Federal inspection record · CMS data as of October 1, 2026
Brio of Johnston, LLC
6901 Peckham Street, Johnston, IA · (515) 253-2501
- Certified beds
- 36
- Residents per day
- 34
- Ownership
- For-Profit
- Chain
- Wesleylife
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 17, 2018
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Brio of Johnston, LLC carries 18 inspection points. That is fewer than 71% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service3D
- D
Ensure that residents are free from significant medication errors.
- 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.
- 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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services1D
- 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.
Inspection history
2026-04-09
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-03-13
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-04-25
4 health deficiencies · 9 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 29 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
4 h 29 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 75% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury9.1 pts worse | 13.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 1.7% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts worse | 32.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts better | 14.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.2 pts worse | 23.4% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased17.4 pts worse | 34.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts worse | 31.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.4 pts better | 96.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts better | 8.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 79.1% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse | 22.7% | 20.7% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wesleylife | 5% Or Greater Direct Ownership Interest · Organization | 100% | 10 facilities |
| Albertson, Kermit | Corporate Director · Individual | 0% | 8 facilities |
| Flanagan, Craig | Corporate Officer · Individual | 0% | 4 facilities |
| Gilroy, Abbey | Corporate Director · Individual | 0% | 7 facilities |
| Hoeksema, Nicole | Corporate Director · Individual | 0% | 9 facilities |
| Kretzinger, Robert | Corporate Officer · Individual | 0% | 10 facilities |
| Kretzinger, Robert | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Rasmussen, Chad | Corporate Director · Individual | 0% | 8 facilities |
| Ruch, Robert | Corporate Director · Individual | 0% | 8 facilities |
| Stout, David | Corporate Director · Individual | 0% | 8 facilities |
| Taylor, Christina | Corporate Director · Individual | 0% | 8 facilities |
| Watson, Susan | Corporate Director · Individual | 0% | 8 facilities |
| Wesley Retirement Services Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 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.
Emergency Preparedness6F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- 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
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use and maintenance of medical gas equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Egress1E
- 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.
·
Other homes nearby
-
Bishop Drumm Retirement Center
Johnston, IA · Commonspirit Health · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $258,177
-
Childserve Habilitation Center
Johnston, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 10 h 35 min
- Fines
- $0
-
Royal Oaks Nursing and Rehabilitation Center
Urbandale, IA · Cedar View Holdings · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 4 min
- Fines
- $324,988