Skilled Nursing
The Glebe
Scout 100Daleville, VA · 32 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)● Fills quickly
One of Daleville's top-rated skilled nursing communities.
Est. $7,630–$10,010/mo
View full evaluation →Skilled NursingCMS verified
Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090 · Botetourt County
The Brian Center Fincastle offers services focusing on senior care and is a leading provider for trach and vent care that focuses on their complexity of care.
70
StrongHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates strong.
Photos via google places, facility website.
Availability outlookModerate availability
Typically 83% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A highly rated skilled nursing and rehab community in Fincastle
Brian Center of Fincastle is a non-profit skilled nursing facility in Fincastle, VA, with 60 certified beds and an average of about 50 residents per day. It operates as part of the Kissito Healthcare network.
Medicare rates it 4 out of 5 stars overall — above the national average of about 3 stars. Component ratings: 4/5 on health inspections, 2/5 on staffing, 4/5 on quality measures.
Staff provide about 4.69 total nurse hours per resident each day (1.42 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 42.2%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 5 health deficiencies at its most recent standard survey, and 2 federal fines totaling $23,102 in the recent record.
Strengths
- ✓Strong health-inspection rating
- ✓Above-average nurse staffing (4.69 hrs/resident/day)
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
None noted in the public data.
Best for: Families who want a highly rated, well-staffed setting in Fincastle for 24/7 skilled nursing or post-hospital rehabilitation.
At a glance
- Certified beds
- 60
- Avg. residents/day
- 50
- Ownership
- Non profit - Corporation
- Part of a chain
- Kissito Healthcare
- Continuing care
- No
- CMS provider #
- 495218
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $7,630–$10,010/mo (median $8,570) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Roanoke prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 4.69
- National avg ≈ 3.9
- RN hrs / resident / day
- 1.42
- National avg ≈ 0.75
- Nursing staff turnover
- 42.2%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 5
- Federal fines
- 2 ($23,102)
- Total penalties
- 2
- Last standard survey
- 2022-08-18
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (21 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2024-03-21Severity G — actual harmFrom a complaintQuality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2022-08-18Severity D — potential for harmQuality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2022-08-18Severity D — potential for harmQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-08-18Severity D — potential for harmQuality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2022-08-18Severity D — potential for harmInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2022-08-18Severity D — potential for harmInfection Control Deficiencies
Ensure staff are vaccinated for COVID-19
2021-03-04Severity D — potential for harmFreedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2021-03-04Severity D — potential for harmQuality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-05-29 | Fine | $11,190 |
| 2024-03-21 | Fine | $11,912 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Physical therapy
- ✓ Rehabilitation services
- ✓ Memory care
- ✓ Daily activities & events
Location
188 Old Fincastle Road, Fincastle, VA
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Brian Center of Fincastle.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Brian Center of Fincastle
How much does Brian Center of Fincastle cost?
Brian Center of Fincastle does not publish exact rates. Comparable skilled nursing in the Fincastle, VA area typically runs $7,630–$10,010 per month (median $8,570, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Brian Center of Fincastle's Medicare rating?
Medicare (CMS) rates Brian Center of Fincastle 4 out of 5 stars overall, including 4/5 for health inspections, 2/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.
How is the staffing at Brian Center of Fincastle?
Staff provide about 4.69 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 42.2% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Brian Center of Fincastle?
Brian Center of Fincastle has 21 health citations on its recent federal inspection record (last standard survey: 2022-08-18). The full citation-by-citation detail, with severity levels, is published on this page.
Does Brian Center of Fincastle have availability?
Typically 83% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Brian Center of Fincastle offer?
Brian Center of Fincastle in Fincastle, VA offers skilled nursing and is licensed for 60 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Roanoke.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Brian Center of Fincastle — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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