Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090 · (540) 473-2288
Non profit - Corporation · 60 certified beds
Brian Center of Fincastle has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2022, found 5 citations (the Virginia average is 14.3). It was fined 2 times in the last three years, $23,102 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 18, 2022 found 5 citations. What an inspection citation means
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 18, 2022 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 18, 2022 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 18, 2022 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 18, 2022 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure staff are vaccinated for COVID-19August 18, 2022 · F0888 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Provide safe and appropriate respiratory care for a resident when needed.March 21, 2024 · F0695 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $11,190May 29, 2025
- Fine of $11,912March 21, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Virginia average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.61 | 3.76 | 3.86 |
| Registered nurses (RN) | 1.33 | 0.69 | 0.69 |
| Licensed practical nurses (LPN) | 1.13 | 1.00 | 0.86 |
| Nurse aides | 2.15 | 2.07 | 2.32 |
| Total nursing staff turnover | 52.9% | 48.1% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 60 |
| Average residents per day | 51 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- The Glebe Daleville · ★★★★★ 5 out of 5 stars
- Daleville Health and Rehabilitation Daleville · ★★★★★ 2 out of 5 stars
- Stanleytown Health and Rehabilitation Center Bassett · ★★★★★ 4 out of 5 stars
- Heritage Hall Blacksburg Blacksburg · ★★★★★ 4 out of 5 stars
- The Wybe and Marietje Kroontje Health Care Center Blacksburg · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Brian Center of Fincastle on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.