78/100
Above average
Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002
- Certified beds
- 32
- Occupancy
- 91%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
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.
$16,448 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Grand Meadows Senior Living & Health Care
Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
27.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.54 total nurse hours per resident per day (national median 3.77)
- →1.46 RN hours per resident per day
- →Weekend staffing drops 19% against weekdays
Staff stability
7.5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →No turnover figure reported, scored neutral
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$16,448 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours 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.
Recent inspection findings
Last standard health inspection: March 26, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of TUTERA SENIOR LIVING & HEALTH CARE, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Grand Meadows Senior Living & Health Care
What is the ElderGrade for Grand Meadows Senior Living & Health Care? +
Grand Meadows Senior Living & Health Care holds an ElderGrade of B (78 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Grand Meadows Senior Living & Health Care? +
Residents receive an average of 5.14 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Grand Meadows Senior Living & Health Care been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Grand Meadows Senior Living & Health Care accept Medicaid? +
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.
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