Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive, Asbury, IA 52002 · CCN 165618 · 32 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-04-23 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

4.08

state median 3.10

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

1.18

registered nurses only

Contract (agency) staff

4%

share of all nursing hours

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $16,448 in fines.

DateTypeAmount
2024-04-23Fine$16,448

Ownership

Ownership type: For profit - Corporation. Part of the TUTERA SENIOR LIVING & HEALTH CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 19 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-03-26F0550Resident Rights DeficienciesEnot recorded
2026-03-26F0580Resident Rights DeficienciesDnot recorded
2026-03-26F0582Resident Rights DeficienciesDnot recorded
2026-03-26F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-03-26F0684Quality of Life and Care DeficienciesDnot recorded
2026-03-26F0880Infection Control DeficienciesDnot recorded
2026-03-26F0883Infection Control DeficienciesDnot recorded
2025-06-13F0550Resident Rights DeficienciesDnot recorded
2025-03-06F0688Quality of Life and Care DeficienciesDnot recorded
2025-03-06F0699Quality of Life and Care DeficienciesDnot recorded
2025-03-06F0758Pharmacy Service DeficienciesDnot recorded
2025-03-06F0812Nutrition and Dietary DeficienciesEnot recorded
2024-04-23F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-23F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-23F0689Quality of Life and Care DeficienciesJnot recorded
2024-04-23F0812Nutrition and Dietary DeficienciesFnot recorded
2024-04-23F0814Nutrition and Dietary DeficienciesEnot recorded
2024-04-23F0865Administration DeficienciesDnot recorded
2023-09-14F0684Quality of Life and Care DeficienciesDnot recorded
2023-09-14F0689Quality of Life and Care DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Grand Meadows Senior Living & Health Care, Asbury” at medicare.gov/care-compare.