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Nursing homeFAID #4467

Grand Meadows Senior Living & Health Care

5300 GRAND MEADOW DRIVE, ASBURY, IA, 52002
(563) 588-1413
32 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

5300 Grand Meadow Drive
Asbury, IA 52002
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Public record summary

What we can show you for free.
Bed capacity
32
CMS facility ID
165618
Care type
Nursing home
County
Dubuque
Facility name
Grand Meadows Senior Living & Health Care
Street address
5300 GRAND MEADOW DRIVE
City / state / ZIP
Asbury, IA 52002
Phone
(563) 588-1413

About this facility — Grand Meadows Senior Living & Health Care

Grand Meadows Senior Living & Health Care is a Medicare/Medicaid-certified skilled nursing facility in Asbury, Iowa. It is licensed for 32 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 3 senior care facilities in Asbury and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Grand Meadows Senior Living & Health Care 23 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $16,448 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Tutera Senior Living & Health Care
Ownership type
For profit - Corporation

Registered owners & officers

Bloom, Randall
Operational control · Additional disclosable party — since 2024
Brooks, Kiley
Operational control · Additional disclosable party — since 2024
Constace Marie Mendolia 2009 Irrv Tr
Indirect owner · Additional disclosable party — since 2024
Dominic Frank Tutera 2016 Irrv Tr
Indirect owner — since 2024
Grand Meadows Senior Living & Health Care Property Llc
Additional disclosable party — since 2024
Hannah Marie Tutera 2016 Irrv Tr
Indirect owner — since 2024
Jewell, Susan
Additional disclosable party — since 2025
Joseph Charles Tutera Jr 2016 Irrv Tr
Indirect owner — since 2024
Laura Cirese Tutera 2016 Irrv Tr
Indirect owner — since 2024
Mary Margaret Cunningham 2009 Irrv Tr
Indirect owner · Additional disclosable party — since 2024
Seitera Lp Llc
Direct owner — since 2024
Tutera Group, Inc
Additional disclosable party — since 2024
Tutera, Joseph
Operational control · Additional disclosable party — since 2024
Walnut Creek Management Company Llc
Operational control · Additional disclosable party — since 2024
Warren, Janet
Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2017-07-12
CMS overall rating
1 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$16,448 total
Last standard inspection
2026-03-26

Cost & payer profile (FY2023 cost report)

Average billed charges
$299 per day (≈ $9,090/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
23% Medicaid · 10% Medicare · 67% private/other
Occupancy
71% (fiscal year 2023)
Vs. state median
13% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
32
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-26Health inspectionComplaint-triggered7 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-16
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-04-16
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-04-15
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-16
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-16
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-04-15
2025-06-13Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-25
6 earlier / fire-safety inspections (15 citations)
2025-03-06Health inspection4 citations
F-0688
D · No harm found
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 2025-03-20
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-20
F-0758
D · No harm found
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 2025-03-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-20
2024-04-23Health inspectionComplaint-triggered6 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-24
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-04-24
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-24
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-24
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-04-24
F-0865
D · No harm foundFrom a complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-04-24
2023-09-14Health inspectionComplaint-triggeredInfection control2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-02
2026-03-26Fire-safety inspection1 citation
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2026-03-31
2025-03-06Fire-safety inspection1 citation
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-03-13
2024-04-23Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-07

Federal penalties

2024-04-23Fine$16,448
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165618.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 23 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered