6901 Peckham Street, Johnston, IA 50131 (opens Google Maps) · Polk County · (515) 253-2501· 36 certified beds · avg 34 residents/day · certified since Dec 17, 2018 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: WESLEYLIFE (10 facilities, chain avg rating 3.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 28, 2023 (Past Non-Compliance)
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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. F-0760
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. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Apr 9, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0741 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Jun 19, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0727 |
| Apr 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 14, 2023 | ▲ K · Immediate jeopardy, pattern | 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 · F-0689 |
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $6,923.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 14, 2023 | Fine | $6,923 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.57 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Brio of Johnston, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Wesleylife — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 →
CMS records place this facility in Polk, IA — 30 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165624.
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