All states › Virginia › Fincastle › Brian Center of Fincastle
188 Old Fincastle Road Fincastle, VA 24090 · Botetourt County
CMS certification number 495218 · See this home on Medicare Care Compare
Is Brian Center of Fincastle a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Brian Center of Fincastle as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Virginia average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.72 hours per resident per day at Brian Center of Fincastle, above the Virginia median of 3.57 (US median: 3.72). About 1.42 of those hours are from registered nurses. On weekends it falls to 4.01 hours, 15% below its all-week average. 51.3% of nursing staff left within a year (Virginia median 47.7%).
About this nursing home
Paying for care at Brian Center of Fincastle: Medicare and Medicaid
Brian Center of Fincastle is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 18, 2022 and found 5 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Brian Center of Fincastle across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 21, 2024. The most common areas cited were quality of life and care (9) and pharmacy service (4). The most serious was cited under the CMS rule to "provide safe and appropriate respiratory care for a resident when needed" (tag F0695, level G, March 21, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 21, 2024 · 1 citation · includes complaint inspection
GProvide safe and appropriate respiratory care for a resident when needed.
August 18, 2022 · 5 citations
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
DEnsure staff are vaccinated for COVID-19
March 4, 2021 · 8 citations
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure 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.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
February 14, 2019 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure 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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DKeep residents' personal and medical records private and confidential.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Brian Center of Fincastle
- Inspectors cited the home at the actual-harm level on March 21, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 4, 2021. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $23,102 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 29, 2025 | Fine | $11,190 |
| Mar 21, 2024 | Fine | $11,912 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 4/5 |
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Location
Hospitals near Brian Center of Fincastle
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 15.5 mi
- 18.5 mi
-
18.7 mi
Alleghany Regional Hospital Jackson RiverEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 52m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- The Glebe · Daleville · 5 stars · 7.2 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.