Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA, 52002
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Tutera Senior Living & Health Care
- Certified beds
- 32 · avg 30 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $16,448 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 165618
- Certified beds
- 32 beds · avg 30 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Grand Meadows Senior Living & Health Care Llc
- Chain affiliation
- Tutera Senior Living & Health Care
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Tutera Senior Living & Health Care chain — 26 facilities across 5 states. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (18 on record)
- Walnut Creek Management Company Llc
Adp of The Snf · since 2025
- Susan Jewell
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2024
- (unnamed Owner)
Adp of The Snf · since 2024
- Constace Marie Mendolia 2009 Irrv tr
Adp of The Snf · since 2024
- Dominic Frank Tutera 2016 Irrv tr
Indirect Ownership Interest · 18% · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
October 2024 (1 year ago) · acquired from Grand Meadows
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 20)
- D0684·Mar 26, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0580·Mar 26, 2026Complaint
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.
- D0883·Mar 26, 2026
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Mar 26, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0605·Mar 26, 2026
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.
- D0582·Mar 26, 2026
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E0550·Mar 26, 2026
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0550·Jun 13, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20241 fine · $16K
Most recent events
- Apr 23, 2024Fine · $16K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Mar 26, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Grand Meadows Senior Living & Health Careinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.