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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaGrand Meadows Senior Living & Health Care

Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive, Asbury, IA 520025635881413
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
2/5
Beds
32
certified
2 fine(s) totaling $19,698

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 32 certified beds with an average of 30.3 residents per day (95% occupancy)

• Last health inspection found 5 deficiencies (inspected Mar 6, 2025)

• Has been fined a total of $19,698 across 2 fine(s)

• Total nursing staff: 6.41 hours per resident per day

Grand Meadows Senior Living & Health Care is a 2-star Medicare and Medicaid certified nursing home in Asbury, Iowa with 32 certified beds. It has been operating since 2017. The facility scored below average compared to Iowa facilities.

Beds
32
Avg Residents/Day
30.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 12, 2017
Sprinklers
Yes
Council
Resident
County
Dubuque
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
5
Weighted Score
47.8
Infection Citations
2

Deficiency Citations (24)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 14, 2023Corrected: NoCycle: 3
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 28, 2023Corrected: NoCycle: 3
F0888Minimal Harm

Ensure staff are vaccinated for COVID-19

Survey: Feb 28, 2023Corrected: NoCycle: 3
Total Fines
$19,698
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineFeb 28, 2023
$3,250
FineApr 23, 2024
$16,448

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.96 hrs
National avg: 2.35 hrs
LPN0.78 hrs
National avg: 0.86 hrs
RN1.67 hrs
National avg: 0.68 hrs
Total Nursing6.41 hrs
National avg: 3.89 hrs
Weekend Total5.49 hrs
National avg: 0.00 hrs
Physical Therapist0.14 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
WALNUT CREEK MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2024
BLOOM, RANDALLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
BROOKS, KILEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
TUTERA, JOSEPHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
WARREN, JANETOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024

Nearby Nursing Homes

All Iowa facilities

Hawkeye Care Center Dubuque

Asbury, IA · 80 beds

For profit
Health
Staffing
Quality
4906 ft

Frequently Asked Questions

What is the CMS rating for Grand Meadows Senior Living & Health Care?▾
Grand Meadows Senior Living & Health Care has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
Has Grand Meadows Senior Living & Health Care had any health inspection violations?▾
Grand Meadows Senior Living & Health Care had 5 deficiency citations in its most recent health inspection (Mar 6, 2025). The facility has been fined a total of $19,698 across 2 fine(s). It also has 2 infection control citation(s).
What are the staffing levels at Grand Meadows Senior Living & Health Care?▾
Grand Meadows Senior Living & Health Care provides 6.41 total nursing staff hours per resident per day, including 1.67 RN hours, 0.78 LPN hours, and 3.96 nurse aide hours.
How many beds does Grand Meadows Senior Living & Health Care have?▾
Grand Meadows Senior Living & Health Care has 32 certified beds with an average of 30.3 residents per day, resulting in approximately 95% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Grand Meadows Senior Living & Health Care?▾
Yes, there are 1 other nursing home in Asbury, Iowa with an average rating of 3/5. You can compare all facilities on the Asbury nursing homes page.