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Nursing HomeMedicaid Investigative

Grand Meadows Senior Living & Health Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5300 Grand Meadow Drive, Asbury, IA 5200232 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 102 Google reviews

5
4
3
2
1
Grand Meadows Senior Living & Health Care Nursing Home in Asbury, IA — Street View
Street View

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2/ 10
low Risk

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

Source: Medicare data

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 details
Food7.0Staff9.0Clean9.0Activities8.0Meds9.0Memory9.0Comms7.0Value8.0

Strengths

  • 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

234'16(2)'18(2)'21(2)'23(3)'25(29)'26(29)

Distribution · 103 analyzed

5
86
4
8
3
3
2
1
1
5
11 reviews posted between May 5, 2026May 9, 2026 · 11 were 5-star

How They Respond to Reviews

100%response rate

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.

Visitor/Family member · 2025★★★★★

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.

Memory care family member · 2024★★★★★

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.

Memory care family member · 2022★★★★★
Source: 102 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.9%
Worse than Avg
Here
82.9%
US
93.4%
IA
93.9%
Dubuque
87.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
IA
4.1%
Dubuque
5.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
14.4%
IA
17.6%
Dubuque
19.0%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility11.0%
Worse than Avg
Here
11.0%
US
3.2%
IA
3.7%
Dubuque
4.2%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility9.0%
Worse than Avg
Here
9.0%
US
1.6%
IA
2.5%
Dubuque
2.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.6%
Worse than Avg
Here
26.6%
US
19.4%
IA
25.9%
Dubuque
26.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility59.6%
Worse than Avg
Here
59.6%
US
79.8%
IA
73.3%
Dubuque
63.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.7%
Mixed vs Avgs
Here
79.7%
US
81.8%
IA
84.1%
Dubuque
76.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
IA
2.0%
Dubuque
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
1penalties
Above state avg (6.2)
10 complaint-triggered
$16,448 in fines

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, 2026Routine
6
0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0605Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Mar 26, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jun 13, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Mar 6, 2025Routine
5
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0688Potential for harm · IsolatedCorrected

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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0758Potential for harm · IsolatedCorrected

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, 2024Complaint
5
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0600Potential for harm · IsolatedCorrected

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Apr 23, 2024Routine
2
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0814Potential for harm · PatternCorrected

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

10total
13deficiencies
Apr 20, 2026Inspection
Clean

Fed violations: 0, State violations: 0

Mar 26, 2026Inspection
Clean

Fed violations: 7, State violations: 0

Dec 18, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 25, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 3, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jun 13, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Mar 25, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Mar 6, 2025Inspection
Clean

Fed violations: 4, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Grand Meadows Senior Living & Health Care

Organization Type

for profit

Chain Affiliation

Chain Name

Tutera Senior Living & Health Care

Chain Size

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

Walnut Creek Management Company LLCManagerBloom, RandallManagerBrooks, KileyManagerTutera, JosephManagerWarren, JanetManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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