Grand Meadows Senior Living & Health Care
Nursing Home · Asbury, IA
CMS certification number165618
Contact & location
5300 Grand Meadow DriveAsbury, IA 52002
Dubuque County
- Phone
- (563) 588-1413
- ZIP code
- 52002 – all care providers
Facility details
- Certified beds
- 32
- Residents per day
- 29.2 (91% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Grand Meadows Senior Living & Health Care LLC
- Chain
- Tutera Senior Living & Health Care (25 facilities, avg 2.0★)
- Medicare certified since
- July 12, 2017
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- —
- Registered nurses (RN)
- —
- Licensed practical nurses
- —
- Nurse aides
- —
- Weekend total
- —
- Nursing staff turnover
- —
- RN turnover
- —
Inspections
- Last standard inspection
- March 26, 2026
- Health deficiencies (last cycle)
- 7.0 (state 6.5 · U.S. 9.3)
- From complaints
- 2
- Infection control citations
- 2
- Citations on record (3 years)
- 20 health · 3 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2026-03-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-03-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-15 |
| 2025-06-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-25 |
| 2025-03-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-20 |
| 2025-03-06 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-20 |
| 2025-03-06 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-20 |
| 2025-03-06 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-20 |
| 2024-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-24 |
| 2024-04-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-04-23 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-04-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-04-23 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2024-04-23 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-24 |
| 2023-09-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-02 |
| 2023-09-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-02 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,448 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-23 | Fine | $16,448 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bloom, Randall (individual) | Administrator · NOT APPLICABLE | |
| Brooks, Kiley (individual) | Administrator · NOT APPLICABLE | |
| Constace Marie Mendolia 2009 Irrv TR (organization) | Administrator · NOT APPLICABLE | |
| Grand Meadows Senior Living & Health Care Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Jewell, Susan (individual) | Administrator · NOT APPLICABLE | |
| Mary Margaret Cunningham 2009 Irrv TR (organization) | Administrator · NOT APPLICABLE | |
| Tutera Group, INC (organization) | Administrator · NOT APPLICABLE | |
| Tutera, Joseph (individual) | Administrator · NOT APPLICABLE | |
| Walnut Creek Management Company LLC (organization) | Administrator · NOT APPLICABLE | |
| Warren, Janet (individual) | Administrator · NOT APPLICABLE | |
| Seitera LP LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Constace Marie Mendolia 2009 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Dominic Frank Tutera 2016 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hannah Marie Tutera 2016 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Joseph Charles Tutera JR 2016 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Laura Cirese Tutera 2016 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Mary Margaret Cunningham 2009 Irrv TR (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Bloom, Randall (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Brooks, Kiley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Tutera, Joseph (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Walnut Creek Management Company LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Warren, Janet (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Grand Meadows Senior Living & Health Care?
Grand Meadows Senior Living & Health Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Grand Meadows Senior Living & Health Care have?
It has 32 certified beds and cares for about 29 residents per day.
Has Grand Meadows Senior Living & Health Care been fined?
Yes. CMS lists 1 penalty totaling $16,448 in the last three years.
Who owns Grand Meadows Senior Living & Health Care?
It is part of Tutera Senior Living & Health Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Grand Meadows Senior Living & Health Care?
(563) 588-1413. The facility is located at 5300 Grand Meadow Drive, Asbury, IA 52002.
Other nursing homes in Asbury
-
Hawkeye Care Center Dubuque
Nursing Home · Asbury, IA · 80 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.