Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090 · 60 beds · Non profit - Corporation
The records flag: 1 citation where a resident was harmed.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Nurse coverage is actually about 19% higher at weekends.
Staff turnover: 53%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 21 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Actual harm | 1 |
| Potential for harm | 20 |
| No harm | 0 |
1 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $23,102 in fines here over the past three years.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| The Glebe | 7.2 | 5 | 1.62 | −65% |
| Daleville Health and Rehabilitation | 8.9 | 2 | 0.44 | −32% |
| Friendship Health and Rehab Center | 14.2 | 4 | 0.50 | −38% |
| Springtree Healthcare & Rehab Center | 15.3 | 3 | 0.32 | −44% |
| Star City Rehabilitation and Nursing | 15.8 | 2 | 0.16 | −24% |
| Our Lady of the Valley | 17.1 | 4 | 0.49 | −47% |
| Berkshire Health & Rehabilitation Center | 17.3 | 4 | 0.41 | −22% |
| Davis and Mcdaniel Veterans Care Center | 18.2 | 5 | 0.99 | −52% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Turnover here is about 53%. How long has the director of nursing been in post?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?