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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 33 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Brio of Johnston, LLC has a middle-range Medicare overall rating. Strengths include beautiful, well-maintained facility. Some reviewers note concerns about poor discharge planning and premature release of patients (mentioned by 3 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 36 analyzed
This facility actively engages with reviewer feedback.
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.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
5
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents who fell and were seriously hurt
Residents whose walking got worse
Residents whose bladder or bowel control got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Sep 14, 2023
$6,923
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 5, State violations: 1
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 2, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Brio of Johnston, LLC
for profit
Wesleylife
10 facilities nationwide
Chain avg rating: 3.8/5 · Rank 1 of 11 (Highest rating)
Owners
Wesleylife
Owner · Organization
Key personnel
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