Brian Center of Fincastle: Staffing, Turnover, and Inspection Record
Brian Center of Fincastle is a 60-bed nonprofit nursing home in Fincastle, Virginia. In the CMS August 2026 release it reported 2.15 nurse aide hours per resident per day, 4% above the Virginia average of 2.07, and 52.9% nursing staff turnover (Virginia average 48.1%).
Brian Center of Fincastle
188 Old Fincastle RoadFincastle, VA 24090
Botetourt County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Brian Center of Fincastle, nurse aides logged 2.15 hours per resident per day, 4% above the Virginia average. With about 51 residents a day, that works out to roughly 110 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Virginia avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.15 | 2.07 | 2.32 |
| Licensed practical nurses | 1.13 | 1.00 | 0.86 |
| Registered nurses | 1.33 | 0.69 | 0.69 |
| All nursing staff | 4.61 | 3.76 | 3.86 |
| All nursing staff, weekends | 3.99 | 3.29 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.9% of nursing staff at Brian Center of Fincastle left over the year CMS measured, against a Virginia average of 48.1% and a US average of 45.8%. Registered nurse turnover was 44.4%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 18, 2022. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Virginia average 14.5). CMS lists 2 fines totaling $23,102 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 29, 2025 | Fine | $11,190 |
| Mar 21, 2024 | Fine | $11,912 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Brian Center of Fincastle holds 4 of 5 overall; the Virginia average is 3.0.
About Brian Center of Fincastle
- Ownership: Non profit - Corporation
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Sep 5, 1990
- Councils: resident council
- Area: urban
Nursing homes near Brian Center of Fincastle
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Glebe Daleville | 7.2 | 32 | 3.09 | 5.42 | 49.0% | 5 | None |
| Daleville Health and Rehabilitation Daleville | 8.9 | 90 | 1.79 | 3.24 | 69.8% | 2 | None |
| Friendship Health and Rehab Center Roanoke | 14.2 | 253 | 2.21 | 3.93 | 48.1% | 4 | None |
| Springtree Healthcare & Rehab Center Roanoke | 15.3 | 120 | 2.10 | 3.68 | 47.6% | 3 | None |
| Star City Rehabilitation and Nursing Roanoke · many days without an RN | 15.8 | 116 | 2.15 | 3.72 | 68.3% | 2 | None |
| Our Lady Of The Valley Roanoke | 17.1 | 70 | 2.29 | 3.84 | 45.3% | 4 | None |
| Berkshire Health & Rehabilitation Center Vinton | 17.3 | 180 | 1.80 | 3.21 | 56.1% | 4 | None |
| Davis and McDaniel Veterans Care Center Roanoke | 18.2 | 180 | 2.47 | 3.99 | 28.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.