CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Grand Meadows Senior Living & Health Care is a 1-star Medicare and Medicaid certified nursing home in Asbury, Iowa with 32 certified beds. It has been operating since 2017. Its overall CMS rating is 1 out of 5.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide care or services that was trauma informed and/or culturally competent.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Have a plan that describes the process for conducting QAPI and QAA activities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| SEITERA LP LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| HANNAH MARIE TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| LAURA CIRESE TUTERA 2016 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2024 |
| BLOOM, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| TUTERA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| WARREN, JANET | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC | ADP OF THE SNF | Organization | N/A | Sep 30, 2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| TUTERA GROUP, INC | ADP OF THE SNF | Organization | N/A | Sep 30, 2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | ADP OF THE SNF | Organization | N/A | May 7, 2025 |
| BLOOM, RANDALL | ADP OF THE SNF | Individual | N/A | Oct 1, 2024 |
| BROOKS, KILEY | ADP OF THE SNF | Individual | N/A | Oct 1, 2024 |
| JEWELL, SUSAN | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| TUTERA, JOSEPH | ADP OF THE SNF | Individual | N/A | Oct 1, 2024 |
| WARREN, JANET | ADP OF THE SNF | Individual | N/A | Oct 1, 2024 |
Compare CMS ratings and recorded fines for Grand Meadows Senior Living & Health Care and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 26 facilities. View all →