Nursing home report
Registered name: Grand Meadows Senior Living & Health Care
Asbury, IA · Medicare-certified · 32 beds
Grand Meadows Rehabilitation & Health Care Center in Asbury, IA has a 1 out of 5 overall rating, with 1 out of 5 for staffing and 2 out of 5 for health inspections and quality measures. It has the lowest overall rating flag, no fines in the last 24 months, and recent citations included accident hazards/supervision, food handling, and resident rights.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to properly dispose of garbage and other waste. Cited April 2024 — limited pattern, potential for harm.
F-Tag 814 — 42 CFR §483.60 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2026 — isolated incident, potential for harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 7 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 fine · $16,448 in total fines.
Federal fine
Apr 23, 2024
Now operated by Grand Meadows Senior Living & Health Care, previously Grand Meadows.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
