Hawkeye Care Center Dubuque
Asbury · 0.9 mi · 80 beds
Citations0Substantiated0
Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA, 52002
Nursing home32 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 7 deficiencies against Grand Meadows Senior Living & Health Care in Asbury, Iowa at its most recent standard inspection on 2026-03-26, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $16,448. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
32certified beds
7deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $16,448
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.19
Potential for minimal harmThe least serious band.0
Most recentEDDDDDDDEDDDJFEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
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 · F0580 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
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 · F0605 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-03-26 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2026-03-26 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-06-13 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
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 · F0688 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · F0699 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
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 · F0758 · 2025-03-06 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-04-23 · from a complaint · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-04-23 · from a complaint · No actual harm, potential for more than minimal harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · F0814 · 2024-04-23 · standard survey · No actual harm, potential for more than minimal harm
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 · F0600 · 2024-04-23 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-04-23 · from a complaint · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2024-04-23 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2023-09-14 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-09-14 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$16,448
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Grand Meadows Senior Living & Health Care
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SEITERA LP LLC | Organization | NOT APPLICABLE | since 10/01/2024 |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| DOMINIC FRANK TUTERA 2016 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| HANNAH MARIE TUTERA 2016 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| JOSEPH CHARLES TUTERA JR 2016 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| LAURA CIRESE TUTERA 2016 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | Organization | NOT APPLICABLE | since 10/01/2024 |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | NOT APPLICABLE | since 10/01/2024 |
| BLOOM, RANDALL | Individual | NOT APPLICABLE | since 10/01/2024 |
| BROOKS, KILEY | Individual | NOT APPLICABLE | since 10/01/2024 |
| TUTERA, JOSEPH | Individual | NOT APPLICABLE | since 10/01/2024 |
| WARREN, JANET | Individual | NOT APPLICABLE | since 10/01/2024 |
Part of the TUTERA SENIOR LIVING & HEALTH CARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Ennoble Nursing and Rehab
Dubuque · 2.1 mi · 85 beds
Citations0Substantiated0
Luther Manor at Hillcrest
Dubuque · 2.3 mi · 103 beds
Citations0Substantiated0
Dubuque Specialty Care
Dubuque · 2.6 mi · 84 beds
Citations0Substantiated0
Harmony Dubuque
Dubuque · 4.8 mi · 75 beds
Citations0Substantiated0
Stonehill Care Center
Dubuque · 5.1 mi · 185 beds
Citations0Substantiated0
Contact
Ask Grand Meadows Senior Living & Health Care a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165618.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction