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 - ALP/D
5300 Grand Meadow Drive, Asbury, IA 52002 · Dubuque County · 34 licensed beds
DIAL record ID 3033 · licence S0365 · certified through December 10, 2027 · first licensed June 2017
The licence
Licensed by DIAL · Dementia-specific assisted living program
Certification details, as listed by DIAL
- Certified as
- Dementia-specific assisted living program
- Certificate
- S0365
- Certified since
- June 27, 2017
- Current certificate
- From December 10, 2025, expires December 10, 2027
- Occupancy
- 34 units
- Accredited
- No
Position within Iowa
14 citations — more than 86% 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 - ALP/D
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.
- 481-69.32-2 An operating alarm system shall be connected to each exit door in a dementia-specific programJanuary 29, 2024
How that compares
Compared with the median licensed assisted living facility in Iowa. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 14 |
| Median facility in Iowa | 2 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| April 5, 2023 | recertification survey; complaint investigation | 5 |
| October 11, 2023 | complaint investigation; incident investigation | 0 |
| January 29, 2024 | complaint investigation | 3 |
| August 19, 2024 | complaint investigation; incident investigation | 1 |
| August 19, 2024 | complaint investigation, revisit; incident investigation, revisit | 0 |
| February 20, 2025 | recertification survey; complaint investigation; incident investigation | 1 |
| April 22, 2026 | incident investigation | 4 |
What the citations cover
- Resident care 11
- Life safety 1
- Records and administration 1
- Staffing and training 1
| Category | Citations |
|---|---|
| Resident care | 11 |
| Life safety | 1 |
| Records and administration | 1 |
| Staffing and training | 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.
April 22, 2026 — incident investigation, 4 citations
| Tag | What DIAL checks |
|---|---|
| 481-69.22-3 | Evaluation of tenant |
| 481-69.25-1 | Tenant Documents |
| 481-69.26-3 | When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days… |
| 481-69.26-4 | The service plan shall be individualized and shall indicate, at a minimum |
February 20, 2025 — recertification survey; complaint investigation; incident investigation, 1 citation
| Tag | What DIAL checks |
|---|---|
| 481-69.27-1 | If a tenant receives personal or health-related care, the program shall provide for a registered nurse |
August 19, 2024 — complaint investigation; incident investigation, 1 citation
| Tag | What DIAL checks |
|---|---|
| 481-67.2-3 | The program shall follow the policies and procedures established by the program |
August 19, 2024 — complaint investigation, revisit; incident investigation, revisit, nothing cited
January 29, 2024 — complaint investigation, 3 citations
| Tag | What DIAL checks |
|---|---|
| 481-67.3-2 | Tenant Rights |
| 481-69.30-3 | Dementia-specific continuing education |
| 481-69.32-2 | An operating alarm system shall be connected to each exit door in a dementia-specific program |
October 11, 2023 — complaint investigation; incident investigation, nothing cited
April 5, 2023 — recertification survey; complaint investigation, 5 citations
| Tag | What DIAL checks |
|---|---|
| 481-69.22-2 | Evaluation within 30 days of occupancy |
| 481-69.26-2 | Prior to the tenant's signing the occupancy agreement and taking occupancy of a dwelling unit, a… |
| 481-69.26-3 | When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days… |
| 481-69.26-4 | The service plan shall be individualized and shall indicate, at a minimum |
| 481-69.27-1 | If a tenant receives personal or health-related care, the program shall provide for a registered nurse |
DIAL also holds 11 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.