Brio of Johnston, LLC
Strong Medicare quality ratings; families often praise beautiful, well-maintained facility. Still worth an in-person visit.
based on 31 Google reviews
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What this means for your family
Brio offers a beautiful environment and high-quality therapy, making it a strong candidate for those seeking a pleasant physical setting. However, families must be proactive during the discharge process and medication hand-offs, as communication breakdowns and premature discharges have been recurring issues for some residents.
Google Reviews
Google Reviews
31 reviews on Google“Brio of Johnston, LLC is a visually impressive facility that receives high praise for its physical environment and some aspects of its therapy services. However, families have reported significant concerns regarding discharge planning, medication management, and communication, particularly when navigating transitions between hospital and rehab care.”
Quality Themes
Tap a score for detailsStrengths
- Beautiful, well-maintained facility
- Courteous and compassionate staff members
- Effective physical and occupational therapy
Concerns
- Poor discharge planning and premature release of patients (mentioned by 3 reviewers)
- Inadequate communication with family members (mentioned by 3 reviewers)
- Medication management and prescription coordination issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 34 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you incorporate that same level of responsiveness when communicating with families about their loved one's daily progress?
- 2With a smaller community of 36 residents, how do you ensure that family members are kept consistently in the loop regarding changes in care plans or health status?
- 3Could you walk me through your process for managing and coordinating medications to ensure accuracy and timely administration for residents?
- 4When a resident is ready to transition home or to a different level of care, what steps do you take to ensure the discharge planning process is thorough and well-coordinated with the family?
- 5Given the facility's strong reputation for physical and occupational therapy, how are these services integrated into the daily routine to help residents maintain their independence?
- 6What protocols do you have in place to handle medical emergencies, and how quickly would a family be notified if a change in condition occurs?
Personalized based on this facility's data
Key Review Excerpts
“My only regret is that we didn't move her to memory care sooner. The fault is ours as a family.”
“After ONE physical therapy session, Brio labeled her “Independent” and she was discharged to go home. She was NOT ready.”
“Days later we still have no meds and can't get a straight clear answer from anyone on where they were sent to or getting someone to send the script to the proper place.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who fell and were seriously hurt
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with 23 deficiencies across five surveys, including families filing complaints about safety hazards that led to repeat violations in 2023 and 2024. The main problem areas are emergency preparedness, fire safety systems, and resident safety supervision. While the facility corrects issues when cited, the recurring safety violations and complaint-driven inspections suggest ongoing operational challenges that warrant careful consideration.
Mar 13, 2025Routine5
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Egress Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Jun 19, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 25, 2024Routine12
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Sep 14, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 2, 2023Routine4
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Federal Penalties
Fine
Sep 14, 2023
$6,923
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
May 27, 2026InspectionClean
Fed violations: 0, State violations: 0
Apr 9, 2026InspectionClean
Fed violations: 5, State violations: 1
Oct 8, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 9, 2025InspectionClean
Fed violations: 0, State violations: 0
Mar 13, 2025InspectionClean
Fed violations: 2, State violations: 0
Dec 24, 2024ComplaintClean
Fed violations: 0, State violations: 0
Oct 24, 2024ComplaintClean
Fed violations: 0, State violations: 0
Jul 18, 2024OtherClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Brio of Johnston, LLC
for profit
Chain Affiliation
Wesleylife
10 facilities nationwide
Chain avg rating: 3.8/5 · Rank 5 of 11 (Best)
Ownership & Management
Owners
Wesleylife
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Official Website
Visit wesleylife.org
Medicare data downloads
Original nursing home datasets
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