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Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive, Asbury, Iowa 52002

Overview

Grand Meadows Senior Living & Health Care has a Medicare overall rating of 2 out of 5, below the Iowa average of 3.1. It ranks 2nd of 2 nursing homes in Asbury. Its strongest area is staffing (4 of 5), and its weakest is health inspections (2 of 5).

Residents receive about 5.1 hours of nursing care per day, more than at 97% of nursing homes in Iowa (the state average is 3.9 hours). Of that, 1.6 hours come from registered nurses.

Its most recent standard inspection, on March 26, 2026, found 7 health deficiencies, more than the Iowa average of 6.5. 2 of them came from complaint investigations. Medicare records 1 fine totaling $16,448 in the past three years.

Grand Meadows Senior Living & Health Care is a for-profit facility with 32 certified beds, caring for about 28 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2017. It is part of a continuing care retirement community.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Asbury2nd of 2 facilities

Top 100%

Within 100 miles178th of 249 facilities

Top 72%

In Iowa294th of 385 facilities

Top 77%

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Inspections and penalties

Most recent standard inspection
March 26, 2026
Health deficiencies cited
7
Complaint-related deficiencies
2
Fines in the last 3 years
1 totaling $16,448
Payment denials
0
Total penalties
1

Staffing

Average hours of care each resident receives per day.

  • All nursing staff5.14 hrs
  • Registered nurses (RN)1.60 hrs
  • Licensed practical nurses (LPN)0.47 hrs
  • Nurse aides3.07 hrs
  • Physical therapists0.18 hrs

Facility details

Ownership
For profit - Corporation
Certified beds
32
Average residents per day
28
Participates in
Medicare and Medicaid
Medicare/Medicaid since
July 12, 2017
Inside a hospital
No
Continuing care retirement community
Yes
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes