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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeVirginiaBrian Center of Fincastle

Brian Center of Fincastle

188 Old Fincastle Road, Fincastle, VA 240905404732288
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
2/5
Quality
4/5
Beds
60
certified
Last health inspection was more than 2 years ago.
2 fine(s) totaling $23,102

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 60 certified beds with an average of 50.3 residents per day (84% occupancy)

• Last health inspection found 5 deficiencies (inspected Aug 18, 2022)

• Has been fined a total of $23,102 across 2 fine(s)

• Total nursing staff: 4.50 hours per resident per day

• Staff turnover rate: 40.6%

• Part of the Kissito Healthcare chain (6 facilities)

Brian Center of Fincastle is a 4-star Medicare and Medicaid certified nursing home in Fincastle, Virginia with 60 certified beds. It has been operating since 1990. The facility scored above average compared to Virginia facilities.

Beds
60
Avg Residents/Day
50.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 5, 1990
Sprinklers
Yes
Council
Resident
County
Botetourt
Last Inspection
Aug 18, 2022
Deficiencies (Cycle 1)
5
Weighted Score
28.0
Infection Citations
0

Deficiency Citations (21)

F0684Potential for Harm

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

Survey: Aug 18, 2022Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Aug 18, 2022Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Aug 18, 2022Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 18, 2022Corrected: NoCycle: 1
F0888Potential for Harm

Ensure staff are vaccinated for COVID-19

Survey: Aug 18, 2022Corrected: NoCycle: 1
F0695Actual Harm

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

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0686Potential for Harm

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

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 4, 2021Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0686Potential for Harm

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

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0842Potential for Harm

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

Survey: Feb 14, 2019Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Feb 14, 2019Corrected: NoCycle: 3
Total Fines
$23,102
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMay 29, 2025
$11,190
FineMar 21, 2024
$11,912

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.23 hrs
National avg: 2.35 hrs
LPN0.83 hrs
National avg: 0.86 hrs
RN1.44 hrs
National avg: 0.68 hrs
Total Nursing4.50 hrs
National avg: 3.89 hrs
Weekend Total4.04 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
40.6%
RN Turnover
16.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
KISSITO HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 29, 2013
PERRY, KATIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 10, 2019
SANDERS, KATHYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 11, 2016
CLARKE - VELASQUEZ, ANACORPORATE DIRECTORIndividualN/AJan 14, 2006
CLARKE, THOMASCORPORATE DIRECTORIndividualN/AFeb 28, 2005
MCCLINTIC, ROBERTCORPORATE OFFICERIndividualN/AMar 11, 2016
MCCLINTIC, ROBERTW-2 MANAGING EMPLOYEEIndividualN/AMar 11, 2016
PERRY, KATIEW-2 MANAGING EMPLOYEEIndividualN/AMay 10, 2019
SANDERS, ANDREWW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2019
SANDERS, KATHYW-2 MANAGING EMPLOYEEIndividualN/AMar 11, 2016

Frequently Asked Questions

What is the CMS rating for Brian Center of Fincastle?▾
Brian Center of Fincastle has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated above average.
Has Brian Center of Fincastle had any health inspection violations?▾
Brian Center of Fincastle had 5 deficiency citations in its most recent health inspection (Aug 18, 2022). The facility has been fined a total of $23,102 across 2 fine(s).
What are the staffing levels at Brian Center of Fincastle?▾
Brian Center of Fincastle provides 4.50 total nursing staff hours per resident per day, including 1.44 RN hours, 0.83 LPN hours, and 2.23 nurse aide hours. The total staff turnover rate is 40.6%.
How many beds does Brian Center of Fincastle have?▾
Brian Center of Fincastle has 60 certified beds with an average of 50.3 residents per day, resulting in approximately 84% occupancy. The facility is Non profit - Corporation owned and is part of the Kissito Healthcare chain.

Part of Kissito Healthcare

This chain operates 6 facilities. View all →