Grand Meadows Senior Living & Health Care
Asbury, Dubuque County, Iowa · CCN 165618 · For-profit (Corporation) · part of Tutera Senior Living & Health Care (25 facilities, chain average 2 stars)
CMS rates Grand Meadows Senior Living & Health Care 1 of 5 overall as of August 2026. 32 certified beds, 29 residents a day on average. 20 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $16,448.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 2 of 5 |
Staffing
| Total nurse staffing | CMS withheld this rating (footnote 25) |
|---|
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-26 complaint survey |
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 · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-26 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-26 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-26 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-16 |
| 2026-03-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-15 |
| 2025-06-13 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2025-03-06 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2024-04-23 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-04-24 |
| 2024-04-23 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-24 |
| 2024-04-23 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-24 |
| 2024-04-23 complaint survey |
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 · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-24 |
| 2024-04-23 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-24 |
| 2024-04-23 complaint survey |
Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-24 |
| 2023-09-14 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-02 |
| 2023-09-14 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-02 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-23 | Fine | $16,448 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Constace Marie Mendolia 2009 Irrv Tr Organization | adp of the snf | — | 2024-10-01 |
| Grand Meadows Senior Living & Health Care Property LLC Organization | adp of the snf | — | 2024-09-30 |
| Mary Margaret Cunningham 2009 Irrv Tr Organization | adp of the snf | — | 2024-10-01 |
| Tutera Group, Inc. Organization | adp of the snf | — | 2024-09-30 |
| Walnut Creek Management Company LLC Organization | adp of the snf | — | 2025-05-07 |
| Seitera Lp LLC Organization | direct ownership interest | — | 2024-10-01 |
| Constace Marie Mendolia 2009 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Dominic Frank Tutera 2016 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Hannah Marie Tutera 2016 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Joseph Charles Tutera Jr 2016 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Laura Cirese Tutera 2016 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Mary Margaret Cunningham 2009 Irrv Tr Organization | indirect ownership interest | — | 2024-10-01 |
| Walnut Creek Management Company LLC Organization | operational/managerial control | — | 2024-10-01 |
| Bloom, Randall Individual | adp of the snf | — | 2024-10-01 |
| Brooks, Kiley Individual | adp of the snf | — | 2024-10-01 |
| Jewell, Susan Individual | adp of the snf | — | 2025-05-01 |
| Tutera, Joseph Individual | adp of the snf | — | 2024-10-01 |
| Warren, Janet Individual | adp of the snf | — | 2024-10-01 |
| Bloom, Randall Individual | operational/managerial control | — | 2024-10-01 |
| Brooks, Kiley Individual | operational/managerial control | — | 2024-10-01 |
| Tutera, Joseph Individual | operational/managerial control | — | 2024-10-01 |
| Warren, Janet Individual | operational/managerial control | — | 2024-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Grand Meadows Senior Living & Health Care.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Dubuque County.