Nursing Homes · Medicare certified
Brian Center of Fincastle
188 Old Fincastle Road · Fincastle, VA 24090 · 60 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1942288022. Look this up in the CMS NPPES registry (opens in a new tab)
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About Brian Center of Fincastle
Brian Center of Fincastle is a nursing home in Fincastle, Virginia. Its reported capacity is 60 beds. It is recorded as a nonprofit operator, part of Kissito Healthcare INC. Federal records list it as Medicare certified. Our copy of the inspection record holds 21 citations, the newest dated 21 March 2024. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 4.61 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
14
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
14
Staffing rating
2.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
14
Inspection history (21)
Records from February 2019 to March 2024.
March 21, 2024 · G
Citation F0695Federal surveyors cited this nursing home on 2024-03-21 under CMS tag F0695 (CMS scope/severity G: isolated, actual harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-05-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOVAugust 18, 2022 · D
Citation F0684Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2022-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOVAugust 18, 2022 · D
Citation F0880Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOVAugust 18, 2022 · D
Citation F0689Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOVAugust 18, 2022 · D
Citation F0690Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2022-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOVAugust 18, 2022 · D
Citation F0888Federal surveyors cited this nursing home on 2022-08-18 under CMS tag F0888 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure staff are vaccinated for COVID-19. The deficiency was recorded as corrected on 2022-09-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-08-18.GOVMarch 4, 2021 · D
Citation F0759Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0758Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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 l…. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0607Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0684Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0693Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0880Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0686Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVMarch 4, 2021 · D
Citation F0756Federal surveyors cited this nursing home on 2021-03-04 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2021-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-04.GOVFebruary 14, 2019 · D
Citation F0686Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOVFebruary 14, 2019 · F
Citation F0812Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOVFebruary 14, 2019 · E
Citation F0761Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOVFebruary 14, 2019 · D
Citation F0583Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOVFebruary 14, 2019 · E
Citation F0921Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOVFebruary 14, 2019 · D
Citation F0684Federal surveyors cited this nursing home on 2019-02-14 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2019-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-02-14.GOV
Penalties (2)
Total fines on file: $23,102
May 29, 2025 · Fine
Citation FINE-133855CMS recorded a civil money penalty of $11,190 against this nursing home on 2025-05-29 (Fine ID: 133855). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-29.GOVMarch 21, 2024 · Fine
Citation FINE-8241CMS recorded a civil money penalty of $11,912 against this nursing home on 2024-03-21 (Fine ID: 8241). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-21.GOV
Staffing
Latest: 4.61 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q44.69 hrs/resident/day
- 2026-06-014.69 hrs/resident/day
- 2026-07-014.61 hrs/resident/day
- 2026-08-014.61 hrs/resident/day
- 2026Q14.61 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit
Parent organization: Kissito Healthcare INC
parent · PAC 547267569
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical VA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · VA$10,250/moNearby alternatives
No other listed providers in Fincastle yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.