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
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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 high-risk residents with pressure ulcers (8.8%) is above the Virginia average of 5.0% — a measure worth asking the staff about. With 60 certified beds, it maintains moderate occupancy at roughly 83% occupied.
By the numbers vs. Virginia average
- Long-stay antipsychotic medication use: 5.6% — better than the Virginia average of 14.2% (61% lower).
- Falls with major injury: 2.0% — better than the Virginia average of 3.7% (46% lower).
- High-risk pressure ulcers: 8.8% — worse than the Virginia average of 5.0% (77% higher).
- Short-stay rehospitalization: 15.8% — better than the Virginia average of 22.6% (30% lower).
Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Virginia averages across 289 facilities tracked by ElderVoice.
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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