The information listed below provides an in-depth look into the type and quality of care offered at Rappahannock Westminster Cante. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
RAPPAHANNOCK WESTMINSTER CANTE
132 LANCASTER DRIVE
IRVINGTON, VA 22480
(804) 438-4000
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
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| Overall Rating | |
Percent of Beds Occupied
83%
Number of Residents and Certified Beds
- Residents: 35
- Certified Beds: 42
This Facility Accepts
Operational Details
- Operated By Non Profit - Corporation
- Offers Both Resident and Family Counseling Services
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Rappahannock Westminster Cante. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 6.4% |
| ADL Index Range: 2-10 | 0.9% |
| Total Percent: | 7.2% |
| |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.6% |
| ADL Index Range: 0-5 | 4.5% |
| Total Percent: | 8.1% |
| |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 18.5% |
| ADL Index Range: 6-10 | 28.3% |
| ADL Index Range: 0-5 | 37.4% |
| Total Percent: | 84.3% |
| |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-14 - No Signs of depression | 0.4% |
| Total Percent: | 0.4% |
| |
Rating Details For Rappahannock Westminster Cante
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Registered Nurse (RN) Hours | 1 Hour and 16 Minutes | 1 Hour and 5 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 44 Minutes | 40 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 41 Minutes | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 2 Hours | 1 Hour and 46 Minutes |
| Total Nurse Hours | 4 Hours and 42 Minutes | 4 Hours and 20 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 90% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 92% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 13% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 8% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 24% | 17% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 10% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 2% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 89% | 59% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 13% | 15% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 4% | 6% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 2% | 4% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 85% | 82% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 82% | 83% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 12% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 36% | 16% |
| Percent of Short-Stay Residents Who Have Delirium | 2% | 2% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/06/2011.
Environmental
Put Firmly Secured Handrails on Each Side of Hallways. - Inspection Date: 01/06/2011
- Correction Date: 02/04/2011
|  |  |
Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. - Inspection Date: 11/20/2008
- Correction Date: 12/31/2008
| | |
Nutrition and Dietary
Quality Care
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. - Inspection Date: 01/06/2011
- Correction Date: 02/04/2011
| | |
Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. - Inspection Date: 01/06/2011
- Correction Date: 02/04/2011
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Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
- Isolated
- Some Residents
- Many Residents
