Brio of Johnston, LLC
6901 Peckham Street, Johnston, IA 50131 · Polk County · (515) 253-2501
36 certified beds, about 34 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2018
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165624 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 12 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.57 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
55.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Wesleylife, an affiliated group of 10 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
109/23
304/24
106/24
203/25
504/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 5 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations and staff interview, the facility failed to provide services to protect residents from accident or hazards by transferring residents in a wheelchair without foot pedals for 3 out of 12 residents observed in wheelchairs (Residents #26, #31, and #29). The facility reported a census of 34.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, clinical record review, manufacturer's recommendation and staff interview, the facility failed to administer insulin utilizing an insulin pen as recommended for 1 of 1 resident reviewed for insulin administration (Resident #4). The facility reported a census of 34 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to securely store resident medications for 2 of 6 residents reviewed for medication administration. The facility reported a census of 34.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, policy review, and the 2022 Food Code United States (U.S.) Food & Drug Administration (FDA), the facility failed to protect food from contamination during preparation as evidenced by 3 observed instances of improper glove use and potential cross-contamination. The facility reported a census of 34 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to apply infection control practices during wound care for 1 of 1 residents reviewed for pressure injuries (Resident #29). The facility reported a census of 34.
March 13, 2025Standard inspection · 2 citations
- D Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Inspectors wroteBased on electronic health record review, staff interview, and policy review, the facility failed to document on the Behavior Assessment Record, as ordered, behaviors related to psychotropic medication use (drugs which alter a person's mental state, emotions, or behavior) for 3 out of 3 residents reviewed for unnecessary medications (Residents #17, #24, and #25). The facility reported a census of 33 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to securely store resident medications for 1 of 6 residents reviewed for medication administration. The facility reported a census of 33 residents.
June 19, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, clinical record review, policy review and staff interview the facility failed to ensure the garden gate closed securely allowing 2 residents to leave the garden unnoticed. (Resident#1 and #2) The facility reported a census of 35 residents. Findings Include: 1. The admission Minimum Data Set (MDS) dated [DATE] for Resident #1 documented a Brief Interview for Mental Status (BIMS) of 6 which indicated severe cognitive impairment. The MDS documented diagnosis including non-traumatic brain dysfunction, Alzheimer's disease and hypertension (high blood pressure). The MDS documented that the resident was independent with walking. The Care Plan for Resident #1 included a focus area of elopement risk/wanderer related to history of attempts to leave the facility and impaired safety awareness dated 5/2/24. [...]
April 25, 2024Standard inspection · 3 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, record review, and policy review the facility failed to follow a physician's order for one (Resident #26) of twelve residents reviewed. The facility reported a census of 33 residents.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on document review and staff interview the facility failed to provide Registered Nurse (RN) coverage eight consecutive hours a day, seven days a week. The facility reported a census of 33.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and policy reviews the facility failed to ensure staff completed appropriate hand hygiene and glove usage prior to incontinence care for 1 of 1 residents (Resident #26) reviewed. The facility reported a census of 33 residents. Findings Include: A Minimum Data Set (MDS) for Resident #26, dated 4/5/24, included diagnoses of hypertension (high blood pressure), urinary tract infection in last 30 days, and anxiety disorder. The MDS identified the resident required partial to substantial assistance for transfers, toileting, and personal hygiene. The MDS documented the resident had a Brief Interview for Mental Status score of 9, indicating moderate cognitive impairment. Observation on 04/24/24 at 1:32 PM, Staff B, Certified Nurse Aide entered room to assist Resident #26 during toileting. [...]
September 14, 2023Complaint inspection · 1 citation
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, staff interviews, facility policy review and Pharmacist interview, the facility failed to assure narcotic medication was in a secure location and not accessible to a dependent resident resulting in the possible ingestion of up to 18 Hydrocodone/APAP (Tylenol) 5-325 milligrams (MG) unsupervised in less than 24 hours for 1 of 1 residents with a history of drug seeking behavior (Resident #1). This failure resulted in 72 hours of monitoring of Resident #1 causing an Immediate Jeopardy (IJ) to the health, safety and security of the resident. The State Agency informed the facility of the IJ that began on April 27,2023 on September 13, 2023 at 4:30 PM. The facility staff removed the IJ on April 28, 2023 through the following actions: a. [...]
