Kilmarnock · 22482
Lancashire Post Acute
287 School Street
Kilmarnock, VA 22482
Rappahannock Westminster Canterbury
Top Rated for Long-Term Care, 2026Is this your home? Get your free badge →
⌖ Irvington, VA · Lancaster County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds42
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Rappahannock Westminster Canterbury
Rappahannock Westminster Canterbury is a 42-bed nonprofit nursing home in Irvington, VA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Virginia is 3.0. At its last full inspection (Aug 2023), inspectors found 10 problems, fewer than the Virginia average of 14.3. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 55 min a day with each resident, more than the Virginia average of 3 hr 46 min. About 26% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameRappahannock Westminster Canterbury
LocationLancaster County, Virginia
Phone(804) 438-4000
Address132 Lancaster Drive, Irvington, VA 22480 · Lancaster County
CMS provider number495160
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 25, 1985 (40 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
6 strengths in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Aug 2023.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection10 (Aug 2023)Virginia average: 14.3. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 55 min a dayVirginia average: 3 hr 46 minStrength
- Registered nurse time per resident1 hr 33 min a dayVirginia average: 41 minStrength
- Nursing staff turnover26% a yearVirginia average: 48%Strength
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Virginia average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs7.4%State average: 1.3%Worse than average
Physical therapist time: about 6 minutes per resident a day. That is about the same as the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury6.9%State average: 3.6%Worse than average
- Pressure sores (bedsores)0.8%State average: 4.7%Better than average
- Given antipsychotic drugs5.7%State average: 14.2%Better than average
- Hospital stays per 1,000 resident days0.4State average: 1.5Better than average
Source: Medicare (CMS) quality measures, compared with the Virginia average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Virginia, Medicaid pays for 63% of resident days at a typical home.
- 0% Medicaid
- 4% Medicare
- 96% Private pay, insurance and other
Beds in use, on average78%Virginia typical: 90%
Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 4 to 5 stars and changed 2 times.
Overall rating5★
Health inspections3★
Staffing5★
Quality of care5★
Nurse hours per resident per day4.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 5 | 5 | 4.8 |
| Jan 2020 | 5 | 5 | 5 | 5 | 5.1 |
| Jan 2021 | 5 | 5 | 5 | 5 | 5.8 |
| Jan 2022 | 5 | 5 | 5 | 5 | 5.0 |
| Jan 2023 | 5 | 5 | 5 | 5 | 4.7 |
| Jan 2024 | 5 | 5 | 5 | 5 | 5.8 |
| Feb 2025 | 5 | 4 | 5 | 4 | 5.1 |
| Feb 2026 | 4 | 3 | 5 | 4 | 4.8 |
| Sep 2026 | 5 | 3 | 5 | 5 | 4.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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