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
The Brian Center Botetourt
Registered name: BRIAN CENTER OF FINCASTLE
FINCASTLE, VA · Medicare-certified · 60 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
4 of 5 overall
Brian Center Botetourt in Fincastle, VA has a 4 of 5 overall rating, with strong health inspection and quality ratings but a low 2 of 5 staffing rating. Reported nurse staffing is 4.61 hours per resident day, above the federal benchmark of 4.1, and the facility has had $11,190 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.6131 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 4.6131.
Staffing detail
- Registered nurses
- 1.33
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.15
- Weekend nursing
- 3.99
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.7%4.5%Improving
Residents with a fall causing major injury
4.1%0%Improving
Residents with pressure ulcers (bedsores)
6%4.3%Improving
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
6.1%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—17.5%—
Long-stay residents on antianxiety or sleep medication
34.7%32%Improving
Short-stay residents newly given an antipsychotic
—3.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10%28.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—96.4%—
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.
View the original federal record
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 · 4.3 stars avg
- Occupancy
- 51 residents on an average day (85% 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.