We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 72nd out of 222 homes in Iowa.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 0m per day | ▲ 36% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 29m per day | ▼ 15% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▼ 5% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 23m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 43m per day | ▲ 43% State avg: 30m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
11% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
64% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #219 / 223Payroll — State benchmarkedThis home is ranked 219th out of 223 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Iowa average: 75.4%Zearing Health Care, LLC is administrated by Brad Sammon.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 27 | This facility has total deficiencies in line with the Iowa average (27 vs. IA avg 27). Click this badge to view the full Iowa ranking.— At avg |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 4.5 | 4.5 | This facility has deficiencies per year in line with the Iowa average (4.5 vs. IA avg 4.5). Click this badge to view the full Iowa ranking.— At avg |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.5 | 1.8 | This facility has 17% fewer deficiencies per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.8). Click this badge to view the full Iowa ranking.↓ 17% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa nursing home (18 vs. IA avg 15). Click this badge to view the full Iowa ranking.↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 16, 2025, found the facility in substantial compliance with no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to resident rights and abuse prevention, including verbal abuse by staff and delays in separating alleged perpetrators from residents, as well as medication administration errors. Complaint investigations were mostly unsubstantiated, except for substantiated cases involving abuse and medication errors, with corrective actions such as staff suspensions and training implemented. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with the most recent inspections indicating compliance following earlier issues.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Aug 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 11 citations resulted from standard inspections; and 5 of 11 resulted from complaint investigations.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Zearing Health Care, LLC is located in Zearing, Iowa.
Here are the financial assistance programs available to residents in Iowa.
0.0 miles from city center
Estimated distance in miles from Zearing's city center to Zearing Health Care, LLC's address, calculated via Google Maps.
Add your location
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
35% better than Iowa average
12% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
2,912 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 21 | 50 | 71 | 6,902 | 91 | 100% | 8.2 |
| Registered Nurse | 9 | 4 | 13 | 2,100 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 2 | 1 | 3 | 1,272 | 88 | 97% | 9.3 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 58 | 64% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Dietitian | 1 | 0 | 1 | 342 | 50 | 55% | 6.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 71 | 9 | 10% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 20 | 12 | 13% | 1.7 |
| Medical Director | 0 | 1 | 1 | 17 | 7 | 8% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 2 | 2% | 4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 4 | 2 | 2% | 2.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 4 | 1 | 1% | 3.7 |
| Qualified Social Worker | 0 | 2 | 2 | 4 | 3 | 3% | 1.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
27% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
13% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
19% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
18.0%
8% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
13% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.9%
80% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.3%
33% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
8.9%
53% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
0.97
34% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
50% better than Iowa averageIowa average: 2.09
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Zearing Health Care, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Zearing | 40 | 89.3% | +18% | 4.54 | +12% | +6% | $0 | 11 | 2.8 | - | 33 | 10 | Midwest Snf Holding Company LLC | $2.6M | $1.6M | 61.6% | 165320 | ||||
| Akron Care Center, INC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | $0 | 4 | 2.0 | - | 42 | 37 | City Of Akron | $4.7M | $3.3M | 69% | 165595 | ||||
| Accura HealthCare of Carlisle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | $0 | 17 | 5.7 | 2 | 39 | 50 | American Healthcare Associates Inc | $4.1M | $2.9M | 70.9% | 165311 | ||||
| Accura Healthcare of Spirit Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | $34.6k | 21 | 7.0 | 1 | 65 | 76 | - | $7.1M | $4.0M | 55.6% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | $58.7k | 39 | 3.9 | 4 | 40 | 51 | Accura Healthcare Of The Heartland LLC | $4.1M | $3.0M | 74.7% | 165082 |
Historical financial and operational data for Zearing Health Care, LLC based on CMS SNF Cost Reports.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Zearing Health Care, LLC has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IA state health department records, Zearing Health Care, LLC's license number is 850252.
According to IA state health department records, Zearing Health Care, LLC's license expires on September 1, 2026.
Zearing Health Care, LLC's occupancy is 78%.
The team at Zearing Health Care, LLC can be reached at [email protected].
Brad Sammon is the administrator of Zearing Health Care, LLC.
Zearing Health Care, LLC has 40 beds.
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
