Grand Meadows Senior Living & Health Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 102 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
Below average in IA · Meets national RN staffing standard · Above recommended total nurse staffing · $16,448 in fines
What this means for your family
Grand Meadows is highly regarded for its exceptional physical therapy and nursing staff, making it a strong candidate for rehabilitation and long-term care. However, families should be proactive in monitoring their loved one's care and maintain open lines of communication with management, as a few reviewers have noted inconsistencies in staff engagement and responsiveness.
Google Reviews
Google Reviews
102 reviews on Google“Grand Meadows Senior Living & Health Care is widely praised for its high-quality physical therapy programs and attentive nursing staff, with many families noting that their loved ones showed significant improvement during their stays. While the majority of reviews are glowing regarding the facility's cleanliness and welcoming atmosphere, a few critical voices have raised concerns about staff responsiveness, communication, and occasional lapses in resident care. Families should weigh the strong clinical outcomes against these reported inconsistencies in daily oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy team
- Clean and well-maintained facility
- Warm, welcoming reception and administrative staff
- Compassionate and attentive nursing/CNA care
Concerns
- Staff responsiveness and engagement (e.g., staff on phones, lack of social interaction) (mentioned by 2 reviewers)
- Communication regarding resident care and personal items (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 103 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that the facility has a strong reputation for physical therapy; how do you integrate those therapy goals into the residents' daily routines?
- 2Given the recent health inspection reports, what specific steps is the leadership team currently taking to improve quality of care and address those regulatory findings?
- 3I appreciate that your team is active in responding to feedback online; how do you maintain that same level of open communication with families regarding daily care updates and the status of personal belongings?
- 4With a smaller community of 32 residents, how do you ensure that staff remain consistently engaged and present with residents throughout their shifts?
- 5What kind of social activities or structured interaction programs are in place to keep residents active and connected with one another throughout the day?
- 6In the event of a medical emergency, what is your specific protocol for notifying family members and coordinating with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“The staff move with a practiced grace, kind but never sentimental, efficient without losing the warmth that makes a house a home.”
“Grand Meadows gave us such peace of mind knowing Mom was surrounded by caring people instead of being alone at home. The staff was so accommodating, and the Physical Therapy team was especially great.”
“My mother spent 2+ years in the memory unit at Luther Manor Grand Meadows. She received nothing short of excellent care in a wonderful modern facility. Staff was incredible, responsive, and loving.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
8
measures
3
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents who fell and were seriously hurt
Residents who got a urinary tract infection
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Grand Meadows has significant concerns with 8 complaint-triggered deficiencies, indicating families have filed reports about problems. The facility shows recurring issues with accident prevention and safety, food handling and kitchen operations, and resident rights protection. Issues with abuse prevention and inadequate responses to violations are particularly concerning. While all deficiencies show correction dates, the pattern of repeated safety violations across multiple surveys suggests ongoing challenges with consistent care quality.
Mar 26, 2026Routine6
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Mar 26, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 13, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Mar 6, 2025Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
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.
Apr 23, 2024Complaint5
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Apr 23, 2024Routine2
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Federal Penalties
Fine
Apr 23, 2024
$16,448
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Apr 20, 2026InspectionClean
Fed violations: 0, State violations: 0
Mar 26, 2026InspectionClean
Fed violations: 7, State violations: 0
Dec 18, 2025ComplaintClean
Fed violations: 0, State violations: 0
Sep 25, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jul 3, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jun 13, 2025ComplaintClean
Fed violations: 1, State violations: 0
Mar 25, 2025InspectionClean
Fed violations: 0, State violations: 0
Mar 6, 2025InspectionClean
Fed violations: 4, State violations: 1
Ownership & Operations
Who Operates This Facility
Grand Meadows Senior Living & Health Care
for profit
Chain Affiliation
Tutera Senior Living & Health Care
26 facilities nationwide
Ownership & Management
Owners
Seitera Lp LLC
Owner · Organization
Constace Marie Mendolia 2009 Irrv Tr
Owner (parent company) · Organization
Dominic Frank Tutera 2016 Irrv Tr
Owner (parent company) · Organization
Hannah Marie Tutera 2016 Irrv Tr
Owner (parent company) · Organization
Joseph Charles Tutera Jr 2016 Irrv Tr
Owner (parent company) · Organization
Laura Cirese Tutera 2016 Irrv Tr
Owner (parent company) · Organization
Mary Margaret Cunningham 2009 Irrv Tr
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
102 reviews from families & visitors
Official Website
Visit tutera.com
Medicare data downloads
Original nursing home datasets
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