Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002
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Follow this homeGrand Meadows Senior Living & Health Care is a nursing home in Asbury, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMarch 26, 2026 (7 months ago)
- Health citations since April 23, 202418 (Iowa average 21)
- Fines in the past three years1, $16,448 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Ownership
CMS lists this home under a new chain.
Staffing
Total nurse staffing reported to CMS went from 6.4 to 4.8 hours per resident per day.
Health inspection on March 26, 2026
7 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 16, 2026.
CMS has cited this home for F0550 2 times since 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on April 16, 2026.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on April 15, 2026.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on April 16, 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 16, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 16, 2026.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on April 15, 2026.
Fire safety inspection on March 26, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on March 31, 2026.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5.
Name
CMS lists a new name for this home. It was GRAND MEADOWS.
Name
CMS lists a new legal business name for this home.
Health inspection on June 13, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on June 25, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to not rated by CMS.
Health inspection on March 6, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 20, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2025.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on March 20, 2025.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2025.
Fire safety inspection on March 6, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 13, 2025.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on April 23, 2024
6 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
57 of 387 Iowa homes (15%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,448 on April 23, 2024.
Show the 6 citations
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 24, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 24, 2024.
Citation F0814. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on April 24, 2024.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on April 24, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on April 24, 2024.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on April 24, 2024.
Fire safety inspection on April 23, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 7, 2024.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (563) 588-1413
- Last standard health inspection
- March 26, 2026 (7 months ago)
- Certified beds
- 32
- Residents per day, on average
- 28
- Ownership type
- For profit - Corporation
- Legal business name
- Grand Meadows Senior Living & Health Care LLC
- Chain
- Tutera Senior Living & Health Care
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Iowa average (18 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SEITERA LP LLCDirect ownership interest · not applicable · since 10/01/2024
- CONSTACE MARIE MENDOLIA 2009 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
- DOMINIC FRANK TUTERA 2016 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
- HANNAH MARIE TUTERA 2016 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
- JOSEPH CHARLES TUTERA JR 2016 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
Show 7 more
- LAURA CIRESE TUTERA 2016 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
- MARY MARGARET CUNNINGHAM 2009 IRRV TRIndirect ownership interest · not applicable · since 10/01/2024
- WALNUT CREEK MANAGEMENT COMPANY LLCOperational/managerial control · not applicable · since 10/01/2024
- BLOOM, RANDALLOperational/managerial control · not applicable · since 10/01/2024
- BROOKS, KILEYOperational/managerial control · not applicable · since 10/01/2024
- TUTERA, JOSEPHOperational/managerial control · not applicable · since 10/01/2024
- WARREN, JANETOperational/managerial control · not applicable · since 10/01/2024
Questions
When was Grand Meadows Senior Living & Health Care last inspected?
CMS lists March 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Grand Meadows Senior Living & Health Care have?
CMS lists 18 health citations since April 23, 2024. CMS also calls these deficiencies.
Has Grand Meadows Senior Living & Health Care been fined?
CMS lists 1 fine in the past three years, $16,448 in total.
What is the CMS star rating of Grand Meadows Senior Living & Health Care?
Its CMS overall star rating is 2 of 5.
Is Grand Meadows Senior Living & Health Care a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.