Nursing Home

Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive, Asbury, IA 52002

Part of Tutera Senior Living & Health Caresee all 27 affiliated facilities

32 certified beds 29 residents per day on average Continuing Care Retirement Community

CMS Five-Star Quality Rating

1 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

CMS has not published staffing data for this facility.

Penalties & Enforcement

1 fine totaling $16,448 in the recent inspection window (most recent: April 23, 2024).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Corporation
Chain
Tutera Senior Living & Health Care
Who owns this facility — 22 entries in CMS's ownership records expand ↓
  • Seitera LP LLC Organization
    Direct owner since 10/01/2024
  • Constace Marie Mendolia 2009 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Dominic Frank Tutera 2016 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Hannah Marie Tutera 2016 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Joseph Charles Tutera Jr 2016 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Laura Cirese Tutera 2016 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Mary Margaret Cunningham 2009 Irrv Tr Organization
    Indirect owner since 10/01/2024
  • Walnut Creek Management Company LLC Organization
    Operational/managerial control since 10/01/2024
  • Bloom, Randall Individual
    Operational/managerial control since 10/01/2024
  • Brooks, Kiley Individual
    Operational/managerial control since 10/01/2024

…and 12 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 7 health (IA avg 6.5) · 1 fire (IA avg 3.6) · ⚠ 1 serious Details

20 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy), and 2 infection-control citations. Most recent survey: March 26, 2026.

Most recent inspection cycle: 7 health deficiencies · IA average: 6.5 · National: 9.3

3 fire-safety deficiencies cited — most often smoke (2) and miscellaneous (1).

Most recent fire-safety inspection (2026-03-26): 1 deficiency · IA average: 3.6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Grand Meadows Senior Living & Health Care compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Grand Meadows Senior Living & Health Care's overall star rating is 1★; the median among the 8 peers reporting it is 3.5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 1★ 3.5★ 5★
Health inspections reported by 8 of 8 nearby peers 2★ 3.5★ 5★
Staffing reported by 8 of 8 nearby peers 1★ 4★ 5★
Quality measures reported by 8 of 8 nearby peers 2★ 3★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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