Overview
Brian Center of Fincastle has a Medicare overall rating of 3 out of 5, in line with the Virginia average of 3.1. It is the only Medicare-rated nursing home in Fincastle. It scores best on health inspections (4 of 5) and lowest on staffing (1 of 5).
Residents receive about 4.7 hours of nursing care per day, more than at 86% of nursing homes in Virginia (the state average is 3.9 hours). Of that, 1.4 hours come from registered nurses.
Its most recent standard inspection, on August 18, 2022, found 5 health deficiencies, fewer than the Virginia average of 14.0. Medicare records 2 fines totaling $23,102 in the past three years.
Brian Center of Fincastle is a nonprofit facility with 60 certified beds, caring for about 53 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1990.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 54%
Top 53%
Family reviews
No reviews yet. If your family has experience with Brian Center of Fincastle, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- August 18, 2022
- Health deficiencies cited
- 5
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 2 totaling $23,102
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.71 hrs
- Registered nurses (RN)1.42 hrs
- Licensed practical nurses (LPN)1.12 hrs
- Nurse aides2.18 hrs
- Physical therapists0.11 hrs
Facility details
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Average residents per day
- 53
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- September 5, 1990
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes