3/5
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.
3/5
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 12th out of 78 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▼ 25% 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.
| 1h 26m per day | ▲ 44% 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.
| 3h 20m per day | ▲ 58% 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 56m per day | ▲ 49% 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.
| 18m per day | ▲ 268% 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.
| 21m per day | ▼ 24% State avg: 28m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Shenandoah Valley Westminster-Canterbury is administered by Ms. Andrew J Heishman.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, 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
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 14 | This facility has had 43% fewer total inspections than the Virginia average (8 vs. VA avg 14). More inspections can mean more regulatory scrutiny rather than worse care.↓ 43% fewer |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 2 | 9 | This facility has 78% fewer inspections with violations than a typical Virginia nursing home (2 vs. VA avg 9).↓ 78% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 25% | 64% | This facility has 39 percentage points lower inspection violation rate than a typical Virginia nursing home (25% vs. VA avg 64%).↓ 39% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 2 | 7 | This facility has 71% fewer total complaints than a typical Virginia nursing home (2 vs. VA avg 7).↓ 71% better |
|
Complaints per year
Average complaints per year since 2020.
| 0.3 | 1.2 | This facility has 75% fewer complaints per year than a typical Virginia nursing home (0.3 vs. VA avg 1.2).↓ 75% better |
State average 4.2
Last Health inspection on Mar 2023
State average 38.4
State average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 28 citations resulted from standard inspections.
100% better than State averageState average: 0.4
100% better than State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% more staff per resident than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 16 LPN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 51 CNA Staff are full-time employees. No contractors work on this role.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
88 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 0 | 51 | 11,575 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,957 | 92 | 100% | 9 |
| Medication Aide/Technician | 13 | 0 | 13 | 2,247 | 92 | 100% | 9.1 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,107 | 92 | 100% | 7.5 |
| Registered Nurse | 9 | 0 | 9 | 1,640 | 92 | 100% | 9.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,269 | 74 | 80% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 988 | 67 | 73% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 984 | 67 | 73% | 7.6 |
| Feeding Assistant | 2 | 0 | 2 | 930 | 62 | 67% | 10 |
| Mental Health Service Worker | 3 | 0 | 3 | 711 | 64 | 70% | 7.7 |
| Physical Therapy Aide | 3 | 0 | 3 | 551 | 63 | 68% | 6.3 |
| Qualified Social Worker | 2 | 0 | 2 | 509 | 63 | 68% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 173 | 29 | 32% | 5.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 116 | 41 | 45% | 2.8 |
| Medical Director | 0 | 1 | 1 | 52 | 26 | 28% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 8 | 9% | 4.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 16 | 2 | 2% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.6
73% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
35.9
82% worse than Virginia averageVirginia average: 19.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
36.9%
119% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
39.6%
100% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.3%
38% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
26% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.0%
44% better than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
4.0%
159% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
3.8%
35% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
9.2%
29% better than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
10% better than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.03
39% worse than Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.66
53% better than Virginia averageVirginia average: 1.41
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
33% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
35% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
34% better than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.9%
14% better than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.0%
23% better than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
85.3%
59% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.4%
14% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Shenandoah Valley Westminster-Canterbury from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #17 / 78Payroll — State benchmarkedThis home is ranked 17th out of 78 homes in Virginia for payroll. 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.Facilities with the same value for a metric share the same 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.
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 #50 / 78Payroll % — State benchmarkedThis home is ranked 50th out of 78 homes in Virginia for payroll %. 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.Facilities with the same value for a metric share the same 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 16 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Winchester's city center to Shenandoah Valley Westminster-Canterbury's address, calculated via Google Maps.
