Kissito Healthcare Brian Center Botetourt

    188 Old Fincastle Rd, Fincastle, VA 24090
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.0ยท17 reviews

    Compassionate staff, excellent rehab therapy

    I had a very positive experience overall. After a rough start the team turned things around - Teresa planned Eddie's care and they followed through with compassionate, family-like staff across nursing, PT/OT, housekeeping and kitchen. Excellent one-on-one therapy, attentive trach care, and a small but amazing rehab room helped him get stronger and go home today; we're grateful and plan to return for more therapy.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.00ยท(17)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.1
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      4.0

    Pros

    • Skilled physical and occupational therapy
    • Effective one-on-one rehabilitation sessions
    • Competent tracheostomy care and caregiver education
    • Compassionate, family-oriented nursing staff
    • Attentive rehabilitation planning and discharge coordination
    • Courteous support staff (kitchen and housekeeping)
    • Positive patient morale and encouragement from staff
    • Use of clinical technology in therapy
    • Clean, healing-focused rehab environment
    • Timely functional improvement enabling discharge home

    Cons

    • Inconsistent staff professionalism and communication tone
    • Gaps in documentation and clinical recordkeeping
    • Inadequate family notification and transparency practices
    • Privacy and confidentiality protocol weaknesses
    • Incontinence-care delays and hygiene-management deficiencies
    • Skin-integrity and wound-prevention shortcomings
    • Gaps in clinical monitoring and emergency-response procedures
    • Sanitation and odor concerns in some common areas
    • Ethical-conduct and grievance-handling concerns
    • Allegations of discriminatory behavior

    Summary of reviews

    The reviews present a mixed picture: many families praise the facilityโ€™s rehabilitation capabilities and the kindness of front-line staff, yet others describe serious operational and communication failures. Strengths center on therapy-driven recovery. Reviewers commonly note skilled physical and occupational therapy, frequent one-on-one therapy sessions, and competent tracheostomy care with caregiver education. Several accounts emphasize successful discharge planning, tangible functional improvement, and staff who create a supportive, family-like atmosphere. Support services such as kitchen and housekeeping are also described as courteous, and the on-site therapy environmentโ€”though compactโ€”appears to facilitate focused rehabilitation work supported by appropriate technology.

    At the same time, the collection of reviews outlines several consistent operational concerns that affect safety and quality of care. Key issues include inconsistent staff professionalism and problematic communication tone, gaps in documentation and clinical recordkeeping, and failures to keep families appropriately informed about changes in condition or transfers. Reviewers also raise privacy and confidentiality protocol weaknesses. Clinical-safety themes recur: delays in incontinence care, compromises in skin integrity and wound prevention, and lapses in monitoring or emergency response protocols (including at least one serious tracheostomy-related event). These patterns suggest variability in adherence to clinical protocols and supervision across shifts or units.

    Facility environment and management receive mixed commentary. While rehabilitation spaces are described as clean and focused on healing, there are sanitation and odor concerns noted in some common areas and reports of residents left unattended in public areasโ€”indicating possible staffing or supervision shortfalls. Management-related concerns include documentation deficiencies, inconsistent handling of family grievances, and troubling reports about leadership conduct; there are also allegations of discriminatory behavior that warrant formal review by appropriate authorities. Several reviews describe attempts to escalate issues that were met with defensiveness rather than transparent resolution.

    For prospective residents and families, the pattern suggests that outcomes can vary considerably depending on unit, shift, and individual care teams. The facility demonstrates clear strengths in delivering effective, outcome-oriented rehabilitation and in providing compassionate caregiving in many cases. At the same time, persistent operational weaknessesโ€”particularly around documentation, communication with families, privacy practices, hygiene management, and clinical monitoringโ€”represent areas of concern that should be explored during a tour or pre-admission conversation. Asking about staffing levels, documentation processes, emergency-response protocols, infection-control/tracheostomy procedures, and the facilityโ€™s grievance and non-discrimination policies may help clarify how consistent the positive practices are and how the facility addresses reported shortcomings.

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    Medicare Ratings

    4ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Kissito Healthcare Brian Center Botetourt

    Kissito Healthcare Brian Center Botetourt is located at 188 Old Fincastle Rd, Fincastle, VA, 24090.

    About Kissito Healthcare Brian Center Botetourt

    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.

    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.

    No, Kissito Healthcare Brian Center Botetourt does not offer 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.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Kissito Healthcare Brian Center Botetourt. The information above has not been verified or approved by the owner or operator. For exact information, please contact Kissito Healthcare Brian Center Botetourt directly. There is no cost for this service. We are compensated by the community you select.

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