Brian Center of Fincastle

Name: Brian Center of Fincastle
Address: 188 OLD FINCASTLE ROAD, Fincastle, VA, 24090, US
Telephone: 5404732288

188 Old Fincastle Road, Fincastle, VA 24090 · Botetourt County · 60 certified beds · avg 51 residents/day · certified since Sep 5, 1990

4/5

Health inspection rating (on-site)

Serious findings on record

$23,102

Fines, last 3 years

2.12

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Mar 21, 2024 · F-0695 · triggered by a complaint

The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 20, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 21, 2024	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Aug 18, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 4, 2021	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 4, 2021	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 4, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 14, 2019	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 14, 2019	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 14, 2019	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Feb 14, 2019	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Feb 14, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 14, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 14, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2019	7	0	F
2021	8	0	D
2022	5	0	D
2024	1	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $23,102.

Date	Type	Amount / length
May 29, 2025	Fine	$11,190
Mar 21, 2024	Fine	$11,912

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.12	3.67	3.95	bottom 1% in Virginia; bottom 1% in the U.S.
Registered Nurse hours	0.61	0.66	0.69	top 35% in Virginia; top 47% in the U.S.
Weekend total nurse staffing	1.83	3.21	3.50	bottom 1% in Virginia; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.73	0.46	0.48	top 11% in Virginia; top 15% in the U.S.
Total nursing staff turnover (%)	52.9	48.1	45.8	bottom 39% in Virginia; bottom 30% in the U.S.
RN turnover (%)	44.4	48.2	42.9	top 42% in Virginia; bottom 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.61, RN 1.33, weekend 3.99. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What are your current staff vaccination and illness policies for protecting residents?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
The Glebe	7.2 mi	Daleville, VA	★★★★★	5/5
Daleville Health and Rehabilitation	8.9 mi	Daleville, VA	★★☆☆☆	3/5
Friendship Health and Rehab Center	14.2 mi	Roanoke, VA	★★★★☆	4/5
Springtree Healthcare & Rehab Center	15.3 mi	Roanoke, VA	★★★☆☆	3/5
Star City Rehabilitation and Nursing	15.8 mi	Roanoke, VA	★★☆☆☆	3/5
Our Lady of the Valley	17.1 mi	Roanoke, VA	★★★★☆	4/5
Berkshire Health & Rehabilitation Center	17.3 mi	Vinton, VA	★★★★☆	4/5
Davis and McDaniel Veterans Care Center	18.2 mi	Roanoke, VA	★★★★★	5/5
Old Southwest Health and Rehabilitation	18.4 mi	Roanoke, VA	★☆☆☆☆	1/5
Brian Center of Alleghany	18.6 mi	Low Moor, VA	★★★★★	4/5
Snyder Nursing Home	18.6 mi	Salem, VA	★★★★★	4/5
Salem Health & Rehabilitation	18.6 mi	Salem, VA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fincastle →

Facility data as of CMS processing date 2026-08-01. CCN 495218.

The Care File

Visit checklist — Brian Center of Fincastle

188 Old Fincastle Road, Fincastle, VA 24090 · 5404732288

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $23,102

Most serious findings on record:

▲ Mar 21, 2024 (F-0695, Actual harm, one-off): The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What are your current staff vaccination and illness policies for protecting residents?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495218 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)