Grand Meadows Senior Living & Health Care

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 84.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 50 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.58 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-04-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and facility policy review the facility failed to secure and supervise access to 2 out of 2 hot steam table surfaces. This failure resulted in the ability of eight cognitively impaired and independently mobile residents to access the areas that held the steam tables, therefore causing an Immediate Jeopardy to the health, safety, and security of the residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of February 15, 2024 on April 17, 2024 at 3:10 p.m. Facility staff removed the Immediate Jeopardy on April 17, 2024 through the following actions: a. The meals will be served in the Bistro common dining room. b. All meals will be served in this location until the barriers can be placed between resident care areas and the kitchen serving area where the steam tables are located. c. The two steam tables were disabled from use to prevent any cognitively impaired residents in the units from possibly getting burned. d. The keys that turn the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-26 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, and facility policy review the facility failed to ensure residents had a dignified dining experience for Resident #13 and four additional residents. The facility reported a census of 29 residents.Findings Include: Review of Resident #13's Quarterly Minimum Data Set, dated [DATE] revealed a Brief Interview for Mental Status score of 10 out of 15, which indicated moderate cognitive impairment. The MDS further revealed diagnosis of unspecified dementia without behavioral disturbance and Diabetes Mellitus. On 3/26/26 at approximately 6:45 AM, an observation was made of residents brought to the dining table by Staff K Certified Nursing Assistant (CNA). Five residents were observed at the table by 7:00 AM. Several residents including Resident #13 were heard repeatedly asking for something to drink. Resident #13 repeatedly asked for coffee and was told by Staff F it would be a little bit. Other residents were heard asking for water or a snack and wondering where their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interviews and facility policy review the facility failed to notify the physician of change in resident transfer status and pain in left ankle for 1 out of 1 resident reviewed with injury of unknown origin (Resident #25). The facility identified a census of 29 residents. Findings include:Review of the Minimum Data Set for Resident #25 dated 12/5/25 revealed a Brief Interview for Mental Status score of 15 out of 15 which indicated intact cognition. The MDS noted Resident #25 needed supervision or touching assistance for sit to stand transfers and toilet transfers. The MDS listed diagnoses of hypertension (high blood pressure), end stage renal disease, and diabetes. Review of the facility nurse progress notes from 2/13/26 through 2/15/26 lacked any documentation of left ankle pain or change in transfer status or ability to bear weight. The progress notes failed to reveal any physician notification. Review of the progress notes from dialysis on 2/16/26 for Resident #25, with no time indicated, revealed she arrived today with a complaint of much pain in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and the Medicare Claims Processing Manual the facility failed to provide a resident with form CMS-10055 (Centers for Medicare & Medicaid Services) at the end of therapy services when the resident planned to remain in the building for one of three residents reviewed for Beneficiary Notice (Resident #20). The facility reported a census of 29 residents.Findings include:A review of Resident #20's Minimum Data Set, dated [DATE] revealed he admitted to the facility on [DATE]. The resident ended his therapy and Medicare stay on 11/07/2025. His Brief Interview for Mental Status score was 11/15, which indicated moderate cognitive impairment.On 3/26/26 the facility was asked to provide documentation of the resident's CMS 10055 (Advance Beneficiary Notice of Non-Coverage or ABN) and CMS 10123 (Notice of Medicare Non-Coverage or NOMNC) forms.A document titled Notice of Medicare Non-Coverage (NOMNC, CMS 10123) dated 11/07/2025 documented the end of Resident #20's skilled services. It was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interviews, and facility policy review, the facility failed to document targeted behaviors and provide non-pharmacological interventions prior to the use of an as needed antianxiety medication for 1 of 5 residents reviewed for unnecessary medications (Resident #9). The facility reported a census of 32 residents.Findings include:The Minimum Data Set assessment for Resident #9 dated 3/5/26 identified a Brief Interview for Mental Status score of 8 out of 15, indicating moderate cognitive impairment. The MDS identified a PHQ-2 (Patient Health Questionnaire, a screening tool used to assess the frequency of depressed mood) score of 0, which indicated no depression. The MDS documented the resident displayed no behavioral symptoms, hallucinations or delusions during the look back period. The MDS documented diagnoses that included non-Alzheimer's Dementia, anxiety, and depression. The Care Plan for Resident #9 dated 3/2/26 identified a focus area of depression and anxiety related to dementia. It directed staff to monitor, document and report signs and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, staff interviews, and facility policy review the facility failed to assess and intervene for a resident with a fall which resulted in a fracture (Resident #1) and for a major injury of unknown origin (Resident #25) for 2 out of 2 residents reviewed with injuries. The facility reported a census of 29 residents. Findings include:1. Review of the Minimum Data Set for Resident #25 dated 12/5/25 revealed a Brief Interview for Mental Status score of 15 out of 15 which indicated intact cognition. The MDS noted Resident #25 needed supervision or touching assistance for sit to stand transfers and toilet transfers. The MDS listed diagnosis of hypertension (high blood pressure), end stage renal disease and diabetes. Review of the nurse progress note 2/16/26 at 1:48 PM revealed Resident #25 went to the emergency department related to left ankle pain. The progress note dated 2/16/26 at 6:03 PM revealed Resident #25 had a tibial fracture on left leg. Resident #25 needed to be completely non weight bearing and wear a boot to move around. Review of the progress…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews the facility failed to provide enhanced barrier precautions to prevent the spread of infections for 2 out of 4 residents ( Resident # 7) with a catheter and (Resident # 11) with an open wound. The facility identified a census of 29 residents. Findings include: 1.