Westminster Canterbury Richmond at Home LLC
A hospice in Richmond, Virginia 23227
1600 Westbrook Avenue, Richmond, Virginia 23227. (804) 292-3500.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
2 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 23227 had 6.5.
The last inspection on record was on Mar 26, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Mar 26, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 327 words
“It is required that the update of the comprehensive assessment is completed by the hospice Interdisciplinary Group, who, in collaboration with the individual’s attending physician, if any, consider the changes that have taken place since the initial assessment. The assessment update is completed as frequently as the condition of the patient requires and no less frequently than every 15 days. This standard was not met as evidenced by clinical record review and interview. In 5 of 14 (36%) clinical records reviewed revealed that the agency did not ensure that the comprehensive assessment was updated at lease every 15 days CLINICAL RECORD 2: The patient elected the hospice benefit 01/07/2025 with a diagnosis of malignant neoplasm of upper right lobe bronchus or lung. The comprehensive assessment was completed on admission 01/07/2025 then again on 2/3/2025 (27 days), 2/20/2025 (17 days) and 3/21/2025 (29 days). CLINICAL RECORD 3: The patient elected the hospice benefit on 02/24/2025 with a diagnosis of Hypertensive Heart Disease. A comprehensive assessment was competed on 03/10/2025 and was due again on 03/25/2025. There was no documented evidence that the comprehensive assessment had been completed as of the end of the site visit on 03/26/2025. CLINICAL RECORD 5: The patient elected the hospice benefit on 10/19/2024 with a diagnosis of chronic obstructive pulmonary disease. The comprehensive assessments done on admission 10/19/2024 then again on 11/07/2024 (19 days), 12/05/20245 (28 days) and 01/16/2025 (42 days). CLINICAL RECORD 6: The patient elected the hospice benefit on 02/17/2025 with a diagnosis of Sepsis. A comprehensive assessment was completed on admission 02/17/2025 and not again until 03/05/2025 (16 days). CLINICAL RECORD 8: The patient elected the hospice benefit on 11/05/2024 with a diagnosis of neoplasm of the right kidney. The comprehensive assessment was completed on 01/30/2025 and not again until 2/27/2025 (28 days). In an interview with the clinical director (Personnel Record 6), she agreed the RN case manager did not complete the comprehensive assessment updates in a timely manner.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 259 words
“It is required that each patient’s individualized written plan of care: Measurable outcomes anticipated from implementing and coordinating the plan of care. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed revealed that the agency did not ensure that the plan of care included measurable outcomes anticipated from implementing and coordinating the plan of care. CLINICAL RECORD 6: The patient elected the hospice benefit on 02/17/2025 with diagnosis of Sepsis Unspecified Organism. It was documented on the initial certification of terminal illness (CTI) dated 02/18/2025 that the patient has diabetes type 2. The medication profile dated 02/17/2025 included that the patient was taking Humalog and Lantus. The plan of care (POC) dated 02/17/2025 review revealed there were no measurable outcomes on the POC anticipated from implementing and coordinating the plan of care. In an interview with the clinical director, she agreed that the RN did not address measurable outcomes on the plan of care. CLINICAL RECORD 7: The patient elected the hospice benefit on 02/11/20025. It was documented on the POC dated 02/11/2025 that the patient has type 2 diabetes and currently taking Farxiga 5mg oral tablet once daily and Januvia 100mg oral tablet once a day (before a meal). A review of the POC revealed there were no measurable outcomes for managing or monitoring the diabetes anticipated from implementing and coordinating the plan of care. In an interview with the clinical director agreed that the RN did not address measurable outcomes on the plan of care.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 26, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 19, 2019.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 9.3 nurse care minutes per routine home care day, 11.9% of skilled nursing minutes at weekends and a visit near death for 95.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 11% at home, 41% in assisted living, 48% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.3 min |
| Skilled nursing minutes at weekends | 11.9% |
| Visits near death | 95.3% of patients who died |
Who owns it?
- Westminster Canterbury Corporation runs it.
- 9 owners or officers are people: John Burns (corporate officer, 100%); Kevin Daignault (corporate director); Kevin Daignault (managing employee (on the payroll)); John Michael Loop (corporate officer); John Michael Loop (corporate director); John Michael Loop (managing employee (on the payroll)); John Burns (corporate director); Russell Gardner (corporate officer); Russell Gardner (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Westminster Canterbury Corporation | Runs it (operational or managerial control) | 100% | Jul 28, 2017 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 60% rated it 9 or 10 out of 10, and 60% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.24% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 72.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- Of the 23 hospices CMS’s data show serving patients in ZIP code 23227, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 2.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Westminster Canterbury Richmond at Home LLC This hospice | 2 |
| Bon Secours Hospice and Palliative Care | 4 |
| Gentiva | 15 |
| Enhabit Hospice (Richmond) | 16 |
| James River Home Health and Hospice | 9 |
| Serenity First LLC | 9 |
| Trinity Hospice | 10 |
| VCU Health Hospice at Home By Bayada | 1 |
| Suncrest Hospice Richmond | 12 |
| Bristol Hospice - Richmond, L.L.C. | Not given |
| Crater Community Hospice, Inc. | 7 |
| Hospice of Virginia | 24 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.