Brian Center of Fincastle
188 Old Fincastle Road · Fincastle, VA · 24090 · 5404732288
60 certified beds Non profit - Corporation Chain: Kissito Healthcare
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.42 | 0.55–0.75 |
| Weekend hours / resident-day | 4.04 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $23,102 |
Inspection citations (21 in the current record)
-
Actual harm · G March 21, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2024 · Quality of Life and Care
-
Potential for harm · D August 18, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 21, 2022 · Quality of Life and Care
-
Potential for harm · D August 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 21, 2022 · Quality of Life and Care
-
Potential for harm · D August 18, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 21, 2022 · Quality of Life and Care
-
Potential for harm · D August 18, 2022
Provide and implement an infection prevention and control program.
Corrected September 21, 2022 · Infection Control
-
Potential for harm · D August 18, 2022
Ensure staff are vaccinated for COVID-19
Corrected September 21, 2022 · Infection Control
-
Potential for harm · D March 4, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 18, 2021 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 4, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 18, 2021 · Quality of Life and Care
-
Potential for harm · D March 4, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2021 · Quality of Life and Care
-
Potential for harm · D March 4, 2021
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.
Corrected April 18, 2021 · Quality of Life and Care
-
Potential for harm · D March 4, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 18, 2021 · Pharmacy Service
-
Potential for harm · D March 4, 2021
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.
Corrected April 18, 2021 · Pharmacy Service
-
Potential for harm · D March 4, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected April 18, 2021 · Pharmacy Service
-
Potential for harm · D March 4, 2021
Provide and implement an infection prevention and control program.
Corrected April 18, 2021 · Infection Control
-
Potential for harm · D February 14, 2019
Keep residents' personal and medical records private and confidential.
Corrected March 26, 2019 · Resident Rights
-
Potential for harm · D February 14, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2019 · Quality of Life and Care
-
Potential for harm · D February 14, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 26, 2019 · Quality of Life and Care
-
Potential for harm · E February 14, 2019
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.
Corrected March 26, 2019 · Pharmacy Service
-
Potential for harm · F February 14, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2019 · Nutrition and Dietary
-
Potential for harm · D February 14, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2019 · Resident Assessment and Care Planning
-
Potential for harm · E February 14, 2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 26, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2025 | Fine | $11,190 |
| March 21, 2024 | Fine | $11,912 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495218 · certified since September 5, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.