Asbury, IA

Grand Meadows Senior Living & Health Care

2-star overall rating with 2-star inspections with $16,448 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

5300 Grand Meadow Drive, Asbury, IA

(563) 588-1413

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2017-07-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.67

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.96

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

6.41

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

2.44

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

5.49

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

1.15

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.73

CMS adjusted RN staffing hours

Adjusted total hours

6.64

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

9,919

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9828

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.14% · Performance 21.27% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.75

Baseline 6.54% · Performance 7.31% · Measure score 1.75 · Achievement 1.75 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

4.86

Baseline 4.47 hours · Performance 4.46 hours · Measure score 4.86 · Achievement 4.86 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.09%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 71 · Observed rate 11.27% · Lower 95% interval 7.25%
Discharge to community	47.09%	50.57% 3.5 pts worse	No Different than the National Rate · Eligible stays 69 · Observed rate 43.48% · Lower 95% interval 38.39%
Medicare spending per beneficiary	0.64	1.02 0.4 pts better
Drug regimen review with follow-up	97.47%	95.27% 2.2 pts better	Numerator 77 · Denominator 79
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 79
Discharge self-care score	83.05%	53.69% 29.4 pts better	Numerator 49 · Denominator 59
Discharge mobility score	74.58%	50.94% 23.6 pts better	Numerator 44 · Denominator 59
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 79 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.31%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 6.67% · Lower 95% interval 3.92%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 87
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	86.44%	56.45% 30 pts better	Numerator 51 · Denominator 59
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 42 · Denominator 42
Transfer of health information to patient	96.3%	96.28% About the same	Numerator 26 · Denominator 27
Resident COVID-19 vaccinations up to date	40%	25.2% 14.8 pts better	Numerator 16 · Denominator 40

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.1%	94.0% 12.9 pts worse	93.4% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.0% · Q2 78.3% · Q4 87.0% · 4Q avg 81.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	11.1%	3.7% 7.4 pts worse	3.3% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 13.0% · Q4 8.7% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	4.0% 2.8 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	4.6%	4.9% 0.3 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.3%	20.6% 6.3 pts better	19.6% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · 4Q avg 14.3%
Percentage of long-stay residents who received an antipsychotic medication	29.6%	19.8% 9.8 pts worse	16.7% 12.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	21.1%	18.5% 2.6 pts worse	16.3% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.7%	18.3% 3.6 pts better	14.9% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · 4Q avg 14.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.5%	1.7% 0.2 pts better	1.0% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	5.9%	2.5% 3.4 pts worse	1.7% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 14.3% · Q4 0.0% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	36.4%	26.0% 10.4 pts worse	19.8% 16.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.7% · 4Q avg 36.4%
Percentage of long-stay residents with pressure ulcers	0.0%	4.3% 4.3 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.6%	84.3% 7.7 pts worse	81.7% 5.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.4% · Q2 70.6% · Q3 81.0% · Q4 90.2% · 4Q avg 76.6%
Percentage of short-stay residents who had an outpatient emergency department visit	22.7%	13.1% 9.6 pts worse	12.0% 10.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 22.9% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.9% 1 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 5.3% · Q4 2.8% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.6%	73.3% 13.7 pts worse	79.7% 20.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 59.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.2%	21.3% 12.9 pts worse	23.9% 10.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.2% · Observed 31.4% · Expected 21.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-23 · Fire 2024-04-23

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-02-28 · Fire 2023-02-28

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-13

F · Potential for more than minimal harm 2024-04-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-07

F · Potential for more than minimal harm 2023-02-28

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-01

E · Potential for more than minimal harm 2023-02-28

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-02-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-03-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-06

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-06

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-03-06

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-20

J · Immediate jeopardy 2024-04-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-24

F · Potential for more than minimal harm 2024-04-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-24

E · Potential for more than minimal harm 2024-04-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-23

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-04-24

D · Potential for more than minimal harm 2023-09-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-02

D · Potential for more than minimal harm 2023-09-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-10-02

E · Potential for more than minimal harm 2023-02-28