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The information below is reported by the Virginia Department of Social Services and Department of Health.
| Falcons Landing | NH AL IL MC SNF | Potomac Falls | 60
Facility
60
VA AVG
96
Rank
#270 / 365 |
81.0%
Facility
81.0%
VA AVG
70.5
Rank
#100 / 297 | +15% | 6.16
Facility
6.16
VA AVG
3.74
Rank
#6 / 78 | -70% | +64% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 11
Facility
11
VA AVG
38.4
Rank
#7 / 77 | 3.7
Facility
3.7
VA AVG
8.9
Rank
#9 / 77 | - | 49 | A+ |
33
Facility
33
VA AVG
44
Rank
#281 / 446 | Air Force Retired Officers Community-Washington D.c | $37.2MFiscal year ending 12/2023
Facility
$37.2MFiscal year ending 12/2023
VA AVG
$18.3M
Rank
#13 / 78 | $21.0MFiscal year ending 12/2023
Facility
$21.0MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#7 / 78 | 56.5%Fiscal year ending 12/2023
Facility
56.5%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#17 / 78 | 495312 | ||||
| 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 / 78 | +17% | +50% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 7
Facility
7
VA AVG
38.4
Rank
#3 / 77 | 2.3
Facility
2.3
VA AVG
8.9
Rank
#2 / 77 | - | 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
#28 / 78 | $11.8MFiscal year ending 06/2024
Facility
$11.8MFiscal year ending 06/2024
VA AVG
$6.9M
Rank
#29 / 78 | 40.5%Fiscal year ending 06/2024
Facility
40.5%Fiscal year ending 06/2024
VA AVG
39.7%
Rank
#54 / 78 | 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 / 78 | -24% | +33% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 7
Facility
7
VA AVG
38.4
Rank
#3 / 77 | 7.0
Facility
7.0
VA AVG
8.9
Rank
#34 / 77 | - | 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
#46 / 78 | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#40 / 78 | 44.4%Fiscal year ending 12/2023
Facility
44.4%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#43 / 78 | 495404 | ||||
| Birmingham Green | NH AL MC SNF | Manassas | 64
Facility
64
VA AVG
96
Rank
#263 / 365 | - | - | - | -32% | - | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 15
Facility
15
VA AVG
38.4
Rank
#21 / 77 | 7.5
Facility
7.5
VA AVG
8.9
Rank
#39 / 77 | 1 | 164 | - |
50
Facility
50
VA AVG
44
Rank
#175 / 446 | Perry Mason | $26.9MFiscal year ending 06/2024
Facility
$26.9MFiscal year ending 06/2024
VA AVG
$18.3M
Rank
#20 / 78 | $22.8MFiscal year ending 06/2024
Facility
$22.8MFiscal year ending 06/2024
VA AVG
$6.9M
Rank
#6 / 78 | 84.6%Fiscal year ending 06/2024
Facility
84.6%Fiscal year ending 06/2024
VA AVG
39.7%
Rank
#3 / 78 | 495390 | ||||
| Shenandoah Valley Westminster-Canterbury | NH AL IL MC SNF | Winchester | 66
Facility
66
VA AVG
96
Rank
#260 / 365 | - | - | 5.44
Facility
5.44
VA AVG
3.74
Rank
#12 / 78 | -26% | +45% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 82 | 28
Facility
28
VA AVG
38.4
Rank
#40 / 77 | 9.3
Facility
9.3
VA AVG
8.9
Rank
#47 / 77 | - | 45 | - |
92
Facility
92
VA AVG
44
Rank
#11 / 446 | Gloria Shiley | $1.2MFiscal year ending 12/2023
Facility
$1.2MFiscal year ending 12/2023
VA AVG
$18.3M
Rank
#12 / 78 | $16.1MFiscal year ending 12/2023
Facility
$16.1MFiscal year ending 12/2023
VA AVG
$6.9M
Rank
#17 / 78 | 1334.1%Fiscal year ending 12/2023
Facility
1334.1%Fiscal year ending 12/2023
VA AVG
39.7%
Rank
#50 / 78 | 495165 |
Shenandoah Valley Westminster-Canterbury has a walk score of 92. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to VA state health department records, Shenandoah Valley Westminster-Canterbury's license expires on January 1, 2027.
Shenandoah Valley Westminster-Canterbury's occupancy is 91.6%.
No, Shenandoah Valley Westminster-Canterbury has a no-pet policy.
Shenandoah Valley Westminster-Canterbury is registered as a non-profit in VA.
Ms. Andrew J Heishman is the administrator of Shenandoah Valley Westminster-Canterbury.
Shenandoah Valley Westminster-Canterbury has 66 beds.
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