State assisted-living licensing record · Iowa DIAL · record as pulled September 22, 2026· Not the federal nursing home survey
Grand Meadows Senior Living & Health Care
5300 Grand Meadow Drive, Asbury, IA 52002 · Dubuque County · 16 licensed beds
DIAL record ID 3173 · licence S0423 · certified through December 10, 2027 · first licensed December 2019
The licence
Licensed by DIAL · Assisted living program
Certification details, as listed by DIAL
- Certified as
- Assisted living program
- Certificate
- S0423
- Certified since
- December 11, 2019
- Current certificate
- From December 10, 2025, expires December 10, 2027
- Occupancy
- 16 units
- Accredited
- No
Position within Iowa
9 citations — more than 76% of the 437 licensed assisted living facilities in Iowa. Compared only within Iowa: a citation from DIAL means what it means in Iowa, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, severity, the survey report, and enforcement. The fire safety inspection of an Iowa assisted living program is the State Fire Marshal's and is not published; what DIAL itself cites about the building — its structural requirements, the dwelling-unit rules for dementia-specific programs and the fire and safety standards of the Code — is here. DIAL assigns no severity to a citation, and the survey report itself is published only as a scanned image, which is not read. Fines, conditional certifications and other enforcement actions are recorded separately and not republished. Elder group homes and adult day services are other certification types and are not included.
Also on this campus
The same campus holds a Medicare-certified nursing home, with its own federal record on the Life Safety Index: Grand Meadows Senior Living & Health Care (5300 Grand Meadow Drive). Matched by the street address the two records share. The records are separate and are never added together.
Get an email about Grand Meadows Senior Living & Health Care
One email when it happens, from the DIAL record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citation about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- 481-69.35-1 Structural requirementsJanuary 30, 2024
How that compares
Compared with the median licensed assisted living facility in Iowa. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in Iowa | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| March 29, 2023 | recertification survey; complaint investigation; incident investigation | 0 |
| October 11, 2023 | complaint investigation; incident investigation | 0 |
| January 30, 2024 | complaint investigation; incident investigation | 6 |
| August 19, 2024 | complaint investigation | 3 |
| February 20, 2025 | recertification survey | 0 |
What the citations cover
- Resident care 4
- Records and administration 2
- Staffing and training 1
- Medication 1
- Other 1
| Category | Citations |
|---|---|
| Resident care | 4 |
| Records and administration | 2 |
| Staffing and training | 1 |
| Medication | 1 |
| Physical plant | 1 |
Every visit on file since September 2021
As published by DIAL, newest first, including visits that cited nothing. The wording is DIAL’s own.
February 20, 2025 — recertification survey, nothing cited
August 19, 2024 — complaint investigation, 3 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
| 481-69.22-3 | Evaluation of tenant |
| 481-69.27-1 | If a tenant receives personal or health-related care, the program shall provide for a registered nurse |
January 30, 2024 — complaint investigation; incident investigation, 6 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
| 481-67.3-2 | Tenant Rights |
| 481-67.5-2 | Medications. Each program shall follow its own written medication policy, which shall include when… |
| 481-67.9-4 | Nurse delegation shall, at a minimum, include within 30 days of beginning employment, all program staff… |
| 481-69.25-1 | Tenant Documents |
| 481-69.35-1 | Structural requirements |
October 11, 2023 — complaint investigation; incident investigation, nothing cited
March 29, 2023 — recertification survey; complaint investigation; incident investigation, nothing cited
DIAL also holds 2 older citations for this facility from before September 2021, outside the 5-year window these pages use. They are on the state’s own record.
Reflects the DIAL record as pulled September 22, 2026. A recent visit may not appear yet. This is the Iowa state licensing record; it is not the federal nursing home survey and the two are never combined.