NURSING HOME PUBLIC RECORD
CMS lists this provider in Fincastle, VA, with 60 certified beds, an overall rating of 4/5, and 38 citation rows in the current August 2026 release.
188 Old Fincastle Road · Fincastle, VA 24090 · Botetourt County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Brian Center Of Fincastle in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-08-18 | 5 | 2022-08-18 | 7 |
| Cycle 2 | 2021-03-04 | 8 | 2021-03-04 | 5 |
| Cycle 3 | 2019-02-14 | 8 | 2019-02-14 | 5 |
CMS reports 38 citation rows, including 1 with G–L codes and 0 with J–L codes.
1 row carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-05-20 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-09-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-09-21Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2022-09-21Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-09-21Ensure staff are vaccinated for COVID-19
Correction field: Deficient, Provider has date of correction · 2022-09-21Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2022-10-31Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2022-10-31Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-10-31Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-10-31Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-10-31Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-10-31To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2022-10-31Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2021-04-18Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2021-04-18Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2021-04-18Ensure 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.
Correction field: Deficient, Provider has date of correction · 2021-04-18Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2021-04-18Implement 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.
Correction field: Deficient, Provider has date of correction · 2021-04-18Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2021-04-18Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-04-18Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2021-05-25Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2021-05-25Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2021-05-25The August 2026 file contains 2 penalty rows and $23,102 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-05-29 | Fine | $11,190 | 0 |
| 2024-03-21 | Fine | $11,912 | 0 |
CMS matched 0 ownership disclosure rows to Brian Center Of Fincastle; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 4.61 total nurse hours and 1.33 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Fincastle, VA met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