Fire safety inspections
19 fire safety citations on file: 7 on April 9, 2026, 3 on March 13, 2025, 9 on April 25, 2024.
Every fire safety citation19 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have properly installed electrical wiring and gas equipment.
- D Meet requirements for the use and maintenance of medical gas equipment.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install corridor and hallway doors that block smoke.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures for sheltering.
- F Establish roles under a Waiver declared by secretary.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.57 | 3.82 | 3.86 |
| Registered nurses | 1.00 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.37 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 55.1% | 44.0% | 45.8% |
| Registered nurse turnover | 73.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.75 on weekdays and 4.12 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.86 in April to June 2025 to 4.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.57 | 1.00 | 4.75 | 4.12 | 0.1% | 0 of 90 | 34 |
| Oct to Dec 2025 | 4.59 | 0.97 | 4.75 | 4.17 | 1.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 4.54 | 0.98 | 4.71 | 4.12 | 1.1% | 0 of 92 | 34 |
| Apr to Jun 2025 | 4.86 | 1.48 | 5.10 | 4.24 | 5.6% | 0 of 91 | 33 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 30.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 12.5 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.7 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: BRIO OF JOHNSTON LLC. CMS links this home to Wesleylife, a group of 10 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wesleylife | 5% or greater direct ownership interest | Organization | 100% | 03/26/2018 |
| Albertson, Kermit | Corporate director | Individual | 01/01/2018 | |
| Gilroy, Abbey | Corporate director | Individual | 01/01/2016 | |
| Hoeksema, Nicole | Corporate director | Individual | 03/01/2021 | |
| Rasmussen, Chad | Corporate director | Individual | 01/01/2011 | |
| Ruch, Robert | Corporate director | Individual | 01/01/2003 | |
| Stout, David | Corporate director | Individual | 01/01/2011 | |
| Taylor, Christina | Corporate director | Individual | 01/01/2018 | |
| Watson, Susan | Corporate director | Individual | 01/01/2014 | |
| Flanagan, Craig | Corporate officer | Individual | 07/01/2019 | |
| Kretzinger, Robert | Corporate officer | Individual | 04/27/2007 | |
| Wesley Retirement Services Inc | Operational/managerial control | Organization | 03/26/2018 | |
| Kretzinger, Robert | Operational/managerial control | Individual | 04/27/2007 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 9, 2026: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 9, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Bishop Drumm Retirement Center Johnston, 2.6 mi · 1 of 5 stars · 79 citations
- Childserve Habilitation Center Johnston, 2.9 mi · 5 of 5 stars · 13 citations
- Royal Oaks Nursing and Rehabilitation Center Urbandale, 3 mi · 1 of 5 stars · 78 citations
- Kennybrook Village Grimes, 3.2 mi · 3 of 5 stars · 12 citations
- Karen Acres Care Center Urbandale, 4.2 mi · 5 of 5 stars · 11 citations
- Walnut Ridge Clive, 5.7 mi · 5 of 5 stars · 13 citations
- Deerfield Health Care Center Urbandale, 5.9 mi · 5 of 5 stars · 4 citations
- On With Life Long Term Care Polk City, 6.1 mi · 5 of 5 stars · 7 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Brio of Johnston, LLC's Medicare star rating?
- CMS rates Brio of Johnston, LLC 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brio of Johnston, LLC get at its last inspection?
- 5 health deficiencies at the standard inspection on April 9, 2026. The Iowa average is 6.5.
- Has Brio of Johnston, LLC been fined?
- CMS lists no fines in the last three years.
- Does Brio of Johnston, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brio of Johnston, LLC?
- CMS lists 13 owners and managers, and links the home to Wesleylife. Legal business name: BRIO OF JOHNSTON LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.