Show Inspection Reports
Total health inspections
4
Iowa average 4.9
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Zearing Health Care, LLC
Nursing Home
Zearing Health Care, LLC
Nursing Home
Zearing Health Care Center is a skilled nursing home and rehabilitation center located in Zearing, Iowa. It offers personalized rehabilitative care and compassionate long-term care. The facility specializes in semi-independent and dementia long-term care, hospice, and temporary respite stays.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.3%
Residents per day (avg)
33
Occupancy rate
89.3%
Residents per day (avg)
33
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
11% of new residents, usually for short-term rehab.
Typical stay
3 - 4 years
Private pay
25% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
64% of new residents, often for long-term daily care.
Typical stay
9 days
Finances and operations
Proprietary home
Corporation
Home revenue
$2.6M
Profit
$89.6K
Proprietary home
Corporation
Home revenue
$2,573,761.00
Profit
$89,571.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.5M
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
Free Standing NF/SNF
License Expiration
September 1, 2026
Additional licensing details
License number:
850252
CMS Certification Number:
165320
Certification type:
FALSE
County:
Story
Ownership & operating entity
Zearing Health Care, LLC is administrated by Brad Sammon.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
6414877638
Programs & Activities
Specific Programs
Rehabilitation Services, Long Term Care, Huntington Disease, Admissions, Careers, Contact
Dining & Nutrition
Food Description
Great food to meet dietary needs.
Inspection History
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.
18 visits/inspections
Latest inspection
Date:November 10, 2025
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Zearing Health Care, LLC
+12%
+6%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 502780195
40
No
MIDWEST SNF HOLDING COMPANY LLC
89.3%
$2,581,420.00
$1,375,435.00
53.3%
33.10
4.5442
-
11
-
+12%+6%+18%
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Zearing Health Care, LLC
Type of care:
SNF
AL
Community:
IA 502780195
Bed Count:
40
Pets Allowed:
No
Operator:
MIDWEST SNF HOLDING COMPANY LLC
CCN:
165320
Occupancy:
89.3%
Home Revenue:
$2,581,420.00
Payroll Costs:
$1,375,435.00
Payroll %:
53.3%
Avg Residents/Day:
33.10
Overall Rating:
Adj Nurse Hours:
4.5442
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
+6%
+6%
Occupancy vs State Avg:
+18%
+18%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Zearing Health Care, LLC
Zearing, IA 502780195
Zearing, IA 502780195
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
100
Total Staff
36
Employees
64
Contractors
12,136
Total Hours (Quarter)
16
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 8.3 | Yes |
| Licensed Practical Nurse | 3 | 9.3 | Yes |
| Certified Nursing Assistant | 71 | 8.2 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.4hs shift avg
Nursing Staff ⓘ
87 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.9hs shift avg
Therapy Services ⓘ
6 staff
4.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.2hs shift avg
Dietary Services ⓘ
1 staff
6.8hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
24%
of total hours from contractors
2,912 contractor hours this quarter
Certified Nursing Assistant: 50
Registered Nurse: 4
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Medical Director: 1
Qualified Social Worker: 2
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
11
Citations per inspection
2.75
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
11 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Aug 27, 2025
Corrected
Resident Rights moderate citation
Aug 27, 2025
Corrected
Care Planning moderate citation
Jun 02, 2025
Corrected
Abuse/Neglect moderate citation
Feb 19, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
37
Total Residents
Medicaid
32
(86.5%)
ⓘ
Private Pay/Other
5
(13.5%)
ⓘ
Specialized Care Beds
16
Total Specialty Beds
40%
of Bed Capacity
16
Huntington's Disease Beds ⓘ
40%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
19% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.0%
Percent of long-stay residents whose ability to move independently worsened
18.0%
8% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.9%
Percent of long-stay high risk residents with pressure ulcers
0.9%
80% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.3%
Percent of long-stay residents who lose too much weight
3.3%
33% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.9%
Percent of long-stay residents who received an antipsychotic medication
8.9%
53% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Zearing Health Care, LLC based on CMS SNF Cost Reports.
Occupancy Rate
84.8%
↑ 9.9pp vs 2021
Net Income
$89,571
↑ ~$211K vs 2021
Total Payroll
$1,584,347
↑ ~$106K vs 2021
Profit Margin
3.5%
↑ 8.9pp vs 2021
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