Shenandoah Valley Westminster Canterbury

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 67 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 77.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 36 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.96 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 51 beds and averages 44.1 residents a day — about 86% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.51 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.14 hrs/resident/day on weekends vs 5.85 on weekdays — 12% thinner on weekends. RN hours go from 0.73 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · F2026-05-01 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and facility document review, it was determined that the facility staff failed to ensure eight consecutive hours of RN (registered nurse) coverage for one of 46 days reviewed for nurse staffing.The findings include:The facility staff failed to ensure eight consecutive hours of RN coverage on 9/13/2025.Review of the PBJ (payroll-based journal) Staffing Data Report for Quarter three and Quarter four 2025 revealed concerns related to the facility's requirement to have a Registered Nurse on duty for at least 8 consecutive hours a day. The report documented no RN hours on multiple dates including 9/13/2025. On 4/29/2026 at approximately 8:17 AM during entrance conference, the Director of Nursing (DON) stated that the facility did not have any staffing waivers in place in the facility.On 4/29/2026 at approximately 4:30 PM, a request was made to the DON for evidence of RN coverage for all triggered dates on the PBJ reports including 9/13/2025.On 4/30/2026 at approximately 8:30 AM, the DON provided evidence of an RN on duty for 8-12 hours each day triggered on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-05-01 · tag F0887 — widespread
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, and facility document review, it was determined that the facility staff failed to maintain COVID-19 staff vaccination status. The findings include: During the facility task of Infection Prevention and review of facility documents, on 4/29/26, there was no evidence of maintenance of new hired staff COVID-19 vaccination status.On 4/30/26 at 11:00 AM an interview was conducted with the Infection Preventionist. Asked when she started in this role, she stated, two years ago in June of 2024. Asked to provide the evidence of maintenance of new hired staff COVID-19 vaccination status, the Infection Preventionist stated, Human Resources has been responsible for the screening of new hires, and they have not been screening them for the COVID-19 vaccination status. It may be asked but it is not followed up on and documentation is not maintained. As of today, Infection Prevention will be overseeing the new hired staff COVID-19 vaccination status. In my previous job, that was my responsibility. This is regulation 887 that we do not have the evidence. On 4/30/26 at 1:05…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain one of one kitchen and one of three nourishment areas in a sanitary manner. The findings include:On 4/29/26 at 8:35a.m., an observation was conducted in the kitchen with the following findings: in dry storage, one approximately 48oz bag of Sysco Fancy Pecan Pieces, inside a clear plastic bag without a label and date; one opened 5lb box of Pearl [NAME] Yellow Corn Meal, in the original box, without a label and date; one approximately 5lb box of Quaker Creamy Wheat labeled with the month and date but no year; one approximately 5lb box of Gold Medal Chocolate Fudge Cream Icing Mix opened and uncovered; and a food scooper left inside of a brown rice bin. The dietary manager stated he would speak with the stock person about labeling and dating. When asked about the food scooper the dietary manager stated, it should not be inside there. On 4/29/26 at approximately 2:00 p.m. an observation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-03-23 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and facility document review, it was determined that the failed to designate a qualified individual(s) onsite, who was responsible for implementing programs and activities to prevent and control infections. The findings include: The facility staff failed to ensure the acting infection preventionist had completed specialized training in infection prevention and control. On 3/20/23 during the entrance conference, ASM (administrative staff member) #1, the administrator, was asked to provide evidence of the infection preventionist's credentials. ASM #1 stated the facility did not currently employ an infection preventionist and stated the former infection preventionist recently left the position without working out a full notice, and the facility had not yet employed a new person to fill the role. She stated no other staff members had credentials that meet the regulatory requirements of an infection preventionist. She stated she and ASM #2, the director of health services, were currently filling the role. On 3/22/23 at 4:30 p.m., ASM #1, ASM #2, and ASM #3, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-03-23 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to implement the comprehensive care plan for six of 17 residents in the survey sample, Residents #4, #36, #22, #6, #17 and #34. The findings include: 1. For Resident #4 (R4), the facility staff failed to implement the comprehensive care plan to provide non-pharmacological interventions prior to administration of as needed Tylenol with Codeine #3 (1). On the most recent MDS (minimum data set), a significant change assessment with an ARD (assessment reference date) of 1/4/2023, the resident scored 13 out of 15 on the BIMS (brief interview for mental status) assessment, indicating the resident was cognitively