We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 24th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 14m per day |
Lower than the Iowa average: 75.4%Brio of Johnston Assisted Living is administrated by Teresa Krueger.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 27 | This facility has 93% fewer total deficiencies than a typical Iowa nursing home (2 vs. IA avg 27).↓ 93% better |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 0.3 | 3.9 | This facility has 92% fewer deficiencies per year than a typical Iowa nursing home (0.3 vs. IA avg 3.9).↓ 92% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.4 | 1.8 | This facility has 78% fewer deficiencies per inspection than a typical Iowa nursing home (0.4 vs. IA avg 1.8).↓ 78% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 15 | This facility has 67% fewer total inspections than a typical Iowa nursing home (5 vs. IA avg 15).↓ 67% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 24, 2024, found no deficiencies during the recertification visit or complaint investigations. Earlier inspections also generally found no regulatory insufficiencies, with complaint investigations in 2020 and 2022 resulting in no cited deficiencies, though some concerns about PPE use and social distancing were noted in 2020 without regulatory action. The only deficiencies appeared in the original licensing inspection in 2019, related to incomplete background checks for one staff member and delayed tenant evaluations. No fines, enforcement actions, or license suspensions were listed in the available reports. The inspection history shows consistent compliance with certification requirements and no recent issues, indicating improvement since the initial licensing deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Mar 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 10 citations resulted from standard inspections; 2 of 10 resulted from complaint investigations; and 1 of 10 came from combined inspections (standard and complaint).
67% worse than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
47% better than Iowa average
7% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,904 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 8 | 38 | 5,988 | 92 | 100% | 8.6 |
| Medication Aide/Technician | 12 | 0 | 12 | 2,719 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 6 | 3 | 9 | 2,234 | 92 | 100% | 9.2 |
| Registered Nurse | 12 | 2 | 14 | 2,019 | 91 | 99% | 9 |
| Dietitian | 2 | 0 | 2 | 561 | 59 | 64% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 536 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 493 | 62 | 67% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 444 | 62 | 67% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 436 | 77 | 84% | 5.6 |
| Nurse Practitioner | 1 | 0 | 1 | 420 | 53 | 58% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 354 | 64 | 70% | 5.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 324 | 63 | 68% | 4.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 268 | 63 | 68% | 4.3 |
| Qualified Social Worker | 0 | 3 | 3 | 265 | 68 | 74% | 3.3 |
| RN Director of Nursing | 1 | 0 | 1 | 203 | 26 | 28% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 63 | 13 | 14% | 4.8 |
| Medical Director | 0 | 1 | 1 | 30 | 15 | 16% | 2 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 23 | 7 | 8% | 3.3 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
86% lower than Iowa averageIowa average: $48K
41% fewer fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 14, 2023 · $7K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.2
30% worse than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
24% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
25.9%
32% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
44.3%
69% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
10.5%
190% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.8%
81% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
29.1%
53% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
14% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
82% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
30% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brio of Johnston Assisted Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #69 / 242Payroll — State benchmarkedThis home is ranked 69th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.4 miles from city center
Estimated distance in miles from Johnston's city center to Brio of Johnston Assisted Living's address, calculated via Google Maps.
Add your location
Brio of Johnston Assisted Living is located in Johnston, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The legal owner and operator of Brio of Johnston Assisted Living is No Related Entities Found.
According to IA state health department records, Brio of Johnston Assisted Living's license number is S0395.
Brio of Johnston Assisted Living's occupancy is 54%.
The team at Brio of Johnston Assisted Living can be reached at [email protected].
Teresa Krueger is the administrator of Brio of Johnston Assisted Living.
Brio of Johnston Assisted Living has 68 beds.
Yes — there are 4 photos of Brio of Johnston Assisted Living in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
