Nursing homeActive
Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002563588141332 certified beds · 29 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
20
● 0● 19● 1
Penalties · 3 yrs
$16,448
1 fine
Last survey
2026-03-26
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-26 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2025-06-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-06 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-04-23 | Standard | 051 | CMS-2567 (Care Compare) | — |
| 2023-09-14 | Infection control | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165618-20260326-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165618-20260326-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 165618-20260326-F582
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165618-20260326-F605
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165618-20260326-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-16Record 165618-20260326-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 165618-20260326-F883
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-25Record 165618-20250613-F550
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 165618-20250306-F688
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 165618-20250306-F699
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 165618-20250306-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 165618-20250306-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-24Record 165618-20240423-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165618-20240423-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165618-20240423-F610
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165618-20240423-F812
F814Dispose of garbage and refuse properly.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165618-20240423-F814
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165618-20240423-F865
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 165618-20230914-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 165618-20230914-F689
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-23 | Civil money penalty | $16,448 | CMS · Penalties |
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.2% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.6% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.6% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.7% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.0% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bloom, Randall Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brooks, Kiley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tutera, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Walnut Creek Management Company LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Warren, Janet Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bloom, Randall Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brooks, Kiley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Constace Marie Mendolia 2009 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Constace Marie Mendolia 2009 Irrv Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dominic Frank Tutera 2016 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Grand Meadows Senior Living & Health Care Property LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hannah Marie Tutera 2016 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Jewell, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Joseph Charles Tutera Jr 2016 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Laura Cirese Tutera 2016 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mary Margaret Cunningham 2009 Irrv Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mary Margaret Cunningham 2009 Irrv Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Seitera LP LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tutera Group, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tutera, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walnut Creek Management Company LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Warren, Janet Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Tutera Senior Living & Health Care — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Dubuque.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hawkeye Care Center Dubuque Asbury | 0.9 mi | 2025-09-18 | 091 |
| Ennoble Nursing and Rehab Dubuque | 1.9 mi | 2025-06-05 | 020 |
| Luther Manor at Hillcrest Dubuque | 2.0 mi | 2026-02-12 | 1203 |
| Dubuque Specialty Care Dubuque | 2.3 mi | 2025-07-30 | 2192 |
| Harmony Dubuque Dubuque | 4.3 mi | 2026-03-12 | 0262 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |