CMS data shows Grand Meadows Senior Living & Health Care earning a D grade with a score of 42/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels at Grand Meadows Senior Living & Health Care exceed national averages, with 6.41 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.67 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 24 deficiencies at Grand Meadows Senior Living & Health Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 6.41 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.67 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.96 | 2.4 | Above Average |
| Weekend Total Nursing | 5.49 | 3.8 | Above Average |
| Weekend RN Hours | 1.15 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jun 12, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 5, 2025 · Nutrition and Dietary Deficiencies
- Tag 0688 Severity DProvide 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 medicMar 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.Mar 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyMar 5, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.0% | 4.5% | Better |
| Falls with major injury | 11.1% | 3.0% | Worse |
| On antipsychotic medication | 29.6% | 14.5% | Worse |
| Urinary tract infections | 5.9% | 2.5% | Worse |
| ADL decline (daily activities) | 14.7% | 14.0% | Average |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 36.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,448
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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