Charlottesville, VA

Westminster Canterbury Blue Ri

5-star overall rating with 4-star inspections with 8 recent health deficiencies

250 Pantops Mountain Rd, Charlottesville, VA

(434) 972-3100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

27

Certified beds

Average residents

46

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-11-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.38

Registered nurse staffing

LPN hours / resident day

0.74

Licensed practical nurse staffing

Aide hours / resident day

3.40

Nurse aide staffing

Weekend hours

5.01

Weekend nurse staffing

RN turnover

19%

Annual RN turnover

Total nurse turnover

37%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.5
0.4 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.4
0.4 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.0%
6 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 7.4%
3.6%
3.8 pts worse
3.3%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
15.7%
15.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 10.7%
5.7%
5 pts worse
5.4%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.4%
20.2%
5.2 pts worse
19.6%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.1%
15.0%
5.9 pts better
16.7%
7.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 21.8%
17.5%
4.3 pts worse
16.3%
5.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.3%
15.7%
5.4 pts better
14.9%
4.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
0.5%
0.5 pts worse
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.7%
1.6%
0.1 pts worse
1.7%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.3%
22.2%
5.9 pts better
19.8%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.4%
5.2%
1.2 pts worse
5.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
74.6%
24.4 pts better
81.7%
17.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.5%
11.7%
4.2 pts better
12.0%
4.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.2%
0.7 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
73.6%
26.4 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.4%
22.0%
5.6 pts better
23.9%
7.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-03-09 · Fire 2023-03-09

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-06-03 · Fire 2021-06-03

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-07-18 · Fire 2019-07-18

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-07-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-09-24

F · Potential for more than minimal harm 2019-07-18

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-09-24

F · Potential for more than minimal harm 2019-07-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-09-24

F · Potential for more than minimal harm 2019-07-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-24

F · Potential for more than minimal harm 2019-07-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-24

F · Potential for more than minimal harm 2019-07-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-09-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2023-03-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-18

D · Potential for more than minimal harm 2021-06-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-07-09

F · Potential for more than minimal harm 2019-07-18

F909 · Environmental Deficiencies

Health

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.

Corrected 2019-08-20

E · Potential for more than minimal harm 2019-07-18

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-08-20

E · Potential for more than minimal harm 2019-07-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-08-20

E · Potential for more than minimal harm 2019-07-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-08-20

D · Potential for more than minimal harm 2019-07-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-08-20

D · Potential for more than minimal harm 2019-07-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-08-20

D · Potential for more than minimal harm 2019-07-18

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-08-20

Penalties and ownership

What sits behind the stars

Ownership

Buchanan, Anna

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-28
Selmeczi, Gary

Operational/Managerial Control · Individual

0% 1 facilities 2005-07-01

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