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Skilled nursing facility · CMS certified · CCN 495218

Brian Center of Fincastle

188 Old Fincastle Road, Fincastle, VA 24090 · Botetourt County · one of 289 skilled nursing facilities in Virginia
60
certified beds
4 / 5
overall CMS rating
Nonprofit
ownership type
70-85%
occupancy band
3.05
case mix, 2.16x the Virginia average
Street view of Brian Center of Fincastle
Google Street View · opens in Maps
Street View
188 Old Fincastle Road, Fincastle, VA
Map around Brian Center of Fincastle
Map · Botetourt County
Quality and staffing
CMS Care Compare · Jul 2026
Overall rating4 / 5 · state 3
Health inspection4 / 5 · state 2.8
Staffing2 / 5 · state 2.5
RN hours per resident per day1.33 · state 0.69
Overall rating, last 8 quarters
054Q3’244Q4’243Q1’254Q2’255Q3’254Q4’254Q1’264Q2’26latest
back to 4 / 5 over the 8 quarters shown, having been as low as 3 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Surveys and enforcement
public record
Aug 2022
last standard survey
5
deficiencies cited · Virginia avg 15.5
$23,102
fines, last 3 years
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Virginia
state rate files
$255
median daily rate across the Virginia buildings in our rate book, Oct 2025 file
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behind the call
The expanded view of Brian Center of Fincastle: who holds it, what has changed hands, how the money has moved, and where it is going.
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Botetourt County
buildingbedsoverallThe Glebe325 / 5Brian Center of Fincastle604 / 5Daleville Health and Rehabilitation902 / 5
Virginia at a glance
289
buildings
32,648
licensed beds
88%
occupancy
76%
for-profit
What changed in Virginia
Nursing Home Medicaid Rates Rise Modestly as Operators Consolidate
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyThe GlebeDaleville · 7.2 mi325 / 5over 85%Daleville Health and RehabilitationDaleville · 8.9 mi902 / 5over 85%Friendship Health and Rehab CenterRoanoke · 14.2 mi2534 / 5over 85%Springtree Healthcare & Rehab CenterRoanoke · 15.3 mi1203 / 5over 85%Star City Rehabilitation and NursingRoanoke · 15.8 mi1162 / 5over 85%Our Lady of the ValleyRoanoke · 17.1 mi704 / 5over 85%
Public record only, the map and the list carry the same facts, and neither names an owner.
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Source: CMS Provider Information and Care Compare, Jul 2026 files. Public record only; this page never identifies who owns a building.