BRIAN CENTER OF FINCASTLE

188 OLD FINCASTLE ROAD, FINCASTLE, VA 24090 · CCN 495218 · 60 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-03-21 — ACTUAL HARM (tag F0695, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe and appropriate respiratory care for a resident when needed.

Staffing, from payroll records

Nursing hours / resident / day

4.15

state median 3.10

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.99

registered nurses only

Contract (agency) staff

14%

share of all nursing hours

Nursing staff turnover

53%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $23,102 in fines.

Date	Type	Amount
2025-05-29	Fine	$11,190
2024-03-21	Fine	$11,912

Ownership

Ownership type: Non profit - Corporation. Part of the KISSITO HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

BLAND COUNTY NURSING & REHAB CENTER (BASTIAN, VA) — CMS overall4 of 5
THE SPRINGS NURSING & REHAB CENTER (HOT SPRINGS, VA) — CMS overall5 of 5
BRIAN CENTER OF ALLEGHANY (LOW MOOR, VA) — CMS overall5 of 5
MAPLE GROVE NURSING & REHAB CENTER (LEBANON, VA) — CMS overall3 of 5
MULBERRY CREEK NURSING & REHAB CENTER (MARTINSVILLE, VA) — CMS overall5 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 20

Survey date	Tag	Category	Severity	Corrected
2024-03-21	F0695	Quality of Life and Care Deficiencies	G	not recorded
2022-08-18	F0684	Quality of Life and Care Deficiencies	D	not recorded
2022-08-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2022-08-18	F0690	Quality of Life and Care Deficiencies	D	not recorded
2022-08-18	F0880	Infection Control Deficiencies	D	not recorded
2022-08-18	F0888	Infection Control Deficiencies	D	not recorded
2021-03-04	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2021-03-04	F0684	Quality of Life and Care Deficiencies	D	not recorded
2021-03-04	F0686	Quality of Life and Care Deficiencies	D	not recorded
2021-03-04	F0693	Quality of Life and Care Deficiencies	D	not recorded
2021-03-04	F0756	Pharmacy Service Deficiencies	D	not recorded
2021-03-04	F0758	Pharmacy Service Deficiencies	D	not recorded
2021-03-04	F0759	Pharmacy Service Deficiencies	D	not recorded
2021-03-04	F0880	Infection Control Deficiencies	D	not recorded
2019-02-14	F0583	Resident Rights Deficiencies	D	not recorded
2019-02-14	F0684	Quality of Life and Care Deficiencies	D	not recorded
2019-02-14	F0686	Quality of Life and Care Deficiencies	D	not recorded
2019-02-14	F0761	Pharmacy Service Deficiencies	E	not recorded
2019-02-14	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2019-02-14	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-02-14	F0921	Environmental Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “BRIAN CENTER OF FINCASTLE, FINCASTLE” at medicare.gov/care-compare.