Nursing home
Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090 · Map
Non profit - Corporation · Part of Kissito Healthcare (6 facilities) · 60 certified beds
Brian Center of Fincastle is a Medicare-certified nursing home in Fincastle, Virginia. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.50 hours per resident per day, above the Virginia average of 3.81. Its most recent inspection on Aug 18, 2022 cited 5 deficiencies.
- 2 fines totaling $23,102In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Brian Center of Fincastle compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.50 | 3.81 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.44 | 0.69 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.23 | 2.12 | 2.34 | above avg |
| Nursing staff turnover | 40.6% | 48.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 14.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 21, 2024 inspection was corrected by May 20, 2024
Penalties in CMS records: 2 fines totaling $23,102, 2 total penalties.
What inspectors found at Brian Center of Fincastle
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Aug 18, 2022 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 18, 2022 - Potential for harm
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 · Aug 18, 2022 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 18, 2022
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 18, 2022 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 4, 2021 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 4, 2021 - Potential for harm
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 · Mar 4, 2021 - Potential for harm
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 · Mar 4, 2021 - Potential for harm
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 · Mar 4, 2021 - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Mar 4, 2021
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 188 Old Fincastle Road
Fincastle, VA 24090 - CMS certification #
- 495218
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 50.3
- Provider type
- Medicare and Medicaid
- First certified
- 1990-09-05
- Chain
- Kissito Healthcare (6 facilities)
- Setting
- Urban
Part of Kissito Healthcare
Kissito Healthcare operates 6 nursing facilities across the United States. View all Kissito Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Brian Center of Fincastle using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Brian Center of Fincastle says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation for community activities and doctor appointments
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Carilion Medical Center, Roanoke. 18.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Glebe, Daleville. 7.2 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Care, Roanoke. 12.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 7.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 24090 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Daleville Dialysis, Daleville, 8.9 miles away, straight line (CMS rating 4 of 5 stars)
Fmc - Friendship Manor, Roanoke, 14.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 24090.
Amedisys Hospice Care, office in Roanoke, 12.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Gentle Shepherd Hospice Inc, office in Roanoke, 12.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Good Samaritan Hospice Inc, office in Roanoke, 15.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Carilion Medical Center, Roanoke. 17.7 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very low, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Brian Center of Fincastle a good nursing home?
CMS gives Brian Center of Fincastle an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Brian Center of Fincastle staffed?
Brian Center of Fincastle reports 4.50 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Brian Center of Fincastle had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Brian Center of Fincastle have?
Brian Center of Fincastle is certified for 60 beds.