The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: G
Nursing home report
BRIAN CENTER OF FINCASTLE
FINCASTLE, VA · Medicare-certified · 60 beds
Needs attention
Non-profitChain member
4 of 5 overall
Brian Center of Fincastle has a 4-star overall rating, with strong health inspection and quality scores but a low 2-star staffing rating. Reported nurse staffing is above the federal benchmark (4.69 vs. 4.1 hours per resident per day), and the facility has had $11,190 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.6938 hrs/resident/day
Quality measures
Last inspection: March 21, 2024Penalties, last 24 months: $11,190recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6938.
Staffing detail
- Registered nurses
- 1.42
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.25
- Weekend nursing
- 4.04
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.6%Steady
Residents with a fall causing major injury
2%Improving
Residents with pressure ulcers (bedsores)
8.8%Improving
Residents with a urinary tract infection
1.5%Worsening
Residents who lost too much weight
5.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
32.5%Worsening
Short-stay residents newly given an antipsychotic
7.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.3%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.6%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited February 2019 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited February 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- PENALTY
A federal fine of $11,190 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $23,102 in total fines.
- $11,190
Federal fine
May 29, 2025
- $11,912
Federal fine
Mar 21, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of KISSITO HEALTHCARE · 6 homes · 4.5 stars avg
- Occupancy
- 49.7 residents on an average day (83% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.