54.4/100
Below average
5300 Grand Meadow Drive, Asbury, IA 52002
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$16,448 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 26, 2026 (4 months ago).
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Part of TUTERA SENIOR LIVING & HEALTH CARE, which operates 26 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| SEITERA LP LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| HANNAH MARIE TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| LAURA CIRESE TUTERA 2016 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLOOM, RANDALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BROOKS, KILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TUTERA, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WARREN, JANET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Grand Meadows Senior Living & Health Care holds an ElderGrade of D (54.4 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
This facility has not reported staffing hours to CMS in the current data release.
Yes. 1 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Grand Meadows Senior Living & Health Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.