Inspection Reports for
Shenandoah Valley Westminster-Canterbury
300 Westminster Canterbury Drive, WINCHESTER, VA, 22603
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
74% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
52 residents
Based on a November 2025 inspection.
Occupancy over time
Inspection Report
Monitoring
Census: 52
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
The inspection was a monitoring visit conducted on November 20, 2025, following a self-reported incident received on October 30, 2024, regarding allegations in Resident Care and Related Services.
Findings
The investigation did not support the self-report of non-compliance with standards or law. No deficiencies or non-compliance were found during the inspection.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Renewal
Census: 52
Deficiencies: 2
Date: Nov 20, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and laws.
Findings
The inspection found non-compliance with applicable standards or laws, including deficiencies related to individualized service plans not identifying resident needs and failure to ensure confidentiality of resident records. The facility was given a violation notice and an opportunity to submit a plan of correction.
Deficiencies (2)
Facility failed to develop Individualized Service Plans (ISP) that identified residents' needs including therapy, fall risk, diet, and use of wander management devices.
Facility failed to ensure that all resident records were treated confidentially; a door to a room containing resident records was left unattended and open.
Report Facts
Number of residents present: 52
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews conducted: 1
Number of staff interviews conducted: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Pearson | Licensing Inspector | Contact person for questions about the licensing program |
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to resident care and related services at the facility.
Complaint Details
The complaint investigation was not substantiated as the evidence did not support the allegation of non-compliance.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. No deficiencies were cited.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 53
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
The inspection was conducted as a complaint investigation to review allegations of non-compliance with standards or laws at the assisted living facility.
Complaint Details
The complaint investigation did not substantiate the allegations of non-compliance.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or laws. The inspection findings will be posted publicly and an exit meeting will be conducted to review the findings.
Report Facts
Resident records reviewed: 2
Staff records reviewed: 1
Staff interviews conducted: 2
Inspection Report
Renewal
Census: 54
Deficiencies: 0
Date: Dec 7, 2023
Visit Reason
The inspection was conducted as a renewal of the facility's license to ensure compliance with applicable standards and regulations.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector conducted a tour of the physical plant and observed medication administration and residents eating breakfast.
Report Facts
Resident records reviewed: 10
Staff records reviewed: 4
Interviews with residents: 1
Interviews with staff: 1
Inspection Report
Monitoring
Census: 54
Deficiencies: 10
Date: May 24, 2023
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws, including a tour of the physical plant, record reviews, interviews, and observations.
Findings
The inspection found multiple violations including incomplete tuberculosis risk assessments for staff, missing resident social data and orientation forms, incomplete individualized service plans, inadequate healthcare oversight documentation, medication administration record deficiencies, unsecured hazardous materials, lack of semi-annual emergency preparedness reviews, and insufficient fire drill documentation.
Deficiencies (10)
Failed to ensure annual tuberculosis risk assessment for staff was complete.
Failed to obtain required personal and social data information prior to or at admission for residents.
Failed to ensure resident orientation forms were present in charts.
Failed to ensure comprehensive Individualized Service Plan contained all assessed needs.
Failed to ensure healthcare professional provided required health care oversight documentation.
Failed to ensure Medication Administration Record included all required information and follow-up documentation.
Failed to ensure cleaning supplies and hazardous materials were stored in a locked area.
Failed to ensure semi-annual review of emergency preparedness and response plan was completed.
Failed to ensure fire and emergency evacuation drill frequency and participation met code requirements.
Failed to ensure criminal history record report was obtained on or prior to the 30th day of employment for staff.
Report Facts
Number of residents present: 54
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of resident interviews conducted: 4
Number of staff interviews conducted: 3
Date of completion for all plans of correction: Jun 30, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rhonda Whitmer | Licensing Inspector | Contact person for questions about the inspection |
| Angela N Via | Current Inspector | Inspector on-site during the inspection |
Inspection Report
Renewal
Census: 54
Deficiencies: 0
Date: Dec 21, 2021
Visit Reason
An unannounced renewal inspection was conducted to review compliance with regulations and licensing requirements for the assisted living facility.
Findings
The facility was found to be clean and free from foul odors. Eight resident and four staff records, emergency preparedness plans, fire and resident emergency drills, dietary and health care oversights, and resident council minutes were reviewed. No violations were found during this renewal inspection.
Inspection Report
Monitoring
Census: 52
Deficiencies: 0
Date: Dec 8, 2020
Visit Reason
A monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with applicable standards and laws.
Findings
The inspection reviewed resident and staff records, staff schedules, fire and health inspections, and certifications. No violations or deficiencies were found during the inspection.
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