Nursing homes › Iowa › Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002 · 5635881413 · 32 certified beds
Per CMS filings, this facility is affiliated with Tutera Senior Living & Health Care, a group operating 26 facilities in 5 states. Group record: average rating 2.1/5, 10 abuse citation icons, 1 facilities on the Special Focus list, $3,022,361 in federal fines. This facility rates below its group average (2.1/5).
All-time on record: 20 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2026-04-16 |
| 2026-03-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-04-16 |
| 2026-03-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2026-04-15 |
| 2026-03-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-16 |
| 2026-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-16 |
| 2026-03-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-16 |
| 2026-03-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2026-04-15 |
| 2025-06-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-06-25 |
| 2025-03-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-03-20 |
| 2025-03-06 | 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. | D | Health | corrected 2025-03-20 |
| 2025-03-06 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-03-20 |
| 2025-03-06 | 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. | D | Health | corrected 2025-03-20 |
| 2024-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-04-24 |
| 2024-04-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-04-24 |
| 2024-04-23 | Dispose of garbage and refuse properly. | E | Health | corrected 2024-04-24 |
| 2024-04-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-04-24 |
| 2024-04-23 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-04-24 |
| 2024-04-23 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | complaint | corrected 2024-04-24 |
| 2023-09-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-10-02 |
| 2023-09-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-10-02 |
| Date | Type | Amount |
|---|---|---|
| 2024-04-23 | Fine | $16,448 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SEITERA LP LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| HANNAH MARIE TUTERA 2016 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| LAURA CIRESE TUTERA 2016 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2024 |
| BLOOM, RANDALL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
| BROOKS, KILEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
| TUTERA, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
| WARREN, JANET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165618. Corrections: data@carerecords.org.