Grand Meadows Senior Living & Health Care: Staffing, Turnover, and Inspection Record
Grand Meadows Senior Living & Health Care is a 32-bed for-profit nursing home in Asbury, Iowa, part of Tutera Senior Living & Health Care. In the CMS September 2026 release it reported 3.08 nurse aide hours per resident per day, 22% above the Iowa average of 2.52.
Grand Meadows Senior Living & Health Care
5300 Grand Meadow DriveAsbury, IA 52002
Dubuque County
CMS Care Compare, September 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand Meadows Senior Living & Health Care, nurse aides logged 3.08 hours per resident per day, 22% above the Iowa average. With about 29 residents a day, that works out to roughly 90 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.08 | 2.52 | 2.32 |
| Licensed practical nurses | 0.60 | 0.56 | 0.86 |
| Registered nurses | 1.46 | 0.74 | 0.69 |
| All nursing staff | 5.14 | 3.82 | 3.86 |
| All nursing staff, weekends | 4.17 | 3.37 | 3.42 |
CMS Care Compare, September 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Grand Meadows Senior Living & Health Care in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $16,448 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 23, 2024 | Fine | $16,448 |
CMS Penalties file, September 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand Meadows Senior Living & Health Care holds 2 of 5 overall; the Iowa average is 3.1.
About Grand Meadows Senior Living & Health Care
- Ownership: For profit - Corporation
- Chain: Tutera Senior Living & Health Care, 25 homes
- Legal name: Grand Meadows Senior Living & Health Care LLC
- Medicare and Medicaid certified since: Jul 12, 2017
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Grand Meadows Senior Living & Health Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hawkeye Care Center Dubuque Asbury | 0.9 | 80 | 2.15 | 3.33 | — | 3 | None |
| Ennoble Nursing and Rehab Dubuque | 1.9 | 85 | 2.28 | 3.60 | 40.0% | 5 | None |
| Luther Manor at Hillcrest Dubuque | 2.0 | 103 | 3.45 | 4.49 | 54.3% | 1 | $42,406 |
| Dubuque Specialty Care Dubuque | 2.3 | 84 | 1.79 | 2.89 | 57.1% | 2 | $53,372 |
| Harmony Dubuque Dubuque | 4.3 | 75 | 2.17 | 3.39 | 72.4% | 2 | $19,371 |
| Stonehill Care Center Dubuque | 4.5 | 185 | 3.04 | 4.31 | — | 4 | None |
| Bethany Home Dubuque | 4.7 | 66 | 3.17 | 4.50 | 32.1% | 5 | $13,065 |
| Sunnycrest Manor Dubuque | 5.1 | 77 | 3.13 | 4.34 | 38.4% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, September 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.