Brio of Johnston, LLC
6901 Peckham Street, Johnston, IA 50131 · Polk County · 36 certified beds · avg 34 residents/day · certified since Dec 17, 2018
Part of chain: WESLEYLIFE (10 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Sep 14, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 28, 2023 (Past Non-Compliance)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 19, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 14, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | K ▲ |
| 2024 | 4 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $6,923.
| Date | Type | Amount / length |
|---|---|---|
| Sep 14, 2023 | Fine | $6,923 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.17 | 4.37 | 3.95 | top 14% in Iowa; top 11% in the U.S. |
| Registered Nurse hours | 1.13 | 0.85 | 0.69 | top 15% in Iowa; top 11% in the U.S. |
| Weekend total nurse staffing | 4.66 | 3.86 | 3.50 | top 11% in Iowa; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.72 | 0.51 | 0.48 | top 15% in Iowa; top 15% in the U.S. |
| Total nursing staff turnover (%) | 55.1 | 44.0 | 45.8 | bottom 20% in Iowa; bottom 25% in the U.S. |
| RN turnover (%) | 73.7 | 42.1 | 42.9 | bottom 11% in Iowa; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.57, RN 1.00, weekend 4.12. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Wesleylife | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/26/2018 |
| Albertson, Kermit | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Flanagan, Craig | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| Gilroy, Abbey | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Hoeksema, Nicole | Individual | Corporate Director | NOT APPLICABLE | 03/01/2021 |
| Kretzinger, Robert | Individual | Corporate Officer | NOT APPLICABLE | 04/27/2007 |
| Kretzinger, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/27/2007 |
| Rasmussen, Chad | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Ruch, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2003 |
| Stout, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Taylor, Christina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Watson, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Wesley Retirement Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/26/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training does your staff have in dementia and behavioral health, and how many residents with these needs do you serve?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bishop Drumm Retirement Center | 2.6 mi | Johnston, IA | ★☆☆☆☆ | 1/5 | SFF |
| Childserve Habilitation Center | 2.9 mi | Johnston, IA | ★★★★★ | 3/5 | |
| Royal Oaks Nursing and Rehabilitation Center | 3.0 mi | Urbandale, IA | ★☆☆☆☆ | 1/5 | SFF |
| Kennybrook Village | 3.1 mi | Grimes, IA | ★★★☆☆ | 3/5 | |
| Karen Acres Care Center | 4.2 mi | Urbandale, IA | ★★★★★ | 4/5 | |
| Walnut Ridge | 5.7 mi | Clive, IA | ★★★★★ | 4/5 | |
| Deerfield Health Care Center | 5.9 mi | Urbandale, IA | ★★★★★ | 5/5 | |
| On with Life Long Term Care | 6.0 mi | Polk City, IA | ★★★★★ | 5/5 | |
| Calvin Community | 6.1 mi | Des Moines, IA | ★★★★☆ | 3/5 | |
| Pine Acres Rehabilitation and Care Center | 6.6 mi | West Des Moines, IA | —/5 | abuseSFF | |
| Sunny View Care Center | 6.7 mi | Ankeny, IA | ★★☆☆☆ | 2/5 | |
| The Bridges at Ankeny | 6.7 mi | Ankeny, IA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165624.