits
In-home respite (up to 30 days/year) Adult day care (~$65/day) Facility respite (up to 5 days)

Adult Services Program

Virginia Adult Services (AS)

Age 60+ (or disabled 18+)
General VA resident, need significant care (2+ ADLs), not Medicaid-eligible.
Income Limits (2025) Varies by locality; typically < ~$2,510/month 200% FPL
Asset Limits Limited assets (excludes home, car); varies by DSS.
VA

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

Benefits
Personal care (4-6 hours/week) Adult day care (~$60/day) Chore services Assessments Respite (~5 days/year)

Auxiliary Grant Program

Virginia Auxiliary Grant (AG)

Age 65+ (or disabled 18+)
General VA resident, living in approved ALF/foster care, SSI-eligible or low-income.
Income Limits (2025) ~$1,041/month (individual, SSI level + $20 disregard); higher with medical deductions.
Asset Limits $2,000 individual
VA

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

Benefits
Cash (~$1,400-$1,700/month in 2025, varies by region) for ALF/foster care costs; basic care included

Medicare Savings Program (MSP)

Virginia Medicare Savings Program

Age 65+ or disabled
General VA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
VA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Energy Assistance Program (EAP)

Virginia Energy Assistance Program

Age 60+ prioritized
General VA resident, low-income household.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
VA

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

Benefits
Heating/cooling aid ($300-$1,000/season) Crisis aid ($500 max) Equipment repair (~$250)

Senior Community Service Employment Program (SCSEP)

Virginia SCSEP

Age 55+
General unemployed, low-income, VA resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
VA

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

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

Virginia VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General VA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
VA

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Relief for the Elderly and Disabled

Virginia Property Tax Relief

Age 65+ or disabled
General VA resident, homeowner, income/asset limits vary by locality.
Income Limits (2025) ~$50,000-$75,000/year household, e.g., Fairfax: $72,000; Richmond: $50,000
Asset Limits Varies e.g., Fairfax: $400,000 net worth; Richmond: $100,000
VA

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

Benefits
Tax exemption/deferral (~$500-$2,000/year depending on locality)

Senior Farmers’ Market Nutrition Program (SFMNP)

Virginia SFMNP

Age 60+
General VA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
VA

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

Benefits
Vouchers (~$50-$75/season) for produce at farmers’ markets

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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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 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.

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
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%

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

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

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

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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).

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