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Nursing home report card · Fincastle, VA

Brian Center of Fincastle

188 Old Fincastle Road, Fincastle, VA 24090

Call this home: (540) 473-2288

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Review the ratings and inspection history below

Use the star ratings as a quick grade, then read what inspectors actually wrote. Numbers alone do not tell the whole story for any one resident.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Aug 18, 2022

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
4out of 5

Combines inspection, staffing, and care measures.

Above average

Health inspections
4out of 5

Based on problems found during health inspections.

Above average

Nursing staff
2out of 5

Based on staffing levels and related measures.

Below-average Medicare rating

Health and care results
4out of 5

Based on reported health and care results.

Above average

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
21

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$23,102

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 495218

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Caused actual harm · isolated case

    Mar 21, 2024 · Inspection rule 0695

    Provide safe and appropriate respiratory care for a resident when needed.

  • Could have caused harm · isolated case

    Aug 18, 2022 · Inspection rule 0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Could have caused harm · isolated case

    Aug 18, 2022 · Inspection rule 0690

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
1.33hours per resident per day

about 1 hr 20 min per resident per day

All nursing staff
4.61hours per resident per day

about 4 hr 37 min per resident per day

Registered nurse time on weekends
0.73hours per resident per day

about 44 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 4 stars
  • Health inspection rating: 4 stars
  • Staffing rating: 2 stars
  • Registered nurse time per resident: 1.33 hours/day
  • Total nurse time per resident: 4.61 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Virginia averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Caused actual harm1 citation
  • Could have caused harm20 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
21
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as Non profit - Corporation.

  • We do not have individual owner names for this home.

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

March 21, 20241 finding
  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code G

    Provide safe and appropriate respiratory care for a resident when needed.

August 18, 20225 findings
  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0888 · code D

    Ensure staff are vaccinated for COVID-19

March 4, 20218 findings
  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0607 · code D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code D

    Ensure medication error rates are not 5 percent or greater.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0693 · code D

    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.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code D

    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 problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0758 · code D

    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…

February 14, 20197 findings
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • Environmental problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0921 · code E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0583 · code D

    Keep residents' personal and medical records private and confidential.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

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

Related topics

Questions about Brian Center of Fincastle

What is Brian Center of Fincastle's Medicare star rating?
As of August 1, 2026, Brian Center of Fincastle in Fincastle, Virginia has an overall CMS rating of 4 out of 5 stars. Other CMS scores: health inspection 4 of 5, staffing 2 of 5, quality measures 4 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Brian Center of Fincastle been fined?
As of August 1, 2026, the imported penalty records list $23,102 in reported fines for Brian Center of Fincastle. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Brian Center of Fincastle have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Brian Center of Fincastle in Fincastle, Virginia.
How does Brian Center of Fincastle compare with other nursing homes in Virginia?
Its overall CMS rating is 4 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Virginia report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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