Skilled nursing facility · CMS certification number 165618

Grand Meadows Senior Living & Health Care

Asbury, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 32

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,870,009	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$835,315	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,034,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,720,759	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$686,065	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$127,943	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$558,122	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$558,122 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	32	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	11,712	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,970	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,533	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,461	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,964	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	72	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	44	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	292	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	408	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	80.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	26.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436821, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,191,510	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$620,606	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,570,904	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,714,163	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,143,259	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,283	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,130,976	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,130,976 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,711	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	140.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396122, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,702,606	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$644,348	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,058,258	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,614,993	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,556,735	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$24,904	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,531,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,531,831 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,711	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	140.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365454, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,141,614	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$513,446	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,628,168	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,801,633	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,173,465	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,984	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,159,481	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,159,481 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,914	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	145	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	130.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332467, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,423,082	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$744,569	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,678,513	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,634,677	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,956,164	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,181	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,942,983	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,942,983 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	32	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,185	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	167	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	114.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305676, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,054,269	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,046,750	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,007,519	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,535,328	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,527,809	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,295	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,490,514	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,490,514 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	126	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	47,160	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	241	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	271.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1266433, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,647,569	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$768,686	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,878,883	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,801,800	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,922,917	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,131	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,885,786	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,885,786 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,118	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	141.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237770, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 12 July 2017 to 31 December 2017 — a reporting period of 172 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,216,399	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$266,262	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$950,137	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,188,273	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,238,136	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,686	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,235,450	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,235,450 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	48	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,089	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	771	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	16.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	15.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200744, read from the public cost report file SNF10FY2017.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BLOOM, RANDALL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
BROOKS, KILEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
CONSTACE MARIE MENDOLIA 2009 IRRV TR	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/30/2024
JEWELL, SUSAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
MARY MARGARET CUNNINGHAM 2009 IRRV TR	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
TUTERA GROUP, INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/30/2024
TUTERA, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
WALNUT CREEK MANAGEMENT COMPANY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/07/2025
WARREN, JANET	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
SEITERA LP LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
CONSTACE MARIE MENDOLIA 2009 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
DOMINIC FRANK TUTERA 2016 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
HANNAH MARIE TUTERA 2016 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
JOSEPH CHARLES TUTERA JR 2016 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
LAURA CIRESE TUTERA 2016 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
MARY MARGARET CUNNINGHAM 2009 IRRV TR	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
BLOOM, RANDALL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
BROOKS, KILEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
TUTERA, JOSEPH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
WALNUT CREEK MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2024
WARREN, JANET	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC (enrollment ID O20250528001986).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CONSTACE MARIE MENDOLIA 2009 IRRV TR	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/30/2024	Private equity company: No Real estate investment trust: No Holding company: No
JANET C WARREN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH C TUTERA	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KILEY A BROOKS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY MARGARET CUNNINGHAM 2009 IRRV TR	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
RANDALL BLOOM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SUSAN JEWELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TUTERA GROUP, INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/30/2024	Private equity company: No Real estate investment trust: No Holding company: No
WALNUT CREEK MANAGEMENT COMPANY LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/7/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/31/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/31/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SEITERA LP LLC	Organization	DIRECT OWNERSHIP INTEREST	100	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
CONSTACE MARIE MENDOLIA 2009 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	14	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
DOMINIC FRANK TUTERA 2016 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	17.75	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
HANNAH MARIE TUTERA 2016 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	17.75	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JOSEPH CHARLES TUTERA JR 2016 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	17.75	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
LAURA CIRESE TUTERA 2016 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	17.75	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
MARY MARGARET CUNNINGHAM 2009 IRRV TR	Organization	INDIRECT OWNERSHIP INTEREST	14	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	INDIRECT OWNERSHIP INTEREST	1	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JANET C WARREN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH C TUTERA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KILEY A BROOKS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RANDALL BLOOM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WALNUT CREEK MANAGEMENT COMPANY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: TUTERA GROUP, INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOMINIC FRANK TUTERA 2016 IRRV TR no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TUTERA GROUP, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOMINIC FRANK TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: COREY M ROOT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LARRY EUGENE CROGHAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAN UNMACHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KRISTINE STEINBECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DENNIS WAUGH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM BROWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PAUL SCHERNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SUSAN HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYAN MCKEAG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH CHARLES TUTERA JR 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: HANNAH MARIE TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JANET C WARREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JANET C WARREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WALNUT CREEK MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WALNUT CREEK MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LAURA CIRESE TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SUSAN JEWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KILEY A BROOKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KILEY A BROOKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C TUTERA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C TUTERA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: RANDALL L BLOOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: RANDALL L BLOOM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SEITERA LP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TUTERA GROUP, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DOMINIC FRANK TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2024: MARVIN EUGENE COCAYNE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Recent changes on this record

1 July 2026: TUTERA GROUP, INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOMINIC FRANK TUTERA 2016 IRRV TR no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TUTERA GROUP, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MARY MARGARET CUNNINGHAM 2009 IRRV TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOMINIC FRANK TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 September 2025: COREY M ROOT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LARRY EUGENE CROGHAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DAN UNMACHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KRISTINE STEINBECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: DENNIS WAUGH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM BROWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WILLIAM BROWN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: PAUL SCHERNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SUSAN HANSEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: BRYAN MCKEAG no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK ARNOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH CHARLES TUTERA JR 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: HANNAH MARIE TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JANET C WARREN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JANET C WARREN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WALNUT CREEK MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WALNUT CREEK MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: LAURA CIRESE TUTERA 2016 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SUSAN JEWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KILEY A BROOKS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: KILEY A BROOKS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C TUTERA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: JOSEPH C TUTERA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: CONSTACE MARIE MENDOLIA 2009 IRRV TR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: RANDALL L BLOOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: RANDALL L BLOOM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: SEITERA LP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TUTERA GROUP, INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	26 March 2026	26 March 2026	7	1
2	6 March 2025	6 March 2025	5	1
3	23 April 2024	23 April 2024	8	1

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

20 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 March 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	16 April 2026
26 March 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	16 April 2026
26 March 2026	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	15 April 2026
26 March 2026	Health	F 0605	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.	D	No	Deficient, Provider has date of correction	16 April 2026
26 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	16 April 2026
26 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	16 April 2026
26 March 2026	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	15 April 2026
13 June 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	25 June 2025
6 March 2025	Health	F 0688	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.	D	No	Deficient, Provider has date of correction	20 March 2025
6 March 2025	Health	F 0699	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D	No	Deficient, Provider has date of correction	20 March 2025
6 March 2025	Health	F 0758	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.	D	No	Deficient, Provider has date of correction	20 March 2025
6 March 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	20 March 2025
23 April 2024	Health	F 0600	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.	D	Yes	Deficient, Provider has date of correction	24 April 2024
23 April 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	24 April 2024
23 April 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	24 April 2024
23 April 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	Yes	Deficient, Provider has date of correction	24 April 2024
23 April 2024	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E	No	Deficient, Provider has date of correction	24 April 2024
23 April 2024	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	D	Yes	Deficient, Provider has date of correction	24 April 2024
14 September 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	2 October 2023
14 September 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	2 October 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
23 April 2024	Fine	$16,448			79395

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2017-07-12
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Dubuque
Telephone Number	5635881413
Chain Name	TUTERA SENIOR LIVING & HEALTH CARE
Chain ID	531
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	32
Average Number of Residents per Day	29.2
Overall Rating	1
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	2
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Grand Meadows Senior Living & Health Care: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: TUTERA GROUP, INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for Grand Meadows Senior Living & Health Care

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165618.