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Nursing homeFAID #12521

Brian Center of Fincastle

188 OLD FINCASTLE ROAD, FINCASTLE, VA, 24090

(540) 473-2288

60 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

188 Old Fincastle Road

Fincastle, VA 24090

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Public record summary

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Bed capacity

CMS facility ID

495218

Care type

Nursing home

County

Botetourt

Facility name

Brian Center of Fincastle

Street address

188 OLD FINCASTLE ROAD

City / state / ZIP

Fincastle, VA 24090

Phone

(540) 473-2288

About this facility — Brian Center of Fincastle

Brian Center of Fincastle is a Medicare/Medicaid-certified skilled nursing facility in Fincastle, Virginia. It is licensed for 60 beds — below the median for skilled nursing facilities in Virginia (117 beds).

It is one of 2 senior care facilities in Fincastle and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Brian Center of Fincastle 38 times across 7 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $23,102 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Regulatory standing

Licensed / certified since

1990-09-05

CMS overall rating

4 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

$23,102 total

Last standard inspection

2022-08-18

Nurse staffing

4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$1,249 per day (≈ $37,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

92% Medicaid · 3% Medicare · 5% private/other

Occupancy

93% (fiscal year 2023)

Vs. state median

211% above the VA median of $401/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2024-03-21Health inspectionComplaint-triggered1 citation

F-0695

G · Actual harmFrom a complaint

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

Corrected 2024-05-20

2022-08-18Health inspection5 citations

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-21

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-09-21

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-09-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-09-21

F-0888

D · No harm found

Ensure staff are vaccinated for COVID-19

Corrected 2022-09-21

5 earlier / fire-safety inspections (32 citations)

2021-03-04Health inspection8 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2021-04-18

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-04-18

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-04-18

F-0693

D · No harm found

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.

Corrected 2021-04-18

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-04-18

F-0758

D · No harm found

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.

Corrected 2021-04-18

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-04-18

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-04-18

2019-02-14Health inspection7 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2019-03-26

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-03-26

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-03-26

F-0761

E · No harm found

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.

Corrected 2019-03-26

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-03-26

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-03-26

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2019-03-26

2022-08-18Fire-safety inspection7 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-10-31

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2022-10-31

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-31

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-31

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-10-31

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-10-31

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-10-31

2021-03-04Fire-safety inspection5 citations

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2021-05-25

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-05-25

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2021-05-25

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2021-05-25

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-05-25

2019-02-14Fire-safety inspection5 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2019-04-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-04-10

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-04-10

K-0500

D · No harm found

Meet other general requirements that are deficient.

Corrected 2019-04-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-04-10

Federal penalties

2025-05-29Fine$11,190

2024-03-21Fine$11,912

Total fines$23,102

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495218.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered