Kissito Healthcare Brian Center Botetourt in Fincastle, Virginia, serves people who need skilled nursing, memory care, and rehabilitation. The center stands out because it's the only true respiratory skilled nursing facility in Virginia and the southeastern United States, with a 40-bed ventilator unit that's staffed 24/7 by respiratory therapists, handling both short-term weaning and long-term ventilator care. The staff includes physicians, nurse practitioners, licensed nurses, and therapists who work together to create care plans based on the resident's needs, preferences, and background. The center takes care of people with complex medical needs, like those with tracheostomies, severe lung disorders, brain injuries, strokes, joint replacements, neuro-muscular diseases, and cardiac problems. The Certified Activity Manager keeps a full calendar of activities for social, recreational, and cognitive engagement, and the dietary team plans healthy, enjoyable meals. The therapy team gives physical, occupational, and speech therapy almost every day, as ordered by a physician, and provides special rehabilitation after things like surgeries, fractures, or strokes. For pain and wound care, the staff uses ultrasound, electrical stimulation, whirlpool therapy, heat, cold, and other methods to help prevent problems and support recovery. Memory care residents get patient-centered care with safety measures and specially trained staff. Families get support as their loved ones adjust and heal, and there are respite care services for those times when primary caregivers need a short break. There are both semi-private and private rooms, with simple daily rates, and the center's 56 licensed beds support ongoing, comprehensive care for short stays or long-term needs. Over the years, the center has gained a reputation for its quality of care, with a stable staff, strong routines, and a focus on meeting each person's needs with respect and attention.
Kissito Healthcare Brian Center Botetourt
188 Old Fincastle Rd, Fincastle, VA, 24090- Assisted living
- Memory care
- Skilled nursing
Compassionate staff but leadership concerns
I had a rough start here - a disrespectful director, some rude/unprofessional staff, poor documentation, gaslighting, privacy concerns (videoing), residents left in urine/feces, and even a trach dislodgement and unannounced hospital transfer that left me worried about safety and possible discrimination. Communication was inconsistent, family wasn't kept informed, and smells/cleanliness and wandering residents were troubling. That said, the nursing, PT/OT and many aides were compassionate and professional, Teresa planned Eddie's care and staff treated him like family, helping him get stronger and go home - I'm grateful for the outcome. Overall I'm thankful for the therapy and caring staff but remain concerned about leadership, safety, and inconsistent standards.
Pricing
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Amenities
Healthcare services
- Activities of daily living assistance
- Assistance with bathing
- Assistance with dressing
- Assistance with transfers
- Medication management
- Mental wellness program
Healthcare staffing
- 12-16 hour nursing
- 24-hour call system
- 24-hour supervision
Meals and dining
- Diabetes diet
- Meal preparation and service
- Restaurant-style dining
- Special dietary restrictions
Room
- Air-conditioning
- Cable
- Fully furnished
- Housekeeping and linen services
- Kitchenettes
- Private bathrooms
- Telephone
- Wifi
Transportation
- Community operated transportation
- Transportation arrangement
- Transportation arrangement (non-medical)
Common areas
- Beauty salon
- Computer center
- Dining room
- Fitness room
- Gaming room
- Garden
- Outdoor space
- Small library
- Wellness center
Community services
- Concierge services
- Fitness programs
- Move-in coordination
Activities
- Community-sponsored activities
- Planned day trips
- Resident-run activities
- Scheduled daily activities
3.94 · 16 reviews
Overall rating
- 5
- 4
- 3
- 2
- 1
Care
3.8Staff
4.1Meals
3.9Amenities
3.9Value
3.9
Location
About Kissito Healthcare Brian Center Botetourt
People often ask...
Kissito Healthcare Brian Center Botetourt offers assisted living, memory care, and skilled nursing.
The full address for this community is 188 Old Fincastle Rd, Fincastle, VA, 24090.
Yes, Kissito Healthcare Brian Center Botetourt offers respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
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