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Facility record

Grand Meadows Senior Living & Health Care has 32 certified beds in Asbury, Iowa. The CMS overall rating is 1 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 2 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Mar 26, 2026 lists 5 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $16,448 dated Apr 23, 2024. Total nurse staffing is 5.14 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.

Nearby facilities

CMS nursing homes in Iowa

CMS nursing home

Grand Meadows Senior Living & Health Care

Also known publicly as Grand Meadows Senior Living

Asbury, IA

CMS CCN 1656185635881413Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 165618.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

2 of 5

CMS staffing rating

1 of 5

CMS quality-measure rating

2 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST14% ownership interest
  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • DOMINIC FRANK TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • DOMINIC FRANK TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • HANNAH MARIE TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • HANNAH MARIE TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • Individual name not published by CMSOrganizationINDIRECT OWNERSHIP INTEREST1% ownership interest
  • JOSEPH CHARLES TUTERA JR 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • JOSEPH CHARLES TUTERA JR 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • LAURA CIRESE TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • LAURA CIRESE TUTERA 2016 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST14% ownership interest
  • SEITERA LP LLCOrganizationDIRECT OWNERSHIP INTEREST
  • SEITERA LP LLCOrganizationDIRECT OWNERSHIP INTEREST100% ownership interest

Operators

  • BLOOM, RANDALLIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BLOOM, RANDALLIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BROOKS, KILEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BROOKS, KILEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TUTERA, JOSEPHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TUTERA, JOSEPHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WARREN, JANETIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WARREN, JANETIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BLOOM, RANDALLIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • BROOKS, KILEYIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • TUTERA, JOSEPHIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • WARREN, JANETIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • BLOOM, RANDALLIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BLOOM, RANDALLIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BROOKS, KILEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BROOKS, KILEYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • TUTERA, JOSEPHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • TUTERA, JOSEPHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WALNUT CREEK MANAGEMENT COMPANY LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WARREN, JANETIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WARREN, JANETIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Enrollment organizations

  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLCOrganization · CURRENTMedicare-enrolled legal organization
  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • CONSTACE MARIE MENDOLIA 2009 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST14% ownership interest
  • DOMINIC FRANK TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • DOMINIC FRANK TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • HANNAH MARIE TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • HANNAH MARIE TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • Individual name not published by CMSOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST1% ownership interest
  • JOSEPH CHARLES TUTERA JR 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • JOSEPH CHARLES TUTERA JR 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • LAURA CIRESE TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST17.75% ownership interest
  • LAURA CIRESE TUTERA 2016 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST14% ownership interest
  • MARY MARGARET CUNNINGHAM 2009 IRRV TROrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • SEITERA LP LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
  • SEITERA LP LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST100% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2024-10-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC
    Seller legal entity
    MARTIN LUTHER HOME CORPORATION
    Effective date
    2024-10-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

1 of 5

Health inspection

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
32
Ownership descriptor
For profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
5635881413CMS Provider Information
Also known publicly as
Grand Meadows Senior LivingVerified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1538906367 · enrollment O20250528001986
  • NPI 1538906367 · enrollment O20250528001986

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 81.578947
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 9.210526 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 1.369863
  • Percentage of long-stay residents who lose too much weight (Long Stay): 0.000000
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 16.981132
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 18.604651 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 21.123484 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 13.725490 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 5.555556 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 24.919279
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 3.157307 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 75.757576
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 3.012048 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 59.615385

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2026-03-26 · tag 0711 · scope/severity F — Provide a written emergency evacuation plan.
  • 2025-03-06 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
  • 2024-04-23 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 1.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 48 ownership or control parties.

CMS records show an ownership change effective October 2024.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 26 facilities across 5 states or territories.

View chain evidence
Enforcement record

CMS records show a $16,448 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - CorporationCMS
Chain
TUTERA SENIOR LIVING & HEALTH CARECMS identifies this facility as part of the TUTERA SENIOR LIVING & HEALTH CARE chain.
Related facilities
6Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 15 CMS-reported ownership organizations
  • CMS reports 20 individual ownership interests
  • a CMS chain / common-control group
  • recorded ownership-change events

Related facilities

6 currently connected nursing homes share this CMS organization identity with CONSTACE MARIE MENDOLIA 2009 IRRV TR.

