Brian Center Botetourt: Nursing Home OverviewSkip to content

Brian Center Botetourt

  • Nursing Home
  • Memory Care

Updated Nov 1, 2023 by Nick Reese

Historical Rating
Grade: D
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMay 19: DJun 19: DJul 19: DAug 19: DSep 19: DJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: FSep 20: DOct 20: FNov 20: FJan 21: FFeb 21: DMar 21: DApr 21: DMay 21: DJun 21: CJul 21: CAug 21: CSep 21: COct 21: CNov 21: CJan 22: CFeb 22: CMar 22: CApr 22: CMay 22: CJun 22: CAug 22: B-Sep 22: B-Oct 22: CNov 22: CJan 23: CFeb 23: CMar 23: DApr 23: DJun 23: DJul 23: CAug 23: CSep 23: COct 23: DNov 23: D
See Rating Overview
Brian Center Botetourt's website

188 Old Fincastle Road,
Fincastle VA 24090

(540) 473-2288

85.83% estimated occupancy 1

Brian Center Botetourt is a small non-profit nursing home in Fincastle, Virginia. We gave this nursing home an overall grade of D. A score of this caliber generally indicates some concerning datapoints. This facility has very little going for it. Despite all this, one of the few highlights of this nursing home's profile is its strong inspection rating. You can continue reading to find out about inspections and other category scores

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • Non profit - Corporation
  • Secure Memory Care 
  • Offers Inpatient Rehab

Specialized Services

  • Medication Management
  • Speech Therapy
  • Stroke Recovery
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Mental Health
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Aquatic Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Facility Inspections

Grade: A

While this nursing home's overall score was not a highlight, it actually excelled in the area of inspections. In fact, we awarded it an A for that category, which is one of our best scores. These inspection ratings weigh several factors, including deficiencies, substantiated complaints and federal fines. You can find more information about each of these factors by reviewing copies of nursing homes' inspection reports. Although this facility had a few deficiencies on its report, none were severe based on CMS' deficiency scale. A couple minor deficiencies are not the end of the world.

Long-term Care Quality

Grade: C

This facility received its next most favorable category score in the category of long-term care. We awarded this facility a grade of C in this area, which is a respectable grade. In calculating our long-term care ratings, we assess the assistance with daily living offered to the nursing home's patients. In addition to assessing the amount of care provided by nurses and other staff, we looked at the number of residents vaccinated for pneumonia. Thankfully, this nursing home provided the vaccine to 100 percent of its residents, which is a very respectable figure. This place was able to keep its residents out of the hospital. In fact, it had only 0.05 hospitalizations per one thousand long-term resident days, which is a remarkably low number.

Nurse Quality

Grade: D

This facility's next best category was nursing, but even there it received a grade of just D. This is still a well below average grade. When calculating a nursing home's nursing grade, we consider the number of hours nurses commit to residents as well as the levels of training of those nurses. This facility averaged only 0.5 hours of nursing care per patient on a daily basis. This is a very low total compared to most nursing homes. Lastly, we also looked at some nursing quality-based metrics in calculating our nursing ratings. This facility performed well when it comes to avoiding pressure ulcers and major falls. Many consider these areas to be good measures of the quality of nursing care.

Short-term Care Quality

Grade: F

Switching gears to the last category, this facility really didn't fare well in this area either. Due to a bottom of the barrel grade of F in short-term care, this is just about as bad as it gets. Our short-term care scores are crucial for residents needing rehabilitation. Rehabilitation usually mandates more skilled nursing. Skilled nursing includes a broad scope of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other forms of therapy. With a score of this caliber for this category, we weren't stunned to learn this nursing home was below average in several staffing metrics we focus on. The facility provided substantially fewer registered nurse and physical therapist hours per patient than most other facilities. The last metric we assessed in this category is the percentage of residents who ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this area as well, with just 3.7 percent of its residents returning home. Unfortunately, this was well below the national average.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Brian Center Botetourt Quality Metrics

Minimizes Pressure Ulcers

Grade: F

In Brian Center Botetourt, 20.54% of Patients had Pressure Ulcers

This metric is an indication of the percentage of long-term care patients who have new or worsened pressure ulcers. We find that pressure ulcers are a great barometer of quality of care.

