Brian Center of Fincastle

Nursing Home · Fincastle, VA

CMS overall rating 4/5 Non profit - Corporation

CMS certification number495218

Contact & location

188 Old Fincastle Road
Fincastle, VA 24090
Botetourt County

Phone: (540) 473-2288
ZIP code: 24090 – all care providers

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Facility details

Certified beds: 60
Residents per day: 51.0 (85% occupied)
Ownership: Non profit - Corporation
Legal name: Legal Business Name Not Available
Medicare certified since: September 5, 1990
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 4/5

State avg 3.0

Health inspections★★★★★ 4/5

State avg 2.7

Staffing★★★★★ 2/5

State avg 2.4

Quality measures★★★★★ 4/5

State avg 3.9

Long-stay quality★★★★★ 4/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.61 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 1.33 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 1.13 (state 1.00 · U.S. 0.86)
Nurse aides: 2.15 (state 2.07 · U.S. 2.32)
Weekend total: 3.99 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 52.9 (state 48.1 · U.S. 45.8)%
RN turnover: 44.4 (state 48.2 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: August 18, 2022
Health deficiencies (last cycle): 5.0 (state 14.5 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 21 health · 17 fire safety · includes actual harm

Date	Citation	Severity	Status
2024-03-21	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2024-05-20
2022-08-18	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-08-18	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-08-18	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-08-18	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-08-18	Ensure staff are vaccinated for COVID-19 F0888 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2021-03-04	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	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. F0693 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2021-03-04	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-04-18
2019-02-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-26
2019-02-14	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $23,102 in fines.

Date	Type	Amount
2025-05-29	Fine	$11,190
2024-03-21	Fine	$11,912

Ownership & management

Name	Role	Since
	Ownership Data Not Available

Frequently asked questions

What is the rating of Brian Center of Fincastle?

Brian Center of Fincastle has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Brian Center of Fincastle have?

It has 60 certified beds and cares for about 51 residents per day.

Has Brian Center of Fincastle been fined?

Yes. CMS lists 2 penalties totaling $23,102 in the last three years.

What is the phone number of Brian Center of Fincastle?

(540) 473-2288. The facility is located at 188 Old Fincastle Road, Fincastle, VA 24090.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.