Occupancy rate
80%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Iowa
CMS overall rating
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.
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.
Zearing Health Care, LLC
Nursing Home in Iowa
CMS overall rating
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.
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.
Zearing Health Care, LLC
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80%
Residents per day (avg)
33
Occupancy rate
80%
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
Privately-owned community
Operated by a business corporation.
Home revenue
$2.6M
Profit
$89.6K
Privately-owned community
Operated by a business 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
Occupancy
In line with Iowa averageOccupied beds
32 / 40
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
ExpirationSeptember 1, 2026
CountyStory
License Number850252
CMS Certification Number165320
Certification TypeFALSE
Zearing Health Care, LLC is administrated by Brad Sammon.
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
Rehabilitation
Long Term Care
Dementia Care
Hospice
Email
[email protected]
Fax6414877638
Specific ProgramsRehabilitation Services, Long Term Care, Huntington Disease, Admissions, Careers, Contact
Food DescriptionGreat 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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
November 10, 2025
19 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Zearing Health Care, LLC
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.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
11
Iowa average 21.7
Citations per inspection
2.75
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.
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 27, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 27, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 27, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 27, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 02, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 02, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Feb 19, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
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
+6%
0
11
2.8
0
33
Midwest Snf Holding Company Llc
$2.6M
$1.4M
53.3%
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
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
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
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
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
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
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
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
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0.0 miles from city center
404 East Garfield, Zearing, IA 502780195
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
100
Employees
36
Contractors
64
Staff to resident ratio
2.70:1
35% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
16
Average shift
8.3 hours
12% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
12,136
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
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.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
71
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
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.
Contractor staffing
Total hours from contractors
24%
2,912 contractor hours this quarter
Certified Nursing Assistant: 50
Registered Nurse: 4
Qualified Social Worker: 2
Respiratory Therapy Technician: 2
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Medical Director: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 1
Staff by category
| 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 |
71 Certified Nursing Assistant
% of Days
100%
13 Registered Nurse
% of Days
100%
3 Licensed Practical Nurse
% of Days
97%
1 Administrator
% of Days
68%
1 Nurse Practitioner
% of Days
64%
1 Clinical Nurse Specialist
% of Days
60%
1 Dietitian
% of Days
55%
1 Occupational Therapy Aide
% of Days
10%
1 Speech Language Pathologist
% of Days
13%
1 Medical Director
% of Days
8%
1 Occupational Therapy Assistant
% of Days
2%
2 Respiratory Therapy Technician
% of Days
2%
1 Physical Therapy Assistant
% of Days
1%
2 Qualified Social Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
37 residents
Residents by payment source
Medicaid
32 residents (86.5%)
Private pay or other
5 residents (13.5%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
Loading trend charts...
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