Grand Meadows Senior Living & Health Care
Nursing home in Asbury, Iowa, CMS certification number 165618
5300 Grand Meadow Drive, Asbury, IA 52002 · Dubuque County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 32
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 26, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $16,448 (1)
Does Grand Meadows Senior Living & Health Care take Medicare and Medicaid?
Yes to both. Grand Meadows Senior Living & Health Care is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Grand Meadows Senior Living & Health Care reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 5.14
- Registered nurse hours
- 1.60
- Licensed practical nurse hours
- 0.47
- Nurse aide hours
- 3.07
- Weekend total hours
- 4.74
- Administrators who left
- 4
Health inspections and complaints
Inspectors last made a standard visit on March 26, 2026 and cited 7 deficiencies, plus 2 from complaint visits.
The visit before, on March 6, 2025, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Grand Meadows Senior Living & Health Care 1 time in the past 3 years, for $16,448 in total.
Beds and residents
On an average day 28 residents live here, about 88% of its 32 certified beds.
- Certified beds
- 32
- Average residents per day
- 28
- Certified since
- July 12, 2017
- Part of a continuing care community
- Yes
- Resident or family council
- Resident
Who owns Grand Meadows Senior Living & Health Care
- Legal business name
- Grand Meadows Senior Living & Health Care LLC
- Ownership type
- For profit - Corporation
- Chain
- 24 homes nationally under Tutera Senior Living & Health Care, 2.3-star chain average
Other nursing homes near Grand Meadows Senior Living & Health Care
- Hawkeye Care Center Dubuque5575 Pennsylvania Avenue, Asbury 52002
- Ennoble Nursing and Rehab2000 Pasadena Drive, Dubuque 52001
- Luther Manor at Hillcrest3131 Hillcrest Road, Dubuque 52001
- Dubuque Specialty Care2935 Kaufmann Avenue, Dubuque 52001
- Harmony Dubuque901 West Third Street, Dubuque 52001
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Grand Meadows Senior Living & Health Care, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Grand Meadows Senior Living & Health Care
What is the CMS star rating of Grand Meadows Senior Living & Health Care?
2 out of 5 stars overall.
Does Grand Meadows Senior Living & Health Care accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Grand Meadows Senior Living & Health Care?
7 cited at the last standard visit.
Who owns Grand Meadows Senior Living & Health Care?
Grand Meadows Senior Living & Health Care LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.