Daleville · 7.2 mi
The Glebe
5 of 5 · Medicare
View facility →Brian Center of Fincastle
⌖ Fincastle, VA · Botetourt County · Medicare data as of September 2026
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Brian Center of Fincastle
Brian Center of Fincastle is a 60-bed nonprofit nursing home in Fincastle, VA. Medicare rates it 4 out of 5 stars overall (above average); the average in Virginia is 3.0.
- Inspections: 5 problems at its last full inspection (Aug 2022), fewer than the Virginia average of 14.3. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 37 min a day with each resident, more than the Virginia average of 3 hr 46 min. About 53% of nursing staff left in the past year.
- Fines: $23,102 in federal fines in the last three years.
- Stands out: Registered nurses spend about 1 hr 20 min a day with each resident, compared with 41 min nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameBrian Center Of Fincastle
LocationBotetourt County, Virginia
Phone(540) 473-2288
Address188 Old Fincastle Road, Fincastle, VA 24090 · Botetourt County
Medicare provider number495218
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 5, 1990 (36 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Aug 2022No citations for actual harm or immediate jeopardy since Aug 2022.Strength
- Health citations at last inspection5 (Aug 2022)Virginia average: 14.3.Strength
- Nurse staffing per resident4 hr 37 min a dayVirginia average: 3 hr 46 minStrength
- Registered nurse time per resident1 hr 20 min a dayVirginia average: 41 minStrength
About average
- Nursing staff turnover53% a yearVirginia average: 48%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties2 fines totaling $23,102Federal penalties from the last three years, most recently in May 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Virginia average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs3.4%State average: 1.3%Worse than average
Physical therapist time: about 4 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is about the same as the state average of 5 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.0%State average: 3.6%Better than average
- Pressure sores (bedsores)7.2%State average: 4.7%Worse than average
- Given antipsychotic drugs5.3%State average: 14.2%Better than average
Source: Medicare (CMS) quality measures, compared with the Virginia average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Virginia, Medicaid pays for 63% of resident days at a typical home.
- 21% Medicaid
- 2% Medicare
- 77% Private pay, insurance and other
Beds in use, on average94%Virginia typical: 90%
Facility operating cost per resident day$699Virginia typical: $336
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Virginia’s Medicaid program uses about $7,324 a month as the average cost of nursing home care in this home’s region (January 2025); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Virginia →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 1 star in January 2019. It has ranged from 1 to 5 stars and changed 15 times.
Overall rating4★
Health inspections4★
Staffing2★
Quality of care4★
Nurse hours per resident per day4.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 1 | 4 | 4.5 |
| Jan 2020 | 3 | 4 | 1 | 4 | 4.3 |
| Jan 2021 | 3 | 4 | 1 | 3 | 4.6 |
| Jan 2022 | 3 | 4 | 1 | 2 | 4.8 |
| Jan 2023 | 3 | 4 | 1 | 3 | 4.7 |
| Jan 2024 | 4 | 4 | 2 | 4 | 5.3 |
| Feb 2025 | 3 | 3 | 1 | 5 | 4.6 |
| Feb 2026 | 4 | 4 | 2 | 4 | 4.5 |
| Sep 2026 | 4 | 4 | 2 | 4 | 4.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.