Average CMS overall rating
2.3 stars across 6 reporting facilities
CMS monetary penalties
4 of 6 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
2 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
2 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
6 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$455,378

How connected-facility figures are read

Facilities currently connected to this organization

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records
48
Organizations shown
28
Individuals shown
20
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • BLOOM, RANDALL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BROOKS, KILEY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • CONSTACE MARIE MENDOLIA 2009 IRRV TR

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 30, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • JEWELL, SUSAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • MARY MARGARET CUNNINGHAM 2009 IRRV TR

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA GROUP, INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 30, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA, JOSEPH

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WALNUT CREEK MANAGEMENT COMPANY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: May 7, 2025

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WARREN, JANET

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • SEITERA LP LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • CONSTACE MARIE MENDOLIA 2009 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • DOMINIC FRANK TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • HANNAH MARIE TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • JOSEPH CHARLES TUTERA JR 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • LAURA CIRESE TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • MARY MARGARET CUNNINGHAM 2009 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BLOOM, RANDALL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BROOKS, KILEY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA, JOSEPH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WALNUT CREEK MANAGEMENT COMPANY LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WARREN, JANET

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BLOOM, RANDALL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BROOKS, KILEY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • CONSTACE MARIE MENDOLIA 2009 IRRV TR

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 5 across IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 30, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • Individual name not published by CMS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 31, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • Individual name not published by CMS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 31, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • JEWELL, SUSAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • MARY MARGARET CUNNINGHAM 2009 IRRV TR

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 5 across IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA GROUP, INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 30, 2024

    Other facilities connected through this exact CMS organization identity: 4 across IA, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA, JOSEPH

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WALNUT CREEK MANAGEMENT COMPANY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: May 7, 2025

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 21 across AL, IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WARREN, JANET

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • SEITERA LP LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • CONSTACE MARIE MENDOLIA 2009 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 14%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 5 across IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • DOMINIC FRANK TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 17.75%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 3 across IA, LA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • HANNAH MARIE TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 17.75%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 3 across IA, LA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • Individual name not published by CMS

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 1%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • JOSEPH CHARLES TUTERA JR 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 17.75%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 3 across IA, LA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • LAURA CIRESE TUTERA 2016 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 17.75%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 3 across IA, LA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • MARY MARGARET CUNNINGHAM 2009 IRRV TR

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 14%

    Association date reported to CMS: Oct 1, 2024

    Other facilities connected through this exact CMS organization identity: 5 across IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BLOOM, RANDALL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • BROOKS, KILEY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • TUTERA, JOSEPH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WALNUT CREEK MANAGEMENT COMPANY LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 21 across AL, IA, IL, KS, MO.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • WARREN, JANET

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

  • GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 0 across IA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPMARTIN LUTHER HOME CORPORATION to GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC
    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Change of Ownership
    CMS dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Aug 24, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS enrollment records show a change of ownership effective Oct 1, 2024. What operational or leadership changes followed that event?
  • CMS records connect CONSTACE MARIE MENDOLIA 2009 IRRV TR to 6 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with TUTERA SENIOR LIVING & HEALTH CARE

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 531 is a grouping identifier, not a legal organization.

Facilities
26
States and territories
5
Average overall rating
2.1
Average staffing rating
1.7
Average total nurse HPRD
3.5
Total fines
71
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul262.11.7
Mon Jun262.11.8
Fri May262.21.9
Wed Apr262.31.9
Sun Mar252.21.9
Sun Feb252.21.9

Questions to ask

  • CMS groups facilities in 5 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 71 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Mar 26, 2026
Survey type
Fire Safety Standard
Linked findings
0
Highest linked CMS classification
No linked health-deficiency finding in the loaded record
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
165618
Source record locator
csv-row:47969:ccn:165618
View official CMS source
Mar 26, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 26, 2026 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 26, 2026 — Health Standard — 5 linked findings

  • F0550 — Resident Rights Deficiencies

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127347:ccn:165618
    View official CMS source

