NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 2026 NursingHomes.us. All data from CMS.gov.
HomeVirginiaBrian Center of Fincastle

Brian Center of Fincastle

188 Old Fincastle Road, Fincastle, VA 240905404732288WebsiteGoogle Maps
4.4on Google(14 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

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

How Brian Center of Fincastle Compares in Virginia

Facility results compared with averages for CMS-certified nursing homes in Virginia. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
VA average
3.0/5
Above state average
Health inspection rating
4/5
VA average
2.8/5
Above state average
Staffing rating
2/5
VA average
2.4/5
Below state average
Nursing hours per resident
4.61 hrs/day
VA average
3.77 hrs/day
Above state average
RN hours per resident
1.33 hrs/day
VA average
0.69 hrs/day
Above state average
Staff turnover
52.9%
VA average
48.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Virginia average of 3.0/5.
Its 4/5 health inspection rating is above the Virginia average of 2.8/5.
Reported nursing time is 4.61 hours per resident per day, above the state average of 3.77.
Reported RN time is 1.33 hours per resident per day, above the state average of 0.69.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
9
deficiency citations
Inspected Mar 4, 2021
Most recent cycle
5
deficiency citations
Inspected Aug 18, 2022
The most recent cycle recorded 4 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,517/mo
Virginia median
Private Room
$9,277/mo
Virginia median
Botetourt County 65+
7,827
23.2% of county
County Population
33,734
Botetourt County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 4 out of 5.

Beds
60
Avg Residents/Day
51
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
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
F0695Actual Harm

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

Survey: Mar 21, 2024Corrected: 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
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
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
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
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
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 Aide2.15 hrs
National avg: 2.32 hrs
LPN1.13 hrs
National avg: 0.86 hrs
RN1.33 hrs
National avg: 0.69 hrs
Total Nursing4.61 hrs
National avg: 3.86 hrs
Weekend Total3.99 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
52.9%
RN Turnover
44.4%
Administrators Left
1

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

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Brian Center of Fincastle and nearby alternatives.

All Virginia facilities
Brian Center of Fincastle
Fincastle, VACurrent facility
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $23,102
The Glebe
Daleville, VA7.2 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Daleville Health and Rehabilitation
Daleville, VA8.9 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Friendship Health and Rehab Center
Roanoke, VA14.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Springtree Healthcare & Rehab Center
Roanoke, VA15.3 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Star City Rehabilitation and Nursing
Roanoke, VA15.8 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Our Lady of the Valley
Roanoke, VA17.1 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Brian Center of Fincastle
Fincastle, VA · Current facility
—4/54/52/5$23,102
The Glebe
Daleville, VA
7.2 mi5/55/55/5None recorded
Daleville Health and Rehabilitation
Daleville, VA
8.9 mi2/53/51/5None recorded
Friendship Health and Rehab Center
Roanoke, VA
14.2 mi4/54/53/5None recorded
Springtree Healthcare & Rehab Center
Roanoke, VA
15.3 mi3/53/51/5None recorded
Star City Rehabilitation and Nursing
Roanoke, VA
15.8 mi2/53/51/5None recorded
Our Lady of the Valley
Roanoke, VA
17.1 mi4/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Brian Center of Fincastle cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Virginia is $8,517/month for a semi-private room and $9,277/month for a private room (Genworth/CareScout 2024). Brian Center of Fincastle participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records 2 fine(s) totaling $23,102.
What are the staffing levels at Brian Center of Fincastle?▾
Brian Center of Fincastle provides 4.61 total nursing staff hours per resident per day, including 1.33 RN hours, 1.13 LPN hours, and 2.15 nurse aide hours. The total staff turnover rate is 52.9%.
How many beds does Brian Center of Fincastle have?▾
Brian Center of Fincastle has 60 certified beds with an average of 51 residents per day, resulting in approximately 85% occupancy. The facility is Non profit - Corporation owned and is part of the Kissito Healthcare chain.
Are there other nursing homes near Brian Center of Fincastle?▾
Yes. This page lists 6 nearby nursing homes in Virginia. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Brian Center of Fincastle?▾
On Google Maps, Brian Center of Fincastle has a rating of 4.4 out of 5 based on 14 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.

Part of Kissito Healthcare

This chain operates 6 facilities. View all →