5300 Grand Meadow Drive, Asbury, IA 52002 (opens Google Maps) · Dubuque County · (563) 588-1413· 32 certified beds · avg 29 residents/day · certified since Jul 12, 2017 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TUTERA SENIOR LIVING & HEALTH CARE (25 facilities, chain avg rating 2.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Apr 23, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 24, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. F-0550
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2026 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Mar 6, 2025 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Mar 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 23, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Apr 23, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812 |
| Apr 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Apr 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Apr 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Apr 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865 |
| Sep 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Sep 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $16,448.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Apr 23, 2024 | Fine | $16,448 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | — | 4.37 | 3.95 | — |
| Registered Nurse hours | — | 0.85 | 0.69 | — |
| Weekend total nurse staffing | — | 3.86 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | — | 0.51 | 0.48 | — |
| Total nursing staff turnover (%) | — | 44.0 | 45.8 | — |
| RN turnover (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total —, RN —, weekend —.Comparing with Medicare Care Compare? Care Compare shows the raw figure (— here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Grand Meadows Senior Living & Health Care. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Constace Marie Mendolia 2009 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Dominic Frank Tutera 2016 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Hannah Marie Tutera 2016 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Joseph Charles Tutera Jr 2016 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Laura Cirese Tutera 2016 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Mary Margaret Cunningham 2009 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Seitera LP LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Bloom, Randall | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Bloom, Randall | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brooks, Kiley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Brooks, Kiley | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Constace Marie Mendolia 2009 Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Grand Meadows Senior Living & Health Care Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2024 |
| Jewell, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Mary Margaret Cunningham 2009 Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Tutera Group, INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/30/2024 |
| Tutera, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Tutera, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Walnut Creek Management Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Walnut Creek Management Company LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/07/2025 |
Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Tutera Senior Living & Health Care — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hawkeye Care Center Dubuque | 0.9 mi | Asbury, IA | ★★★☆☆ | 3/5 | |
| Ennoble Nursing and Rehab | 1.9 mi | Dubuque, IA | ★★★★★ | 5/5 | |
| Luther Manor at Hillcrest | 2.0 mi | Dubuque, IA | ★☆☆☆☆ | 1/5 | |
| Dubuque Specialty Care | 2.3 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Harmony Dubuque | 4.3 mi | Dubuque, IA | ★★☆☆☆ | 2/5 | |
| Stonehill Care Center | 4.5 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| Bethany Home | 4.7 mi | Dubuque, IA | ★★★★★ | 4/5 | |
| Sunnycrest Manor | 5.1 mi | Dubuque, IA | ★★★★☆ | 4/5 | |
| Mount Carmel Bluffs | 5.6 mi | Dubuque, IA | ★★★★★ | 4/5 | |
| St Dominic Villa | 11.0 mi | Hazel Green, WI | ★★☆☆☆ | 1/5 | |
| Galena Stauss Nursing Home | 17.3 mi | Galena, IL | ★★★☆☆ | 3/5 | |
| Mercyone Dyersville Senior Care | 19.3 mi | Dyersville, IA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Dubuque, IA — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165618.
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