Nursing home
Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care)
132 Lancaster Drive, Irvington, VA 22480 · Map
Non profit - Corporation · 42 certified beds
Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Irvington, Virginia. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.81 hours per resident per day, above the Virginia average of 3.81. Its most recent inspection on Aug 10, 2023 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.81 | 3.81 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.44 | 0.69 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.60 | 2.12 | 2.34 | above avg |
| Nursing staff turnover | 31.1% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Aug 10, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 10, 2023 - Potential for harm
Implement 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.
Pharmacy Service Deficiencies · Aug 10, 2023 - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 10, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 10, 2023
Show all 12 deficiencies
- Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Aug 10, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 10, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 10, 2023 - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Aug 10, 2023 - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 10, 2023 - Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Jan 13, 2022 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 13, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 132 Lancaster Drive
Irvington, VA 22480 - CMS certification #
- 495160
- Ownership
- Non profit - Corporation
- Certified beds
- 42
- Avg residents/day
- 34.7
- Provider type
- Medicare and Medicaid
- First certified
- 1985-11-25
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Rappahannock General Hospital, Kilmarnock. 5.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Lancashire Nursing & Rehabilitation Center, Kilmarnock. 2.8 miles away, straight line.
- Nearest home health agency office
- Home Care Associates LLC, Hayes. 26.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Main Street Pharmacy. 3.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 22480 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 22480.
- Nearest geriatric medicine practice
- Legacy Care Aco LLC, Williamsburg. 31.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively high, inland flooding relatively low, coastal flooding relatively moderate, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) staffed?
Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) reports 4.81 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) have?
Rappahannock Westminster Canterbury (Skilled Nursing and Continuing Care) is certified for 42 beds.