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 had an indwelling catheter.The Care Plan for Resident #7 with a revision date of 3/16/26 revealed the resident had an indwelling foley catheter. Resident #7's Care Plan directed staff to position the catheter bag and tubing below the level of the bladder and away from the entrance room door. The Care Plan failed to direct staff to use enhanced barrier precautions with the use of the catheter. On 3/26/26 at 11:25 AM Staff C, Certified Nursing Assistant (CNA) emptied the foley catheter for Resident #7 in her room. She did not utilize any personal protective equipment and failed to utilize enhanced barrier precautions.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review the facility failed to screen residents for eligibility of the pneumococcal vaccine for 2 of 5 residents reviewed (Resident #7 and Resident #13). The facility reported a census of 29 residents.Findings Include: 1. The admission Minimum Data Set (MDS) assessment tool, dated 3/2/26 revealed Resident #7 admitted to the facility on [DATE]. The MDS revealed the resident had severely impaired cognition for daily decision making. The admission MDS documented the resident received a Influenza vaccine outside the facility, was not up to date with pneumococcal vaccination, and was not offered a pneumococcal vaccine. The Immunization Consent Form for Resident #7 dated 10/24/24 documented the resident received a Covid vaccine and Influenza vaccine. There was no documentation of a pneumococcal vaccine.The Immunization Consent Form for Resident #7 dated 10/16/25 documented the resident received an Influenza vaccine. The was no documentation of a pneumococcal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, resident interview, staff interview, and review of the facilities Resident's Rights form revealed staff failed to treat 1 of 3 residents with dignity and respect during cares as a means to maintain their individual resident rights (Resident #3). Findings include: A Minimum Data Set (MDS) assessment form dated 3.27.25 indicated Resident #3 was admitted to the facility on 3.12.25 with diagnoses that included Chronic Kidney Disease, Osteoarthritis, and Sjorgren Syndrome (autoimmune disease). The assessment indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 (cognitively intact). An interview was conducted 6.11.25 at 12:38 p.m. with the resident and the Administrator present per the resident's suggestion as her story would not have swayed from the truth of what occurred and everyone could have heard about the incident. The resident indicated she had been told by an unknown person to report the incident to the Social Services (SS) designee who went to the resident's room on 3.24.25 first for a routine…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-06 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, kitchen record review, interview, and policy review the facility failed to store food according to professional guidelines and to clean dishes under sanitary conditions during 1 of 2 kitchen observations. Dry storage and the refrigerator contained expired, unlabeled, and undated items. Dishwasher sanitizer logs were not maintained and the sanitizer sink did not register chemical content. The facility reported a census of 29 residents. Findings include: During the initial kitchen observation on 03/03/25 from 09:57 AM to 10:24 AM the surveyor observed the following: a. 16 - 1 pound boxes of baking soda that expired in July 2024 b. sliced cheese wrapped in saran wrap without a label or open date c. opened, undated 5 pound container of cottage cheese d. clear plastic bins of vegetable soup, tomato paste, and pickles covered with saran wrap dated 2/20/25 (11 days prior) e. clear plastic bin of chicken gravy, undated f. dishwasher chemical logs recorded concentration testing until 2/18/25 g. staff tested the dishwasher chemical with a test strip that did not register…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and policy review the facility failed to provide range of motion services to improve or maintain functioning in all extremities for 1 out of 1 residents reviewed (Resident #11). The facility reported a census of 29 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #11 indicated a Brief Interview for Mental Status (BIMS) score of 15/15 which indicated intact cognition. The MDS documented diagnoses of symptoms and signs involving the musculoskeletal system (include muscle weakness, joint pain, limited range of motion, tremors, and gait disturbance), reduced mobility, and spasmodic torticollis (neck muscles contract involuntarily). It further recorded the resident did not receive active or passive range of motion (ROM) restorative nursing in the prior 7 calendar days. Resident #11's Care Plan initiated of 03/29/24 revealed he had a self care performance deficit due to fatigue and required assistance of 1 staff for bathing,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$16,448 in federal fines across 1 penalty.

• $16,448 — penalty dated 2024-04-23

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to TUTERA SENIOR LIVING & HEALTH CARE — 25 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA