Brian Center of Fincastle
Nursing home in Fincastle, Virginia, CMS certification number 495218
188 Old Fincastle Road, Fincastle, VA 24090 · Botetourt County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 60
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 18, 2022
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $23,102 (2)
Does Brian Center of Fincastle take Medicare and Medicaid?
Yes to both. Brian Center of Fincastle is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Brian Center of Fincastle reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.71
- Registered nurse hours
- 1.42
- Licensed practical nurse hours
- 1.12
- Nurse aide hours
- 2.18
- Weekend total hours
- 4.01
- Nursing staff turnover
- 51.3%
- Registered nurse turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 18, 2022 and cited 5 deficiencies, plus 0 from complaint visits.
The visit before, on March 4, 2021, found 8.
The last standard inspection was more than two years ago.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Brian Center of Fincastle 2 times in the past 3 years, for $23,102 in total.
Beds and residents
On an average day 52.6 residents live here, about 88% of its 60 certified beds.
- Certified beds
- 60
- Average residents per day
- 52.6
- Certified since
- September 5, 1990
- Resident or family council
- Resident
Who owns Brian Center of Fincastle
- Legal business name
- Legal Business Name Not Available
- Ownership type
- Non profit - Corporation
Other nursing homes near Brian Center of Fincastle
- The Glebe250 Glebe Road, Daleville 24083
- Daleville Health and Rehabilitation290 Commons Parkway, Daleville 24083
- Friendship Health and Rehab Center327 Hershberger Rd NW, Roanoke 24012
- Springtree Healthcare & Rehab Center3433 Springtree Drive, Roanoke 24012
- Star City Rehabilitation and Nursing1047 Mecca Street NE, Roanoke 24012
Who inspects nursing homes in Virginia
Virginia's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Virginia, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Brian Center of Fincastle, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Brian Center of Fincastle
What is the CMS star rating of Brian Center of Fincastle?
3 out of 5 stars overall.
Does Brian Center of Fincastle accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Brian Center of Fincastle?
5 cited at the last standard visit.
Who owns Brian Center of Fincastle?
Legal Business Name Not Available, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.