Zearing Health Care, LLC
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Zearing, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Zearing Health Care, LLC

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Zearing, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Zearing Health Care, LLC accepts Medicare, Medicaid, and private pay.

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.

Since 2020 · 6 years of data 27 deficiencies 18 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 2 At Avg Metrics at Iowa average:
• Total deficiencies (at IA avg)
• Deficiencies per year (at IA avg)
1 Better Metrics better than Iowa average:
• Deficiencies per inspection (17% below)
Latest Inspection November 10, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2727 This facility has total deficiencies in line with the Iowa average (27 vs. IA avg 27).— At avg
Deficiencies per year Info Average deficiencies per year since 2020. 4.54.5 This facility has deficiencies per year in line with the Iowa average (4.5 vs. IA avg 4.5).— At avg
Deficiencies per inspection Info Average deficiencies per inspection. 1.51.8 This facility has 17% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.5 vs. IA avg 1.8).↓ 17% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1815 This facility has had 20% more total inspections than the Iowa average (18 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 20% more

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on January 22, 2026 found 3 deficiencies related to psychotropic medication consent, fall risk care plans, and kitchen glove use.
  • Multiple complaint investigations in 2025 documented failure to treat residents with dignity, verbal abuse by staff, and delayed separation of alleged abusers from residents.
  • The facility had a substantiated medication error in June 2025 involving wrong resident medication administration but followed protocols to monitor and notify involved parties.

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Aug 2025

Total health citations
11 Rank #76 / 244Health citations — State benchmarkedThis home is ranked 76th out of 244 homes in Iowa for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 244 IA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.75 Rank #71 / 244Citations per inspection — State benchmarkedThis home is ranked 71st out of 244 homes in Iowa for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 244 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 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

Staffing Data

Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.

Total staff 106
Employees 31
Contractors 75
Staff to resident ratio 2.86 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 16
Average shift 8.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 12,404

Nursing staff breakdown

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 10 total: 7 full-time employees and 3 contractors. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 5 total: 3 full-time employees and 2 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 78 total: 17 full-time employees and 61 contractors. 78
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

Contractor staffing

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.

Total hours from contractors

24.8%

3,070 contractor hours this quarter

Certified Nursing Assistant: 61 Registered Nurse: 3 Respiratory Therapy Technician: 3 Licensed Practical Nurse: 2 Speech Language Pathologist: 1 Administrator: 1 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category

Q3 2025 · Jul 1 – Sep 30 More info This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Certified Nursing Assistant1761787,23892100%8.5
Registered Nurse73102,0789199%8.7
Licensed Practical Nurse3251,4448997%10
Nurse Practitioner1014846267%7.8
Administrator1124725964%8
Clinical Nurse Specialist1014485661%8
Dietitian1011692325%7.3
Occupational Therapy Aide0113244%8
Respiratory Therapy Technician0331789%2.1
Medical Director0111255%2.4
Physical Therapy Assistant011633%2
Occupational Therapy Assistant011411%4
Speech Language Pathologist011222%0.8
78 Certified Nursing Assistant
% of Days 100%
10 Registered Nurse
% of Days 99%
5 Licensed Practical Nurse
% of Days 97%
1 Nurse Practitioner
% of Days 67%
2 Administrator
% of Days 64%
1 Clinical Nurse Specialist
% of Days 61%
1 Dietitian
% of Days 25%
1 Occupational Therapy Aide
% of Days 4%
3 Respiratory Therapy Technician
% of Days 9%
1 Medical Director
% of Days 5%
1 Physical Therapy Assistant
% of Days 3%
1 Occupational Therapy Assistant
% of Days 1%
1 Speech Language Pathologist
% of Days 2%

Penalties and fines

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.

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 Info 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 State average

State average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.7
13% better than State average

State average: 21.6

Long-stay resident measures
Significantly above average State avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.3%
19% better than State average

State average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.0%
8% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.8%
13% better than State average

State average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.9%
80% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.3%
33% better than State average

State average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.9%
53% better than State average

State average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4%
In line with State average

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.97
34% better than State average

State average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.04
50% better than State average

State average: 2.09

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 37
Medicaid
32
86.5% of residents
Private pay or other
5
13.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$97.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.4M Rank #244 / 246Revenue — State benchmarkedThis home is ranked 244th out of 246 homes in Iowa for Revenue. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$97.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
-$7.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #242 / 246Payroll — State benchmarkedThis home is ranked 242nd out of 246 homes in Iowa for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.6M 64.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #68 / 246Payroll % — State benchmarkedThis home is ranked 68th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$752.0K
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$2.3M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (64% of admissions), and a typical Medicaid stay runs around 9 days.

Admissions
55 total

Coverage residents most often arrive under.

Medicare 11%
Private pay 25%
Medicaid 64%
Discharges
52 total

Coverage residents most often leave under.

Medicare 12%
Private pay 23%
Medicaid 65%

Places of interest near Zearing Health Care, LLC

Address 0.0 miles from city center Info Estimated distance in miles from Zearing's city center to Zearing Health Care, LLC's address, calculated via Google Maps.

Calculate Travel Distance to Zearing Health Care, LLC

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Frequently Asked Questions about Zearing Health Care, LLC

Is Zearing Health Care, LLC in a walkable area?

Zearing Health Care, LLC has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Zearing Health Care, LLC?

According to IA state health department records, Zearing Health Care, LLC's license number is 850252.

When does Zearing Health Care, LLC's license expire?

According to IA state health department records, Zearing Health Care, LLC's license expires on September 1, 2026.

What is the occupancy rate at Zearing Health Care, LLC?

Zearing Health Care, LLC's occupancy is 78%.

Are pets allowed at Zearing Health Care, LLC?

No, Zearing Health Care, LLC has a no-pet policy.

What is the best email address for Zearing Health Care, LLC?

The team at Zearing Health Care, LLC can be reached at Zearing.admin@chosenhc.com.

Does Zearing Health Care, LLC operate as a for-profit or non-profit?

Zearing Health Care, LLC is registered as a for-profit in IA.

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