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Rappahannock Westminster Canterbury

All states › Virginia › Irvington › Rappahannock Westminster Canterbury

132 Lancaster Drive Irvington, VA 22480 · Lancaster County

(804) 438-4000

Accepts Medicare Accepts Medicaid 42 certified beds Non profit Continuing care retirement community

CMS certification number 495160 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rappahannock Westminster Canterbury a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Rappahannock Westminster Canterbury as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Virginia average of 3.1. Inspectors issued 14 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 5.15 hours per resident per day at Rappahannock Westminster Canterbury, above the Virginia median of 3.57 (US median: 3.72). About 1.55 of those hours are from registered nurses. On weekends it falls to 4.41 hours, 14% below its all-week average. 32.6% of nursing staff left within a year (Virginia median 47.7%). That is lower than most homes in Virginia, a sign of a steadier team.

Nursing care per resident per day 5.15 hours
Above the Virginia median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.55 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.41 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 32.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 18.2% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds42
Residents per day 35 About 83% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1985
Legal business nameRAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.

Paying for care at Rappahannock Westminster Canterbury: Medicare and Medicaid

Rappahannock Westminster Canterbury is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 10, 2023 and found 10 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at Rappahannock Westminster Canterbury across 3 inspection dates. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 13, 2022. The most common areas cited were quality of life and care (4) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, January 13, 2022).

August 10, 2023 · 10 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 23, 2023)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Sep 23, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Sep 23, 2023)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Sep 23, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 23, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 23, 2023)

DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (Sep 23, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Sep 23, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Sep 23, 2023)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Sep 23, 2023)

January 13, 2022 · 3 citations, includes immediate jeopardy

JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0678 · Past Non-Compliance (Nov 23, 2021)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 8, 2022)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Feb 8, 2022)

April 24, 2019 · 1 citation

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 5, 2019)

Questions to ask on a tour of Rappahannock Westminster Canterbury

  1. Inspectors cited the home at the immediate-jeopardy level on January 13, 2022 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 3/5 5/5 5/5
August 2026 5/5 3/5 5/5 5/5
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Location

Hospitals near Rappahannock Westminster Canterbury

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.8 mi
    Rappahannock General Hospital Kilmarnock
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 17m for patients treated and sent home
  • 19.4 mi
    Riverside Walter Reed Hospital Gloucester
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 12m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lancashire Post Acute Kilmarnock · 2.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 120 beds · Medicaid
Dockside Health & Rehab Center Locust Hill · 7.5 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 94 beds · Medicaid
Riverside Lifelong Health & Rehabilitation Salud Saluda · 12.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 60 beds · Medicaid
Riverside Lifelong Health and Rehabilitation - M Mathews · 17.6 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 60 beds · Medicaid
Walter Reed Post Acute Gloucester · 19.4 mi away ★★★★★ Inspection 5/5 · Staffing 1/5 181 beds · Medicaid

More nursing homes near Rappahannock Westminster Canterbury ›   All nursing homes in Irvington ›

Compare Rappahannock Westminster Canterbury with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/virginia/irvington/rappahannock-westminster-canterbury/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.