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Assisted Living Home

Brio of Johnston Assisted Living

Overview of Brio of Johnston Assisted Living
Brio of Johnston is a senior living community located in Johnston, Iowa. It offers a range of living options including independent living, assisted living, memory support, long-term care, and short-term rehabilitation. The community is known for its welcoming atmosphere and commitment to holistic health and well-being.
(515) 350-7781

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
Iowa average: 3.2/5
Health Inspection Info 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.
4/5
Iowa average: 2.9/5
Staffing Info 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.
4/5
Iowa average: 3.7/5
Quality Measures Info 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.
4/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 18m per day

This home provides 20% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 68

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 54.4%
Residents per day (avg) 33
Occupancy rate
54.4%
Residents per day (avg)
33

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

61% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

38% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Voluntary non-profit community
Home revenue
$11.1M
Surplus of revenue
$76.1K
Voluntary non-profit community
Home revenue
$11,111,260.00
Surplus of revenue
$76,056.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
34.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.2M
Total costs $11.0M
Bed community size
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
7 years in operation
An established community with some operational experience and growing routines.

About this community

Occupancy

Occupancy rate
54%
In line with Iowa average
Occupied beds
37 / 68
Average residents 51 per day

License details

Facility type
Assisted Living Programs
Status Active
Issuance October 18, 2018
County: Polk

Additional licensing details

License number: S0395
CMS Certification Number: 165624

Ownership & operating entity

Brio of Johnston Assisted Living is administrated by Teresa Krueger.

Owner name: No Related Entities Found

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing

Contact Information

Fax: 5153507782

Amenities & Lifestyle

State-of-the-art wellness center
Library
Walking trails
Pet recreation area
Chapel
Salon
General store
Guest room

Programs & Activities

Activities
Varied program offerings and an ever-changing schedule of events.
Specific Programs
Independent Living, Assisted Living, Memory Support, Long-Term Care, Short-Term Rehabilitation
Religious Services
Yes
Volunteer Programs
Yes

Pricing & Financial Information

IL$2,000
AL$4,000
Contact Brio of Johnston Assisted Living

Inspection History

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.

5 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:January 24, 2024

2 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Brio of Johnston Assisted Living

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.

Health Inspection History

Inspections
Total health inspections 5

Iowa average 4.9


Last Health inspection on Mar 2025

Total health citations 10

Iowa average 21.7

Citations per inspection
2

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).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
67% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

1 critical citation More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

9 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 13, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 13, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 19, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Apr 25, 2024
Corrected

Compare Assisted Living around Johnston The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Meadowview of Johnston
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Johnston
170
No
-
-
Edencrest at Green Meadows
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Johnston
128
Yes
20
Studio / 1 Bed / 2 Bed
Martina Place
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Johnston
120
No
67
Private / Studio / 1 Bed
Brio of Johnston Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Johnston
36
No
-
-

Places of interest near Brio of Johnston Assisted Living

Address 1.4 miles from city center

Address Johnston, IA 50131

Calculate Travel Distance to Brio of Johnston Assisted Living

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 107
Employees 70
Contractors 37
Staff to resident ratio 3.24:1
62% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 26
Average shift 7.8 hours
5% better than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 18,495
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.8%

2,731 contractor hours this quarter

Registered Nurse: 12 Qualified Social Worker: 6 Certified Nursing Assistant: 5 Respiratory Therapy Technician: 4 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Dietitian: 1 Clinical Nurse Specialist: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant265315,28091100%8.2
Medication Aide/Technician100103,42491100%9.9
Registered Nurse1312252,56691100%8.7
Licensed Practical Nurse6061,5268593%9.4
Nurse Practitioner3031,0826470%7.9
Clinical Nurse Specialist2138536470%8
Dietitian1127466673%7.8
Mental Health Service Worker1014776470%7.4
Other Dietary Services Staff1014615965%7.8
Qualified Social Worker0664386571%4.3
Administrator1014085156%8
Physical Therapy Assistant0223906875%5.7
Respiratory Therapy Technician0443086571%4.5
Speech Language Pathologist0222585864%4.5
Physical Therapy Aide0111392730%5.2
Occupational Therapy Aide011551314%4.3
Medical Director011301719%1.8
Nurse Aide in Training6062833%4.6
Occupational Therapy Assistant01126910%2.9
31 Certified Nursing Assistant
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
25 Registered Nurse
% of Days 100%
6 Licensed Practical Nurse
% of Days 93%
3 Nurse Practitioner
% of Days 70%
3 Clinical Nurse Specialist
% of Days 70%
2 Dietitian
% of Days 73%
1 Mental Health Service Worker
% of Days 70%
1 Other Dietary Services Staff
% of Days 65%
6 Qualified Social Worker
% of Days 71%
1 Administrator
% of Days 56%
2 Physical Therapy Assistant
% of Days 75%
4 Respiratory Therapy Technician
% of Days 71%
2 Speech Language Pathologist
% of Days 64%
1 Physical Therapy Aide
% of Days 30%
1 Occupational Therapy Aide
% of Days 14%
1 Medical Director
% of Days 19%
6 Nurse Aide in Training
% of Days 3%
1 Occupational Therapy Assistant
% of Days 10%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
33 residents
Residents by payment source
Medicare
12 residents (36.4%)
Medicaid
1 resident (3%)
Private pay or other
20 residents (60.6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.2
30% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.3%
24% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.9%
32% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 44.3%
69% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 10.5%
190% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.8%
81% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 29.1%
53% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
14% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
82% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
30% better than Iowa average

Iowa average: 73.3%

Penalties and fines

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)

Total fines amount $7K
86% lower than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $7K
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 14, 2023
$7K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.