Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Free guide: the exact questions to ask Grand Meadows Senior Living & Health Care, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Grand Meadows Senior Living & Health Care Compares
Grand Meadows Senior Living & Health Care is a 32-bed for-profit nursing facility in Asbury, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is staffing at 1 star. Its rate of falls resulting in major injury (9.2%) is above the Iowa average of 3.8% — a measure worth asking the staff about. With 32 certified beds, it operates near capacity at roughly 91% occupied.
Among the 2 nursing facilities ElderVoice tracks in Asbury, the local average is 2.0 stars.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 18.6% — better than the Iowa average of 19.5%.
- Falls with major injury: 9.2% — worse than the Iowa average of 3.8% (140% higher).
- High-risk pressure ulcers: 3.2% — better than the Iowa average of 4.2%.
- Short-stay rehospitalization: 45.8% — worse than the Iowa average of 20.8% (120% higher).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Grand Meadows Senior Living & Health Care
Use these facility-specific questions when calling admissions, touring the building, or comparing Grand Meadows Senior Living & Health Care with other nursing homes in Asbury.
How is Grand Meadows Senior Living & Health Care addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Grand Meadows Senior Living & Health Care doing to reduce falls with major injury?
Falls with major injury is 9.2% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
What practices help Grand Meadows Senior Living & Health Care keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 3.2% here versus 4.2% across Iowa. Lower is generally better for this CMS measure.
How does Grand Meadows Senior Living & Health Care maintain staffing when occupancy is high?
The facility reports roughly 91% occupancy across 32 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Grand Meadows Senior Living & Health Care?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
Where does Grand Meadows Senior Living & Health Care lag behind other Asbury options?
Its 1-star overall rating is below the local average of 2.0 stars across 2 facilities. Ask administrators what differentiates this home despite the rating gap.
The Senior Community Around Asbury
Asbury sits in Dubuque County, where adults 65 and older make up about 17.8% of the population — a share of seniors in line with Iowa as a whole (17.1% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 17,256 (17.8%)
- Median age
- 38.5 years
- Median household income
- $64,493
- Median home value
- $175,300
Demographics for Dubuque County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Asbury.
Facility Details
Other Facilities in Asbury
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