C79

SHENANDOAH VALLEY WESTMINSTER CANTERBURY

Grade C 79/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

51

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

300 WESTMINSTER CANTERBURY DR, WINCHESTER, VA 22603
5406650156

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.54h
LPN
1.59h
CNA
3.65h
Total
5.78h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HARRIS, MICHELLE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2005

PATTERSON, PAIGE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2022

SHILEY, GLORIA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2008

HARRIS, MICHELLE

IndividualCORPORATE DIRECTORSince Mar 2005

SHILEY, GLORIA

IndividualCORPORATE OFFICERSince Jan 2008

WERNECKE, DUANE

IndividualCORPORATE OFFICERSince Jul 2012

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (28)

March 23, 2023Health12 deficiencies
0625DMinimal harm, 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.

Resident Rights Deficiencies

Corrected May 5, 2023
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected May 5, 2023
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected May 5, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected May 5, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 5, 2023
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected May 5, 2023
0697EMinimal harm, Pattern

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected May 5, 2023
0757EMinimal harm, Pattern

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected May 5, 2023
0758EMinimal harm, 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.

Pharmacy Service Deficiencies

Corrected May 5, 2023
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected May 5, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 5, 2023
0882FMinimal harm, Widespread

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected May 5, 2023
September 23, 2021Health7 deficiencies
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Oct 22, 2021
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 22, 2021
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 22, 2021
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 22, 2021
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Oct 22, 2021
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Oct 22, 2021
0909DMinimal harm, Isolated

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Oct 22, 2021
February 21, 2020Health9 deficiencies
0574CNo harm, Widespread

The resident has the right to receive notices in a format and a language he or she understands.

Resident Rights Deficiencies

Corrected Apr 4, 2020
0577CNo harm, Widespread

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Resident Rights Deficiencies

Corrected Apr 4, 2020
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Apr 4, 2020
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Apr 4, 2020
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 4, 2020
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 4, 2020
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Apr 4, 2020
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 4, 2020
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 4, 2020

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Frequently Asked Questions

What is the CareGrader rating for SHENANDOAH VALLEY WESTMINSTER CANTERBURY?

SHENANDOAH VALLEY WESTMINSTER CANTERBURY in WINCHESTER, Virginia has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for SHENANDOAH VALLEY WESTMINSTER CANTERBURY?

SHENANDOAH VALLEY WESTMINSTER CANTERBURY has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SHENANDOAH VALLEY WESTMINSTER CANTERBURY have?

SHENANDOAH VALLEY WESTMINSTER CANTERBURY has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does SHENANDOAH VALLEY WESTMINSTER CANTERBURY have?

SHENANDOAH VALLEY WESTMINSTER CANTERBURY has 51 certified beds with approximately 43 current residents (84% occupancy). The facility is located at 300 WESTMINSTER CANTERBURY DR, WINCHESTER, Virginia 22603. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.