Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive · Asbury, IA · 52002 · 5635881413
32 certified beds For profit - Corporation Chain: Tutera Senior Living & Health Care Part of a CCRC
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $16,448 |
Inspection citations (20 in the current record)
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Potential for harm · E March 26, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 16, 2026 · Infection Control
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Potential for harm · D March 26, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 15, 2026 · Infection Control
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Potential for harm · D March 26, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D March 6, 2025
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.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025
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.
Corrected March 20, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2025 · Nutrition and Dietary
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Immediate jeopardy · J April 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2024 · Quality of Life and Care
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Potential for harm · D April 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 23, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 24, 2024 · Nutrition and Dietary
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Potential for harm · E April 23, 2024
Dispose of garbage and refuse properly.
Corrected April 24, 2024 · Nutrition and Dietary
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Potential for harm · D April 23, 2024 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 24, 2024 · Administration
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Potential for harm · D September 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 2, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 23, 2024 | Fine | $16,448 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165618 · certified since July 12, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.