Nursing homeActive
Rappahannock Westminster Canterbury
132 Lancaster Drive, Irvington, VA 22480804438400042 certified beds · 36 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
14
● 0● 13● 1
Penalties · 3 yrs
—
none on file
Last survey
2023-08-10
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Virginia Office of Licensure and Certification · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-08-10 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2022-01-13 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2019-04-24 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Virginia Office of Licensure and Certification publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F661
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-23Record 495160-20230810-F925
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2021-11-23Record 495160-20220113-F678
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-08Record 495160-20220113-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-08Record 495160-20220113-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-06-05Record 495160-20190424-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.55
Facility
Virginia
National
Virginia 0.69 · National 0.69
Total nurse hours per resident day4.92
Facility
Virginia
National
Virginia 3.76 · National 3.86
Weekend total nurse hours4.28
Facility
Virginia
National
Virginia 3.29 · National 3.42
Total nursing staff turnover26%
Facility
Virginia
National
Virginia 48% · National 46%
Registered nurse turnover27%
Facility
Virginia
National
Virginia 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Virginia | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.9% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.7% | 14.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.8% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.6% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.3% | 20.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Rappahannock Westminster-Canterbury, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Jones, Shanee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blandford, Cameron Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bunting, Stuart Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Chesapeake Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Foster, Rebecca Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jones, Shanee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Joy, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kellum, Sandra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Limburg, Megan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Moseley, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Union First Market Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Wallin, Wanda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Williams, Phillip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Virginia.
No county cost figures on file for Lancaster.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lancashire Post Acute Kilmarnock | 2.8 mi | 2026-02-20 | 0121 |
| Dockside Health & Rehab Center Locust Hill | 7.5 mi | 2024-05-31 | 051 |
| Riverside Lifelong Health & Rehabilitation Salud Saluda | 12.0 mi | 2026-03-06 | 081 |
| Riverside Lifelong Health And Rehabilitation - M Mathews | 17.6 mi | 2023-08-03 | 000 |
| Riverside Lifelong Health & Rehabilitation Sanders Gloucester | 19.4 mi | 2023-07-20 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |