BRIAN CENTER OF FINCASTLE
188 OLD FINCASTLE ROAD, Fincastle, VA 24090
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How BRIAN CENTER OF FINCASTLE Compares
BRIAN CENTER OF FINCASTLE is a 60-bed nonprofit nursing facility in Fincastle, Virginia. It holds an overall CMS rating of 4 out of 5 stars, above the Virginia average of 3.0 stars. Its strongest area is health inspections (4 stars), while staffing (2 stars) is its weakest. Its rate of falls resulting in major injury (1.0%) is below the Virginia average of 3.7%, a favorable sign for resident care. With 60 certified beds, it maintains moderate occupancy at roughly 85% occupied.
By the numbers vs. Virginia average
- Long-stay antipsychotic medication use: 5.3% — better than the Virginia average of 14.2% (63% lower).
- Falls with major injury: 1.0% — better than the Virginia average of 3.7% (72% lower).
- High-risk pressure ulcers: 7.2% — worse than the Virginia average of 4.7% (54% higher).
- Short-stay rehospitalization: 15.8% — better than the Virginia average of 22.4% (29% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Virginia averages across 289 facilities tracked by ElderVoice.
Questions to Ask BRIAN CENTER OF FINCASTLE
Use these facility-specific questions when calling admissions, touring the building, or comparing BRIAN CENTER OF FINCASTLE with other nursing homes in Fincastle.
How is BRIAN CENTER OF FINCASTLE addressing its staffing levels rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help BRIAN CENTER OF FINCASTLE keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 5.3% here versus 14.2% across Virginia. Lower is generally better for this CMS measure.
What practices help BRIAN CENTER OF FINCASTLE keep falls with major injury below the state average?
Falls with major injury is 1.0% here versus 3.7% across Virginia. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at BRIAN CENTER OF FINCASTLE?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at BRIAN CENTER OF FINCASTLE?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Fincastle
Fincastle sits in Botetourt County, where adults 65 and older make up about 22.5% of the population — a higher share of seniors than Virginia as a whole (15.4% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 7,537 (22.5%)
- Median age
- 47.4 years
- Median household income
- $72,719
- Median home value
- $230,500
Demographics for Botetourt County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Fincastle.
Facility Details
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