nursing home in Asbury, IA
Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002 · (563) 588-1413
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Grand Meadows Senior Living & Health Care at a glance
Grand Meadows Senior Living & Health Care is a 32-bed for-profit nursing home in Asbury, Iowa (Dubuque County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 5.1 hours of nursing care per day (1.5 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (March 26, 2026) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $16,448.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 32
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Tutera Senior Living & Health Care
- Medicare-certified since
- July 12, 2017
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Dubuque County
- CMS Certification Number
- 165618
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.14 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.46 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.08 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.17 hrs | 3.37 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 57.8 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,448 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 32 | 65 | 107 | |
| Average residents per day | 29 | 52 | 86 | |
| Occupancy | 91.3% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.2% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.6% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.6% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.7% | 17.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 21.1% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 24.9% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.6% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 59.6% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 75.8% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected March 31, 2026 |
| March 26, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 16, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected April 15, 2026 |
| March 26, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 15, 2026 |
| June 13, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 25, 2025 |
| March 6, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 13, 2025 |
| March 6, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 20, 2025 |
| March 6, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 20, 2025 |
| March 6, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected March 20, 2025 |
| March 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected March 20, 2025 |
| April 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 7, 2024 |
| April 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 24, 2024 |
| April 23, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 24, 2024 |
| April 23, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected April 24, 2024 |
| April 23, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 24, 2024 |
| April 23, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 24, 2024 |
| April 23, 2024 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected April 24, 2024 |
| September 14, 2023 Complaint · Infection control | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 2, 2023 |
| September 14, 2023 Complaint · Infection control | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 2, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,448 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 23, 2024 | Fine | $16,448 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLOOM, RANDALL Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| BROOKS, KILEY Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC Organization | adp of the snf | NOT APPLICABLE | 09/30/2024 |
| JEWELL, SUSAN Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| TUTERA GROUP, INC Organization | adp of the snf | NOT APPLICABLE | 09/30/2024 |
| TUTERA, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC Organization | adp of the snf | NOT APPLICABLE | 05/07/2025 |
| WARREN, JANET Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| SEITERA LP LLC Organization | direct ownership interest | NOT APPLICABLE | 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| DOMINIC FRANK TUTERA 2016 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| HANNAH MARIE TUTERA 2016 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| LAURA CIRESE TUTERA 2016 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2024 |
| BLOOM, RANDALL Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| BROOKS, KILEY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| TUTERA, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| WARREN, JANET Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
Other nursing homes near Grand Meadows Senior Living & Health Care
Hawkeye Care Center Dubuque
5575 Pennsylvania Avenue, Asbury, IA 52002 · under 1 mi
For-profit · 80 beds
★★★★★3AverageEnnoble Nursing and Rehab
2000 Pasadena Drive, Dubuque, IA 52001 · 1.9 mi
For-profit · 85 beds · Part of Shlomo Hoffman
- CMS high performer
★★★★★5Much above averageLuther Manor at Hillcrest
3131 Hillcrest Road, Dubuque, IA 52001 · 2 mi
For-profit · 103 beds · Part of Shlomo Hoffman
★★★★★1Much below averageDubuque Specialty Care
2935 Kaufmann Avenue, Dubuque, IA 52001 · 2.3 mi
Non-profit · 84 beds · Part of Care Initiatives
★★★★★2Below averageHarmony Dubuque
901 West Third Street, Dubuque, IA 52001 · 4.3 mi
For-profit · 75 beds · Part of Legacy Healthcare
★★★★★2Below average- ★★★★★4Above average
Frequently asked questions
What is Grand Meadows Senior Living & Health Care's rating?
Grand Meadows Senior Living & Health Care has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Grand Meadows Senior Living & Health Care receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Grand Meadows Senior Living & Health Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Grand Meadows Senior Living & Health Care?
It is for profit - corporation and part of Tutera Senior Living & Health Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Grand Meadows Senior Living & Health Care and how do I contact it?
Grand Meadows Senior Living & Health Care is at 5300 Grand Meadow Drive, Asbury, IA 52002. Phone: (563) 588-1413.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.