Grand Meadows Senior Living & Health CareCMS ratings, inspections and fines
- Address
- 5300 Grand Meadow Drive, Asbury, IA 52002
- CCN
- 165618
- Ownership type
- For-profit, corporation
- Certified beds
- 32
- Residents per day
- 29
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Grand Meadows Senior Living & Health Care an overall rating of 1 of 5 stars. The last standard survey was on 26 Mar 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $16,448 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dubuque County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 12 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Mar 2026 | 7 | 5 |
| Cycle 2 | 6 Mar 2025 | 5 | 5 |
| Cycle 3 | No date | 8 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Apr 2026 |
| 26 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Apr 2026 |
| 26 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Apr 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Apr 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 25 Jun 2025 |
| 6 Mar 2025 | F0688 | 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. | D | Standard survey | 20 Mar 2025 |
| 6 Mar 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 20 Mar 2025 |
| 6 Mar 2025 | F0758 | 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. | D | Standard survey | 20 Mar 2025 |
| 6 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Mar 2025 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Apr 2024 |
| 23 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Apr 2024 |
| 23 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Apr 2024 |
| 23 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 24 Apr 2024 |
| 23 Apr 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 24 Apr 2024 |
| 23 Apr 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 24 Apr 2024 |
| 14 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Oct 2023 |
| 14 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 23 Apr 2024 | Fine | $16,448 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 3.70 | 3.82 |
| Registered nurses (RN) | No data | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | No data | 0.56 | |
| Nurse aides | No data | 2.51 | |
| All nurse staff, weekends | No data | 3.30 | 3.37 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Grand Meadows Senior Living & Health Care LLC
- Chain
- Tutera Senior Living & Health Care (25 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Seitera LP LLC | Direct ownership interest | 1 Oct 2024 | |
| Walnut Creek Management Company LLC | Operational/managerial control | 1 Oct 2024 | |
| Grand Meadows Senior Living & Health Care Property LLC | Adp of the snf | 30 Sep 2024 | |
| Tutera Group, Inc | Adp of the snf | 30 Sep 2024 | |
| Walnut Creek Management Company LLC | Adp of the snf | 7 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dubuque County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Hawkeye Care Center Dubuque | Asbury | 3 of 5 | 3 | $0 | 18 Sep 2025 | |
| Ennoble Nursing and Rehab | Dubuque | 5 of 5 | 0 | $0 | 5 Jun 2025 | |
| Luther Manor at Hillcrest | Dubuque | 1 of 5 | 15 | $42,406 | 12 Feb 2026 | |
| Dubuque Specialty Care | Dubuque | 2 of 5 | 8 | $53,372 | 30 Jul 2025 | |
| Harmony Dubuque | Dubuque | 2 of 5 | 6 | $19,371 | 14 Jan 2026 | |
| Stonehill Care Center | Dubuque | 4 of 5 | 2 | $0 | 7 Aug 2025 | |
| Bethany Home | Dubuque | 5 of 5 | 1 | $0 | 18 Jun 2026 | |
| Sunnycrest Manor | Dubuque | 4 of 5 | 4 | $0 | 5 Mar 2026 | |
| Mount Carmel Bluffs | Dubuque | 5 of 5 | 1 | $0 | 26 Feb 2026 | |
| Mercyone Dyersville Senior Care | Dyersville | 5 of 5 | 0 | $0 | 6 Nov 2025 | |
| Accura Healthcare of Cascade LLC | Cascade | 2 of 5 | 3 | $0 | 28 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Grand Meadows Senior Living & Health Care (CCN 165618). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/grand-meadows-senior-living-health-care-asbury-ia-165618/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Grand Meadows Senior Living & Health Care last inspected?
- The latest inspection with a citation in the CMS record was on 26 Mar 2026. It was a standard survey and a complaint investigation. It gave 7 citations. The standard survey before the last one was on 6 Mar 2025.
- Who operates Grand Meadows Senior Living & Health Care?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Tutera Senior Living & Health Care. The CMS ownership file names Walnut Creek Management Company LLC for operational or managerial control. This site does not show the names of persons.
- Is Grand Meadows Senior Living & Health Care a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.