Minimizes Serious Falls

Grade: A-minus

In Brian Center Botetourt, 1.47% of Patients had Serious Falls

This indicates the percentage of patients that sustained a major fall. Falls resulting in major injuries are often caused by lower levels of patient supervision. Better nursing care minimizes the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: D

In Brian Center Botetourt, 4.9% of Patients had UTIs

This figure indicates the percentage of long-term residents who suffered from UTI's. Although a higher rate infections may reflect poorly on a nursing home's hygiene protocols, it can be problematic to compare between facilities due to differing reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Brian Center Botetourt, 11.79% of Patients use Anti-Psychotic Medication

This is the percent of residents given antipsychotic medications. These medications may be used for treating a variety of medical conditions, such as Alzheimer's or other dementias.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Brian Center Botetourt, 39.71% of Patients use Anti-Anxiety Medication

This indicates the percent of patients who were given antianxiety medications. Antianxiety medications are administered to residents experiencing anxiety and depression.

Managing Depression Among Residents

Grade: A+

In Brian Center Botetourt, 0% of Patients

This metric measures the percent of long-term residents exhibiting signs of depression. Many in the industry believe this is a reliable measure of quality of care.

Appropriate Vaccine Usage

Grade: A-minus

In Brian Center Botetourt, 99.52% of Patients

This datapoint is a measure of the percentage of long-term care patients who were administered the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for seniors, making these vaccines critical to patient safety.

Residents Maintain Autonomy

Grade: A-plus

In Brian Center Botetourt, 5.48% of Patients

This metric is a measure of the percent of long-term residents who required more assistance with activities of daily living over time. ADL's include activities such as taking medications and using the bathroom.

Ability to Keep Residents Mobile

Grade: D

In Brian Center Botetourt, 6.78% of Residents

Measures the percent of long-term stay patients that were able to retain mobility. Many would argue that mobility is critical to patients mental and physical well-being.

Hospitalizations

Grade: C

In Brian Center Botetourt, 0.05 Hospitalizations per 1,000 resident days

This is the number of times residents are hospitalized per thousand days of patient care. There is generally a correlation between having fewer hospitalizations and the overall quality of care.

Short-term Care: Rehospitalizations

Grade: A

In Brian Center Botetourt, 6.78% of Residents Rehospitalized

This is a measure of the number of rehospitalizations per thousand days of short-term resident care.

Nearby Hospitals

  • Carilion Roanoke Memorial HospitalAcute Care Hospitals 19.09 miles away1906 Belleview Avenue, Se Roanoke Virginia 24014Voluntary non-profit - Private(540) 981-7000
  • Lewisgale Medical CenterAcute Care Hospitals 19.82 miles away1900 Electric Road Salem Virginia 24153Voluntary non-profit - Private(540) 776-4000

Nearby Dialysis

  • Daleville Dialysis7.86 miles away245 Commons Pkwy Daleville Virginia 24083Dialysis Stations: 17 (540) 591-5235
  • Fmc - Friendship Manor14.22 miles awayDialysis Unit 331 Hershberger Rd Roanoke Virginia 24012CMS Rating: 4 stars Dialysis Stations: 29 (540) 561-0870
  • Bma - North Roanoke16.84 miles away1326 7th St Ne Roanoke Virginia 24012CMS Rating: 4 stars Dialysis Stations: 25 (540) 344-6652
  • Glenvar Dialysis17.36 miles away3737 West Main Street Suite 103 Salem Virginia 24153Dialysis Stations: 13 (540) 380-3130
  • Fresenius Kidney Care Alleghany17.56 miles away117 Mall Rd Covington Virginia 24426Dialysis Stations: 11 (540) 969-4489
  • Covington Dialysis18 miles away2504 Valley Ridge Rd Covington Virginia 24426Dialysis Stations: 13 (540) 862-4419
  • Bma - Crystal Spring19.21 miles away404 Mcclanahan Street Roanoke Virginia 24014CMS Rating: 4 stars Dialysis Stations: 31 (540) 342-5514
  • Bma - Roanoke-Salem Dialysis19.53 miles away2021 Apperson Dr Salem Virginia 24153CMS Rating: 2 stars Dialysis Stations: 25 (540) 725-1796