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HomeIowaGrand Meadows Senior Living & Health Care

Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive, Asbury, IA 520025635881413WebsiteGoogle Maps
4.5on Google(77 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
2/5
Beds
32
certified
1 fine(s) totaling $16,448

How Grand Meadows Senior Living & Health Care Compares in Iowa

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.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
1/5
IA average
3.6/5
Below state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
12
deficiency citations
Inspected Mar 6, 2025
Most recent cycle
7
deficiency citations
Inspected Mar 26, 2026
The most recent cycle recorded 5 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Dubuque County 65+
18,228
18.4% of county
County Population
98,812
Dubuque County

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.

Beds
32
Avg Residents/Day
29.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 12, 2017
Sprinklers
Yes
Council
Resident
County
Dubuque
Last Inspection
Mar 26, 2026
Deficiencies (Cycle 1)
7
Weighted Score
57.8
Infection Citations
2

Deficiency Citations (20)

F0550Potential for Harm

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

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0582Potential for Harm

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

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Mar 26, 2026Corrected: NoCycle: 1
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: 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: Mar 6, 2025Corrected: NoCycle: 2
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: 2
F0699Potential for Harm

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

Survey: Mar 6, 2025Corrected: NoCycle: 2
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: 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: 3
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: 3
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Apr 23, 2024Corrected: NoCycle: 3
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: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 23, 2024Corrected: NoCycle: 3
F0865Potential for Harm

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

Survey: Apr 23, 2024Corrected: NoCycle: 3
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
Total Fines
$16,448
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 23, 2024
$16,448

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

Nurse Aide0.00 hrs
National avg: 2.32 hrs
LPN0.00 hrs
National avg: 0.86 hrs
RN0.00 hrs
National avg: 0.69 hrs
Total Nursing0.00 hrs
National avg: 3.86 hrs
Weekend Total0.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 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 - Corporation
Recent Change
No

Owners & Managers (22)

NameRoleTypeOwnership %Since
SEITERA LP LLCDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
CONSTACE MARIE MENDOLIA 2009 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
DOMINIC FRANK TUTERA 2016 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
HANNAH MARIE TUTERA 2016 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
JOSEPH CHARLES TUTERA JR 2016 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
LAURA CIRESE TUTERA 2016 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
MARY MARGARET CUNNINGHAM 2009 IRRV TRINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
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
CONSTACE MARIE MENDOLIA 2009 IRRV TRADP OF THE SNFOrganizationN/AOct 1, 2024
GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLCADP OF THE SNFOrganizationN/ASep 30, 2024
MARY MARGARET CUNNINGHAM 2009 IRRV TRADP OF THE SNFOrganizationN/AOct 1, 2024
TUTERA GROUP, INCADP OF THE SNFOrganizationN/ASep 30, 2024
WALNUT CREEK MANAGEMENT COMPANY LLCADP OF THE SNFOrganizationN/AMay 7, 2025
BLOOM, RANDALLADP OF THE SNFIndividualN/AOct 1, 2024
BROOKS, KILEYADP OF THE SNFIndividualN/AOct 1, 2024
JEWELL, SUSANADP OF THE SNFIndividualN/AMay 1, 2025
TUTERA, JOSEPHADP OF THE SNFIndividualN/AOct 1, 2024
WARREN, JANETADP OF THE SNFIndividualN/AOct 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Grand Meadows Senior Living & Health Care and nearby alternatives.

All Iowa facilities
Grand Meadows Senior Living & Health Care
Asbury, IACurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $16,448
Hawkeye Care Center Dubuque
Asbury, IA4,752 ft
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Ennoble Nursing and Rehab
Dubuque, IA1.9 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Luther Manor at Hillcrest
Dubuque, IA2.0 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $42,406
Dubuque Specialty Care
Dubuque, IA2.3 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $53,372
Harmony Dubuque
Dubuque, IA4.3 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $19,371
Stonehill Care Center
Dubuque, IA4.5 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Grand Meadows Senior Living & Health Care
Asbury, IA · Current facility
—1/52/51/5$16,448
Hawkeye Care Center Dubuque
Asbury, IA
4,752 ft3/53/53/5None recorded
Ennoble Nursing and Rehab
Dubuque, IA
1.9 mi5/55/54/5None recorded
Luther Manor at Hillcrest
Dubuque, IA
2.0 mi1/51/54/5$42,406
Dubuque Specialty Care
Dubuque, IA
2.3 mi2/52/53/5$53,372
Harmony Dubuque
Dubuque, IA
4.3 mi2/52/52/5$19,371
Stonehill Care Center
Dubuque, IA
4.5 mi4/54/54/5None recorded

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.

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 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Grand Meadows Senior Living & Health Care cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Grand Meadows Senior Living & Health Care participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Grand Meadows Senior Living & Health Care had any health inspection violations?▾
Grand Meadows Senior Living & Health Care had 7 deficiency citations in its most recent health inspection (Mar 26, 2026). The current CMS dataset records 1 fine(s) totaling $16,448. 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 0.00 total nursing staff hours per resident per day, including 0.00 RN hours, 0.00 LPN hours, and 0.00 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 29.2 residents per day, resulting in approximately 91% occupancy. The facility is For profit - Corporation owned and is part of the Tutera Senior Living & Health Care chain.
Are there other nursing homes near Grand Meadows Senior Living & Health Care?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Asbury. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Grand Meadows Senior Living & Health Care?▾
On Google Maps, Grand Meadows Senior Living & Health Care has a rating of 4.5 out of 5 based on 77 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Tutera Senior Living & Health Care

This chain operates 26 facilities. View all →