D68

Grand Meadows Senior Living & Health Care

Grade D 68/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

32

Ownership

For profit - Limited Liability company

Total Fines

$19,698

Last Survey

N/A

5300 Grand Meadow Drive, Asbury, IA 52002
5635881413

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.73h
LPN
0.80h
CNA
4.11h
Total
6.64h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WALNUT CREEK MANAGEMENT COMPANY LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

BLOOM, RANDALL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

BROOKS, KILEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

TUTERA, JOSEPH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

WARREN, JANET

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

Penalties & Fines (2)

$19,698total fines
DateTypeDescriptionAmount
Apr 23, 2024Fine$16,448
Feb 28, 2023Fine$3,250

Health Inspection Deficiencies (24)

June 13, 2025Health1 deficiency
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jun 25, 2025
March 6, 2025Health4 deficiencies
0688DMinimal harm, Isolated

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

Corrected Mar 20, 2025
0699DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 20, 2025
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 20, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 20, 2025
April 23, 2024Health6 deficiencies1 severe
0600DMinimal harm, Isolated

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

Corrected Apr 24, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 24, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 24, 2024
0814EMinimal harm, Pattern

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Apr 24, 2024
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 24, 2024
0865DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Apr 24, 2024
September 14, 2023Health2 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 2, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 2, 2023
February 28, 2023Health11 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Mar 16, 2023
0582DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 16, 2023
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Mar 16, 2023
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Mar 16, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 16, 2023
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 16, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 16, 2023
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 16, 2023
0865EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Mar 16, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 16, 2023
0888CNo harm, Widespread

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Mar 16, 2023

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Frequently Asked Questions

What is the CareGrader rating for Grand Meadows Senior Living & Health Care?

Grand Meadows Senior Living & Health Care in Asbury, Iowa has a CareGrader grade of D (Below Average), with a composite score of 67.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Grand Meadows Senior Living & Health Care?

Grand Meadows Senior Living & Health Care has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Grand Meadows Senior Living & Health Care have?

Grand Meadows Senior Living & Health Care has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Grand Meadows Senior Living & Health Care been fined?

Yes. Grand Meadows Senior Living & Health Care has $19,698 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Grand Meadows Senior Living & Health Care have?

Grand Meadows Senior Living & Health Care has 32 certified beds with approximately 30 current residents (94% occupancy). The facility is located at 5300 Grand Meadow Drive, Asbury, Iowa 52002. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.