  • F0582 — Resident Rights Deficiencies

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127349:ccn:165618
    View official CMS source

  • F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127350:ccn:165618
    View official CMS source

  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127352:ccn:165618
    View official CMS source

  • F0883 — Infection Control Deficiencies

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127353:ccn:165618
    View official CMS source
Jun 13, 2025 — Health Complaint — 1 linked finding

  • F0550 — Resident Rights Deficiencies

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jun 25, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127354:ccn:165618
    View official CMS source
Mar 6, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 6, 2025 — Health Standard — 4 linked findings

  • F0688 — Quality of Life and Care Deficiencies

    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.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Mar 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127356:ccn:165618
    View official CMS source

  • F0699 — Quality of Life and Care Deficiencies

    Provide care or services that was trauma informed and/or culturally competent.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Mar 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127357:ccn:165618
    View official CMS source

  • F0758 — Pharmacy Service Deficiencies

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Mar 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127358:ccn:165618
    View official CMS source

  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Mar 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127355:ccn:165618
    View official CMS source
Apr 23, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 23, 2024 — Health Complaint — 3 linked findings

  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 24, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127362:ccn:165618
    View official CMS source

  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 24, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127363:ccn:165618
    View official CMS source

  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 24, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127360:ccn:165618
    View official CMS source
Apr 23, 2024 — Health Standard — 1 linked finding

  • F0814 — Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 24, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:127361:ccn:165618
    View official CMS source
Sep 14, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 14, 2023 — Infection Control — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Tags appearing across inspections

  • F0550 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Apr 23, 2024

    Published fine amount: $16,448.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165618
    Source record locator
    csv-row:5007:ccn:165618
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0550 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Apr 23, 2024. What changes were made after that enforcement action?

Facility history

Facility History

16 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Total nurse staffing increasedTotal nurse staffing increased from 4.78 to 5.14 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
  • Health inspection completed5 deficiencies were recorded.

2026

  1. Total nurse staffing increased

    Total nurse staffing increased from 4.78 to 5.14 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

    4.78 → 5.14

    CMS · Reported in a source release · View related evidence

  2. RN staffing increased

    RN staffing increased from 1.26 to 1.46 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

    1.26 → 1.46

    CMS · Reported in a source release · View related evidence

  3. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  4. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

2025

  1. RN staffing decreased

    RN staffing decreased from 1.67 to 1.26 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    1.67 → 1.26

    CMS · Reported in a source release · View related evidence

  2. Total nurse staffing decreased

    Total nurse staffing decreased from 6.41 to 4.78 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    6.41 → 4.78

    CMS · Reported in a source release · View related evidence

  3. Total nurse staffing increased

    Total nurse staffing increased from 5.13 to 6.41 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    5.13 → 6.41

    CMS · Reported in a source release · View related evidence

  4. RN staffing increased

    RN staffing increased from 1.32 to 1.67 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    1.32 → 1.67

    CMS · Reported in a source release · View related evidence

  5. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  6. Health inspection completed

    4 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2024

  1. Ownership change recorded

    An ownership change was recorded. New organization: GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC.

    MARTIN LUTHER HOME CORPORATION → GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $16,448 civil monetary penalty.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
5.142
reported hours per resident day
RN categories
1.462
reported hours per resident day
LPN/LVN categories
0.597
reported hours per resident day
CNA
2.385
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing5.5294.172
RN categories1.6281.048

Contract staff accounted for 4% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.203 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q25.1351.3180.5442.9930%91
2025Q36.4071.6680.7763.5867.7%92
2025Q44.7811.2590.6242.4030%92
2026Q15.1421.4620.5972.3854%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 1-star overall rating.
  • CMS reports a 2-star health inspection rating.
  • CMS reports a 1-star staffing rating.
  • CMS reports a 2-star quality-measure rating.

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See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility All Owners
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Change of Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Aug 24, 2026
Retrieved
Aug 15, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Nursing Home Chain Performance Measures
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage
Wed Jul
Source updated
Aug 12, 2026
Retrieved
Aug 16, 2026
Supports
CMS chain context, performance, and monthly history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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