nursing home in Fincastle, VA
Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090 · (540) 473-2288
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Brian Center of Fincastle at a glance
Brian Center of Fincastle is a 60-bed non-profit nursing home in Fincastle, Virginia (Botetourt County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Virginia average of 3.
Residents receive about 4.6 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (August 18, 2022) found 5 health citations. The Virginia average is 14.4.
Federal regulators fined it 2 times in the past three years, totaling $23,102.
Nursing staff turnover is 52.9% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 5, 1990
- Resident/family council
- Resident
- County
- Botetourt County
- CMS Certification Number
- 495218
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.61 hrs | 3.76 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.33 hrs | 0.69 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.99 hrs | 3.29 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.9% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 48.2% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 14 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 122.3 | 80.6 | Better |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $23,102 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 51 | 99 | 86 | |
| Occupancy | 85% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.2% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.3% | 14.2% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 1.6% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.5% | 14.9% | 13.9% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.6% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.3% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.3% | 21.8% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 90.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.4% | 1.3% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.4% | 73.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 21, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | G Actual harm, isolated | Corrected May 20, 2024 |
| August 18, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected October 31, 2022 |
| August 18, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected October 31, 2022 |
| August 18, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 21, 2022 |
| August 18, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected September 21, 2022 |
| August 18, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 21, 2022 |
| August 18, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 21, 2022 |
| August 18, 2022 Standard | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Tag F0888 | D Potential harm, isolated | Corrected September 21, 2022 |
| March 4, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected May 25, 2021 |
| March 4, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 25, 2021 |
| March 4, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 25, 2021 |
| March 4, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected May 25, 2021 |
| March 4, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected May 25, 2021 |
| March 4, 2021 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected April 18, 2021 |
| March 4, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 18, 2021 |
| February 14, 2019 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected April 10, 2019 |
| February 14, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 10, 2019 |
| February 14, 2019 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected April 10, 2019 |
| February 14, 2019 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 10, 2019 |
| February 14, 2019 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | D Potential harm, isolated | Corrected April 10, 2019 |
| February 14, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 26, 2019 |
| February 14, 2019 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 26, 2019 |
| February 14, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 26, 2019 |
| February 14, 2019 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 26, 2019 |
| February 14, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 26, 2019 |
| February 14, 2019 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 26, 2019 |
| February 14, 2019 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 26, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $23,102 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 29, 2025 | Fine | $11,190 |
| March 21, 2024 | Fine | $11,912 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
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Frequently asked questions
What is Brian Center of Fincastle's rating?
Brian Center of Fincastle has 4 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Brian Center of Fincastle receive?
Its most recent standard health inspection found 5 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Brian Center of Fincastle accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Brian Center of Fincastle?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Brian Center of Fincastle and how do I contact it?
Brian Center of Fincastle is at 188 Old Fincastle Road, Fincastle, VA 24090. Phone: (540) 473-2288.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.