Brian Center of Fincastle | 188 Old Fincastle Road, Fincastle, VA 24090

A Respiratory and Rehabilitation Center of Excellence

 In 2006, we began focusing on the ventilator and trach population as we recognized the growing need for this specialized care. From that time until 2010, we cared for ventilator dependent residents as well as traditional long-term care and short-term rehabilitation residents.

We have continued to focus on the complexity of care for trach and ventilator dependent individuals. This allows us to focus on caring for the ventilator dependent resident, and also provide support for their families. Recently, the Brian Center of Fincastle was named to the U. S. News & World Report’s 2024 list of “Best Nursing Homes.”

This has allowed us to become the only true respiratory skilled nursing facility in the state of Virginia and southeastern United States. With un-compromised focus on the care and quality of life for both short-term weaning and long-term ventilator residents, we are truly a specialist in ventilator care. To learn more about these services, please visit our Ventilator Care and Tracheostomy Services pages. 

Kissito healthcare nurse standing in hallway at the brian center fincastle.

Brian Center of Fincastle services

The Brian Center of Fincastle offers a variety of services designed to focus on senior health and those individuals facing health care challenges. The Brian Center Fincastle is also the leading provider for trach care for Virginia and surrounding states.

From skilled nursing to therapy, our compassionate and dedicated teams are here for you and your family. We seek to improve the quality of life for our residents through better medical, social, and spiritual experiences.

Physical, Occupational, & Speech Therapy

Whether as a result of a trauma, disease, stroke, surgery or chronic condition, when mobility, function or cognitive abilities are impaired, rehabilitation is often the pathway to recovery, renewed independence and quality of life.

Daily Activities with Certified Activity Manager

We make it a priority to keep residents engaged, interested, and active to the fullest extent possible. Short-term and long-term residents alike enjoy a full complement of social and recreational activities designed to keep hands nimble, bodies moving, minds active and spirits up. 

IV Therapy

Our dedicated care team provides in-house IV therapy to help ensure residents are well hydrated and receiving micronutrients, pain relief and addressing infections. Our team works closely with a resident’s physician to ensure a speedy recovery.

Cognitive-Based Care & Activities

Our approach to caring for residents with cognitive-based challenges is one of understanding, care, and patience. All employees receive training to care for residents facing memory challenges, and our safety measures help secure your loved in a safe and secure environment.

Dietary & Nutritional Management

Our Dietary team follow each resident’s care plan to provide nutritious meals, snacks, and refreshments to ensure each resident has adequate nutrition. 

Medication Management

In-house treatment and pain management techniques include ultrasound, electrical stimulation, whirlpool, cold and heat therapy, as well as physical therapy and psychological support.

Comprehensive Wound Care

Our care teams are trained to assess and treat wounds to allow for healing as quickly as possible. Our person-centered care approach for wound care is aimed at preventing further wounds and promoting self-care to ensure proper wound healing and treatment. 





8:00 AM-8:00 PM

*Visitation hours are not restricted should you wish to visit outside of listed visiting hours. Please contact the facility for more information.