intact for making daily decisions. Section J documented R4 having pain frequently and receiving as needed pain medications. Section J further documented R4 not receiving non-medication interventions for pain. On 3/21/2023 at 11:22 a.m., an interview was conducted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-03-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review and clinical record review, the facility staff failed to provide care and services for a pressure injury for one of 17 residents in the survey sample, Resident #6. The findings include: For Resident #6 (R6), the facility staff failed to evidence treatment was provided for the resident's left lateral foot pressure injury, as ordered by the physician, on multiple dates during February 2023 and March 2023. A review of R6's clinical record revealed a pressure injury assessment dated [DATE] that documented the resident presented with a deep tissue injury on the outer aspect of the left lateral foot (present on admission 2/13/23). A physician's order dated 2/14/23 documented to apply skin prep to the left lateral foot wound twice a day. A review of R6's February 2023 and March 2023 MARs (medication administration records) and TARs (treatment administration records) failed to reveal the physician's order for skin prep to the left lateral foot twice a day and failed to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-03-23 · tag F0697 — failed to manage pain — pattern
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to provide a complete pain management program including implementation of non-pharmacological interventions prior to the administration of as needed pain medications for three of 17 residents in the survey sample, Residents #4, #97 and #34. The findings include: 1. For Resident #4 (R4), the facility staff failed to evidence implementation of non-pharmacological interventions prior to administration of as needed Tylenol with Codeine #3 (1). On the most recent MDS (minimum data set), a significant change assessment with an ARD (assessment reference date) of 1/4/2023, the resident scored 13 out of 15 on the BIMS (brief interview for mental status) assessment, indicating the resident was cognitively intact for making daily decisions. Section J documented R4 having pain frequently and receiving as needed pain medications. Section J further documented R4 not receiving non-medication interventions for pain. On 3/21/2023 at 11:22 a.m., an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-03-23 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility document review and clinical record review, the facility staff failed to ensure residents were free from unnecessary medications for two of 17 residents in the survey sample, Residents #97 and #98. 1. For Resident #97 (R97), the facility staff administered the as needed pain medication, oxycodone, outside of the physician ordered parameters, which was for pain rated between seven to ten (7 to 10 on a pain scale of 1-10) on 3/20/23. The staff administered oxycodone for a pain rating of three (3 out of 10 on the pain scale). A review of R97's clinical record revealed a physician's order dated 3/14/23 for oxycodone 5 mg (milligrams) every four hours as needed for pain on a scale from seven to ten and a physician's order dated 3/15/23 for acetaminophen 500 mg every six hours as needed for pain on a scale from one to six. A review of R97's March 2023 MAR (medication administration record) revealed the resident was administered as needed oxycodone on 3/20/23 for pain rated as three. On 3/22/23 at 10:53 a.m., an interview was conducted with LPN (licensed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-03-23 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. For Resident #98 (R98), the facility staff failed to monitor the resident for adverse side effects from the antidepressant medication duloxetine (1). A review of R98's clinical record revealed a physician's order dated 3/15/23 for duloxetine 30 mg (milligrams) in the morning for depression. A review of R98's March 2023 MAR (medication administration record) revealed the resident was administered duloxetine 30 mg every morning from 3/16/23 through 3/20/23. Further review of R98's clinical record failed to reveal the resident was monitored for side effects from duloxetine. On 3/22/23 at 10:53 a.m., an interview was conducted with LPN (licensed practical nurse) #2. LPN #2 stated that when a resident receives an antidepressant medication, nurses should look to ensure the medication isn't causing any harm or issues. On 3/22/23 at 3:53 p.m., ASM (administrative staff member) #2 (the director of health services) stated she could not provide documentation to evidence the facility staff were monitoring R98 for side…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-23 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to issue a bed hold notice to one of 17 residents in the survey sample, Resident #34. The findings include: For Resident #34 (R34), the facility failed to issue a bed hold notice when the resident was transferred to the hospital on [DATE]. A review of R34's clinical record revealed the resident was transferred and admitted to the hospital on [DATE]. The resident was readmitted to the facility on [DATE]. Further review of R34's clinical record failed to reveal evidence a bed hold notice was issued to the resident or to the RP (responsible party). On 3/22/23 at 8:12 a.m., ASM (administrative staff member) #2, the director of health services, was interviewed. She stated a bed hold notice had not been issued to R34 on 12/13/22. She stated the resident is unable to sign for themselves, and the resident's (significant other) was unable to sign in a timely manner. She stated the facility has…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in VA