CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1656182026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Grand Meadows Senior Living & Health Care

CMS lists this provider in Asbury, IA, with 32 certified beds, an overall rating of 1/5, and 23 citation rows in the current August 2026 release.

5300 Grand Meadow Drive · Asbury, IA 52002 · Dubuque County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds32CMS provider file
Recent citation rows23current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Grand Meadows Senior Living & Health Care survey cycles in this release

CMS supplies 3 survey-cycle rows for Grand Meadows Senior Living & Health Care in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-2672026-03-261
Cycle 22025-03-0652025-03-061
Cycle 32024-04-2382024-04-231
02 / CITATION DETAIL

Grand Meadows Senior Living & Health Care citations in the current release

CMS reports 23 citation rows, including 1 with G–L codes and 1 with J–L codes.

1 row carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-26 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-26 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint
2026-03-26 · HEALTHF0582Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-15
2026-03-26 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint
2026-03-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-26 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-04-15
2026-03-26 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2026-03-31
2025-06-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-06-25 · complaint
2025-03-06 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-20
2025-03-06 · HEALTHF0699Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-20
2025-03-06 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-20
2025-03-06 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-20
2025-03-06 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-03-13
2024-04-23 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-23 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-23 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-23 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-23 · HEALTHF0814Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Correction field: Deficient, Provider has date of correction · 2024-04-24
2024-04-23 · HEALTHF0865Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-24 · complaint
2024-04-23 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-05-07
2023-09-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-10-02 · complaint · infection control
2023-09-14 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-10-02 · complaint · infection control
03 / ENFORCEMENT FILE

CMS penalties reported for Grand Meadows Senior Living & Health Care

The August 2026 file contains 1 penalty row and $16,448 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-04-23Fine$16,4480
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Grand Meadows Senior Living & Health Care

CMS matched 22 ownership disclosure rows to Grand Meadows Senior Living & Health Care; names and roles are reported fields, not independently verified identities.

  • SEITERA LP LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • DOMINIC FRANK TUTERA 2016 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • HANNAH MARIE TUTERA 2016 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • JOSEPH CHARLES TUTERA JR 2016 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • LAURA CIRESE TUTERA 2016 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 10/01/2024
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2024
  • BLOOM, RANDALLIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2024
  • BROOKS, KILEYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2024
  • TUTERA, JOSEPHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2024
  • WARREN, JANETIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2024
  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024
  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 09/30/2024
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024
  • TUTERA GROUP, INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 09/30/2024
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/07/2025
  • BLOOM, RANDALLIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Grand Meadows Senior Living & Health Care

Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Facilities published near Grand Meadows Senior Living & Health Care

The local peer set contains 1 other published facility record near Asbury, IA, with separate bed, rating, and citation-row fields.

Open the Asbury ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.