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Grand Meadows Senior Living & Health Care

All states › Iowa › Asbury › Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive Asbury, IA 52002 · Dubuque County

(563) 588-1413

All 2 nursing homes in Asbury, IA (2 take Medicaid)

Accepts Medicare Accepts Medicaid 32 certified beds For profit Continuing care retirement community

CMS certification number 165618 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Grand Meadows Senior Living & Health Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Grand Meadows Senior Living & Health Care as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1. Inspectors issued 18 citations in the last three years. CMS imposed 1 penalty, including $16,448 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 5.14 hours per resident per day at Grand Meadows Senior Living & Health Care, above the Iowa median of 3.76 (US median: 3.72). About 1.60 of those hours are from registered nurses. On weekends it falls to 4.74 hours, 8% below its all-week average. 4 administrators left in the past year.

Nursing care per resident per day 5.14 hours
Above the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.60 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.74 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 4 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds32
Residents per day 28 About 88% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 2017
Part of a chainTutera Senior Living & Health Care
Legal business nameGRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC

Paying for care at Grand Meadows Senior Living & Health Care: Medicare and Medicaid

Grand Meadows Senior Living & Health Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 26, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 18 citations at Grand Meadows Senior Living & Health Care across 4 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 23, 2024 (complaint inspection). The most common areas cited were quality of life and care (4) and resident rights (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, April 23, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.

March 26, 2026 · 7 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Apr 16, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Apr 15, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 16, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 16, 2026)

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Apr 15, 2026)

June 13, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jun 25, 2025)

March 6, 2025 · 4 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 20, 2025)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 20, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Mar 20, 2025)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Mar 20, 2025)

April 23, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2024)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Apr 24, 2024)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2024)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2024)

Questions to ask on a tour of Grand Meadows Senior Living & Health Care

  1. Inspectors cited the home at the immediate-jeopardy level on April 23, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 26, 2026. How are staff trained, and how are concerns reported?
  3. Several administrators left in the past year. What has changed for residents since then?
  4. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $16,448 in fines.

DateTypeAmount or length
Apr 23, 2024 Fine $16,448

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 2/5
August 2026 1/5 2/5 1/5 2/5
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Location

Hospitals near Grand Meadows Senior Living & Health Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 3.6 mi
    The Finley Hospital Dubuque
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 54m for patients treated and sent home
  • 4.3 mi
    Mercy Medical Center-Dubuque Dubuque
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 24m for patients treated and sent home
  • 15.7 mi
    Midwest Medical Center Galena
    Emergency room

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hawkeye Care Center Dubuque Asbury · 0.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 80 beds · Medicaid
Ennoble Nursing and Rehab Dubuque · 1.9 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 85 beds · Medicaid
Luther Manor at Hillcrest Dubuque · 2.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 103 beds · Medicaid
Dubuque Specialty Care Dubuque · 2.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 84 beds · Medicaid
Harmony Dubuque Dubuque · 4.3 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 75 beds · Medicaid

More nursing homes near Grand Meadows Senior Living & Health Care ›   All nursing homes in Asbury ›

Compare Grand Meadows Senior Living & Health Care with the 3 closest homes side by side ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/asbury/grand-meadows-senior-living-and-health-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.