Grand Meadows Senior Living & Health Care

Official Government Ratings

Care Quality Indicators

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 2 out of 5 stars, below the Iowa average of 3.1 stars. Its strongest area is staffing (4 stars), while health inspections (2 stars) is its weakest. Its rate of falls resulting in major injury (11.0%) is above the Iowa average of 3.7% — a measure worth asking the staff about. With 32 certified beds, it operates near capacity at roughly 94% occupied.

Among the 2 nursing facilities ElderVoice tracks in Asbury, the local average is 2.5 stars.

By the numbers vs. Iowa average

• Long-stay antipsychotic medication use: 21.7% — worse than the Iowa average of 19.4%.
• Falls with major injury: 11.0% — worse than the Iowa average of 3.7% (195% higher).
• High-risk pressure ulcers: 1.3% — better than the Iowa average of 4.3% (70% lower).
• Short-stay rehospitalization: 38.7% — worse than the Iowa average of 21.6% (79% higher).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Iowa averages across 390 facilities tracked by ElderVoice.

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