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SOURCE DATA SEP 2026

Assisted Living, Nursing Homes · Medicare certified

Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive · Asbury, IA 52002 · Lic. #S0423 (IA) · 16 certified beds

5636907150

ACTIVE · Verify on official state lookup (opens in a new tab)

NPI 1538906367. Look this up in the CMS NPPES registry (opens in a new tab)

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About Grand Meadows Senior Living & Health Care

Grand Meadows Senior Living & Health Care is an assisted living community in Asbury, Iowa, in Dubuque County. Public records list 16 beds. The IA licensing record lists its status as "ACTIVE". Ownership records list a for-profit operator and tie the listing to Tutera Senior Living & Health Care. It is Medicare certified. We hold 20 inspection citations for this listing, the most recent dated 26 March 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 5.14 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated September 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

19

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

19

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

19

Inspection history (20)

Records from September 2023 to March 2026.

  • March 26, 2026 · D

    Citation F0883

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2026-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · D

    Citation F0605

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · D

    Citation F0582

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2026-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • March 26, 2026 · E

    Citation F0550

    Federal surveyors cited this nursing home on 2026-03-26 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOV
  • June 13, 2025 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2025-06-13 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-06-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-13.GOV
  • March 6, 2025 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV
  • March 6, 2025 · D

    Citation F0699

    Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0699 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2025-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV
  • March 6, 2025 · D

    Citation F0688

    Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV
  • March 6, 2025 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2025-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV
  • April 23, 2024 · E

    Citation F0814

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0814 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • April 23, 2024 · D

    Citation F0865

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0865 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • April 23, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • April 23, 2024 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • April 23, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • April 23, 2024 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV
  • September 14, 2023 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2023-09-14 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-10-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-14.GOV
  • September 14, 2023 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2023-09-14 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-10-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-14.GOV

Penalties (1)

Total fines on file: $16,448

  • April 23, 2024 · Fine

    Citation FINE-79395

    CMS recorded a civil money penalty of $16,448 against this nursing home on 2024-04-23 (Fine ID: 79395). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV

Staffing

Latest: 5.14 nurse staffing hours per resident per day (2026Q1)

Staffing trend (2 periods)

  1. 2025Q44.78 hrs/resident/day
  2. 2026Q15.14 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.36 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Tutera Senior Living & Health Care

Chain ID 531 · 25 facilities in chain (CMS)

  • Chain average overall rating: 2
  • Chain average health inspection rating: 2.2
  • Chain average staffing rating: 1.7
  • Chain average quality measure rating: 3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Tutera Group, INC

    parent · PAC 648444562

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 2, 2026Listed capacity changed

    Listed capacity changed from 32 to 16 beds.

    Reported by Iowa DIAL

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  3. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  4. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  5. Jul 24, 2026Listed capacity changed

    Listed capacity changed from 16 to 32 beds.

    Reported by CMS nursing homes (provider info)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.

Assisted Living

Median · IA$5,381/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nursing Homes

Median · IA$9,277/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.

Median facility daily rate

$307.06per day

That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.

Nearby alternatives

Other licensed providers in Asbury, with their own public records.

Compare side by side
Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Complete Guide to Assisted Living (2026)

Check availability and pricing at Grand Meadows Senior Living & Health Care

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

Iowa DIALas of September 2026
Care types, City, County, License lookup link, License number, License status, Licensed capacity, Licensing state, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, CMS Special Focus status, Map location, Medicare certification number
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Grand Meadows Senior Living & Health Care in Asbury, IA · ElderCareCosts