Grand Meadows Senior Living & Health Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2017-07-12. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (563) 588-1413 or your local Medicaid office to verify current eligibility.

Grand Meadows Senior Living & Health Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.3/100, placing it #6739 of 14703 facilities nationally and #167 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Grand Meadows Senior Living & Health Care receives a reported average of 6 hours 24 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 40 minutes; Licensed Practical Nurse (LPN) — 47 minutes; Nurse Aide — 3 hours 58 minutes. On weekends, total nurse staffing is 5 hours 29 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $16,448. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $16,448, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 47.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Grand Meadows Senior Living & Health Care ranks 6739th out of 14,703 facilities (composite score: 73.3/100), placing it in the above average nationwide. Within IA, it ranks 167th out of 390 nursing homes. In Asbury, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #250 nationally and RN hours rank #403 nationally (#2 in IA). Our composite quality score of 73.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Asbury, visit: https://nursinghomesnearme.org/iowa/asbury/