Nursing home
Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care)
5300 Grand Meadow Drive, Asbury, IA 52002 · Map
For profit - Limited Liability company · 32 certified beds
Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Asbury, Iowa. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 6.41 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Mar 6, 2025 cited 5 deficiencies.
- 1 fine totaling $16,448In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.41 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.67 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.96 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 5.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 26, 2026 inspection was corrected by April 16, 2026
Penalties in CMS records: 1 fine totaling $16,448, 1 total penalty.
What inspectors found at Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 26, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 6, 2025 · Full report (PDF) - Potential for harm
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 · Mar 6, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Mar 6, 2025 · Full report (PDF) - Potential for harm
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 · Mar 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5300 Grand Meadow Drive
Asbury, IA 52002 - CMS certification #
- 165618
- Ownership
- For profit - Limited Liability company
- Certified beds
- 32
- Avg residents/day
- 30.3
- Provider type
- Medicare and Medicaid
- First certified
- 2017-07-12
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Finley Hospital, Dubuque. 3.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Hawkeye Care Center Dubuque, Asbury. 0.9 miles away, straight line.
- Nearest home health agency office
- Universal Pediatrics, Dubuque. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52002 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Dubuque Dialysis, Dubuque, 2.0 miles away, straight line
Tri- State Dialysis - Dubuque, Dubuque, 3.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 52002.
Hospice Of Dubuque, office in Dubuque, 1.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Tapestry Telehealth PLLC, Stockton. 40.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding very low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) staffed?
Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) reports 6.41 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) have?
Grand Meadows Senior Living & Health Care (Skilled Nursing and Continuing Care) is certified for 32 beds.