Home›Iowa›Dubuque County›Grand Meadows Senior Living & Health Care
A+
Excellent

Grand Meadows Senior Living & Health Care

5300 Grand Meadow Drive · Asbury, IA 52002

5635881413 · For profit - Limited Liability company

32 beds30.3 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grand Meadows Senior Living & Health Care receives an overall staffing grade of A+ (Excellent). With 6.4647 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.57 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.64% compared to weekdays. The facility has low agency staff usage (7.7% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 1.6919). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
6.4647hrs/resident/day▲ 2.57
CMS benchmark: 3.48
RN HPRD
1.6779hrs/resident/day▲ 0.99
Recommended: 0.75
Weekend Drop-off
18.64%
6.8243 weekday → 5.5521 weekend
Agency Staff
7.7%
17.77% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.6266hrs/resident/day
Direct care aides
LPN HPRD
0.7847hrs/resident/day
Licensed practical nurses
Consistency
1.6919std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dubuque County Average+2.21 HPRD
4.25
06.46 HPRD
vs. Iowa State Average+2.65 HPRD
3.82
06.46 HPRD
vs. National Average+2.57 HPRD
3.90
06.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Grand Meadows Senior Living & Health Care ★
Asbury · This facility
—
A+
6.46471.6779★★☆☆☆
Dubuque Specialty Care
Dubuque
2.3 mi
C
3.15850.5698★★☆☆☆
Harmony Dubuque
Dubuque
4.3 mi
B
3.58490.9504★★☆☆☆
Mill Valley Care Center
Bellevue
23.9 mi
A
4.17970.7873★★★★★
Guttenberg Care Center
Guttenberg
25.7 mi
C
3.47120.6524★★★★★
Monticello Nursing & Rehab Center
Monticello
29.4 mi
C
3.33350.7678★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
24
Total Deficiencies
$19,698
Fines Assessed
Jun 13, 2025Health
1 deficiency cited
▼
Mar 6, 2025Health
4 deficiencies cited
▼
Apr 23, 2024Health
6 deficiencies cited· Includes actual harm
▼
Sep 14, 2023Health
2 deficiencies cited
▼
Feb 28, 2023Health
11 deficiencies cited
▼

Penalty History

Apr 23, 2024Fine
$16,448
Feb 28, 2023Fine
$3,250
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.