Nursing HomeInspections

Brian Center of Fincastle

Nursing home in Fincastle, VA

Medicare & Medicaid certified4★ overall (CMS)

Call (540) 473-2288Send a messageMap ↗

Public-record details

Address
188 Old Fincastle Road, Fincastle, VA 24090
Phone
(540) 473-2288
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
495218
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
51
Ownership
Nonprofit, corporation
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 5, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 495218. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 18, 2022. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 14, 2019 to Mar 21, 2024): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 21, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Aug 18, 2022Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 18, 2022Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 18, 2022Provide 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		D
Potential for more than minimal harm, isolated
Aug 18, 2022Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 18, 2022Ensure staff are vaccinated for COVID-19
Infection Control		D
Potential for more than minimal harm, isolated
Mar 4, 2021Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 4, 2021Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 4, 2021Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 4, 2021Ensure 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		D
Potential for more than minimal harm, isolated
Mar 4, 2021Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 4, 2021Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $23,102 in the last three years.

May 29, 2025Fine: $11,190
Mar 21, 2024Fine: $11,912

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.61 hours
Registered nurse (RN) time per resident per day
1.33 hours
Nurse aide time per resident per day
2.15 hours
Total nurse staffing on weekends
3.99 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
44%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.