CCN 495218 · Botetourt County, Virginia
Brian Center of Fincastle
188 Old Fincastle Road, Fincastle, VA 24090
Brian Center of Fincastle is a 60-bed nonprofit nursing home in Fincastle, Virginia, first certified for Medicare or Medicaid in 1990. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 51.0 residents a day, about 85% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $19.2 million in August 2024 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 60
- Average residents per day
- 51.0 (85.0% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Legal Business Name Not Available
- Certified since
- Sep 5, 1990
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 4.61 | 3.45 | 3.68 |
| RN hours per resident per day | 1.33 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 3.99 | ||
| Nursing staff turnover | 52.9% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 85.0% | 91.8% | 85.7% |
| Fines reported by CMS | 2 totaling $23,102 | ||
| Health deficiencies, latest standard survey | 5 (Aug 18, 2022) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Brian Center of Fincastle meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Aug 28, 2024 | 223(f) refinance or purchaseHUD project name: Brian Center of Fincastle, 56 beds. Lender at endorsement: Greystone Funding Company LLC | $19,192,000 | Ended Dec 31, 2025Prepayment | 05122213 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.