Brian Center of Fincastle
188 OLD FINCASTLE ROAD, Fincastle, VA 24090
Fincastle, Virginia · CMS verdict
On the federal five-star scale, Brian Center of Fincastle carries a 4 of 5 CMS overall rating, above-average quality that runs above Virginia's state average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Brian Center of Fincastle in Fincastle, Virginia holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 59 of 100 (grade F). The 60-bed facility operates where a semi-private nursing-home room in Virginia runs a median of $10,250 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 60 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 59 is built
Each segment is a dimension's weighted points toward the score, summing to 59.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Brian Center of Fincastle's thinner certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Brian Center of Fincastle's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (2/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Fincastle, Virginia, this facility operates 60 certified beds with an average daily census of roughly 50 residents - an occupancy rate of about 83%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 83% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Same-ownership peers
Within Virginia, Brian Center of Fincastle is one of 47 non profit - corporation nursing homes CMS rates. Its 4-star overall rating sits below the non profit - corporation-segment average of 4.0 stars, ahead of roughly 23% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (21 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Brian Center of Fincastle compares to Virginia
CMS five-star sub-ratings (0–5) for this facility against the Virginia facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Virginia state average. Higher is better on all four CMS measures.
Where Brian Center of Fincastle ranks in Virginia
Among the 285 CMS-rated nursing homes in Virginia, Brian Center of Fincastle’s 4-star overall rating is higher than 59% of them. The bars show how all Virginia homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
61 Virginia homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 60 |
| Residents | 50 |
| Ownership | Non profit - Corporation |
| County | Botetourt |
| Penalties | 2 |
| Deficiencies | 21 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Brian Center of Fincastle? ▾
Brian Center of Fincastle has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 4/5.
How much does a nursing home cost per month in Virginia? ▾
In Virginia, a semi-private nursing home room runs a median $10,250/month ($123,005/year) per the CareScout 2025 survey; private rooms average $11,680/month.
What services does Brian Center of Fincastle offer? ▾
Brian Center of Fincastle operates as a skilled nursing facility (60 beds with approximately 50 current residents) under non profit - corporation ownership. CMS inspections have recorded 21 deficiencies and 2 penalties there.
Does Brian Center of Fincastle have any deficiencies or penalties? ▾
Brian Center of Fincastle has multiple deficiencies (21 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Virginia? ▾
In Virginia, alternatives include assisted living ($6,945/mo), home health aides ($6,673/mo), and adult day care ($1,750/mo).
Keep reading
Also see the Virginia elder-care overview and highest-rated states. Provider ID: 495218.
Read our methodology - how this data is sourced, computed, and verified.