Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Johnston, Iowa
1 of 3 nursing homes in Johnston (33%) meet our strict criteria. The Iowa statewide average is 29%.
1 recommended · 1 caution · 1 avoid · data
City Average
3.7
★
+0.00 vs state
Total Beds
260
across 3 facilities
High Risk Facilities
1
1 Grade F
$150,661 in combined fines
Zero Fines
1
/3
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Johnston, Iowa is adequate, with three facilities and only one recommended option. Families should note that while Childserve Habilitation Center stands out with top ratings, one facility has significant fines totaling $143,738, warranting caution.
Exceptional (Grade A, Trust Score 90+)
- 1 Childserve Habilitation Center (90) — Childserve Habilitation Center boasts an impressive Trust Score of 90/100 and a top-tier CMS 5★ rating, highlighting its commitment to exceptional care. With an A grade and no fines, this non-profit facility emphasizes community focus and provides supportive services to its 74 residents.
The other 2 Johnston facilities didn't qualify — 1 carries Grade D or F ratings and 2 have fines totaling $150K.
Recommended
Childserve Habilitation Center boasts an impressive Trust Score of 90/100 and a top-tier CMS 5★ rating, highlighting its commitment to exceptional care. With an A grade and no fines, this non-profit facility emphasizes community focus and provides supportive services to its 74 residents.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Johnston Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.7 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 2?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 1 Grade F — critical inspection failures
- Facilities with fines
- 2 Have fines totaling $150,661
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
- Caution group
- 1 Had good grades but fines disqualified them
Questions Johnston Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Johnston's city average is 3.7 stars
-
2
"Have you received any fines in the past 3 years?"
2 of 3 Johnston facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Johnston avg is 0 min
-
4
"What were your most recent inspection findings?"
Johnston facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Johnston, IA are recommended?
1 of 3 nursing homes in Johnston (33%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Johnston "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Johnston?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.