GoodStanding

Nursing home report

Grand Meadows Senior Living & Health Care

Asbury, IA · Medicare-certified · 32 beds

In good standing
For-profitChain member
2 of 5 overall

Grand Meadows Senior Living & Health Care has an overall 2 out of 5 stars, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It reports 4.78 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

4.7809 hrs/resident/day

Quality measures

Last inspection: March 26, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7809.

Staffing detail

Registered nurses
1.26
Licensed practical nurses
0.62
Nurse aides
2.90
Weekend nursing
3.90

Hours per resident per day.

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

21.7%Steady

Residents with a fall causing major injury

11%Improving

Residents with pressure ulcers (bedsores)

1.3%Steady

Residents with a urinary tract infection

9%Improving

Residents who lost too much weight

3.5%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

10.2%Steady

Residents whose ability to walk got worse

18.2%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

14.8%Steady

Short-stay residents newly given an antipsychotic

2.8%Worsening

Residents with a long-term catheter

1.6%Steady

Residents with new or worsening incontinence

26.6%Steady

Residents with depressive symptoms

1.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

82.9%Improving

Short-stay residents given the seasonal flu vaccine

59.6%Steady

Short-stay residents given the pneumonia vaccine

79.7%Improving

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — S/S: E

The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 582 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $16,448 in total fines.

  • Federal fine

    Apr 23, 2024

    $16,448

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of TUTERA SENIOR LIVING & HEALTH CARE · 26 homes · 2.2 stars avg
Occupancy
30 residents on an average day (94% of 32 beds)
Resident voice
Resident council
Medicare history
Certified for 8 years

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.