Inspection Reports for Zearing Health Care, LLC
404 East Garfield, Zearing, IA, 502780195
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
32 residents
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 16, 2025
Visit Reason
A complaint investigation for #2614522-I was conducted on October 16, 2025.
Complaint Details
Complaint investigation #2614522-I; facility found in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 2
Date: Aug 27, 2025
Visit Reason
The inspection was conducted due to complaints #2571945-C, #2576768-C, and #2582101-C alleging abuse and failure to treat residents with dignity and respect at Zearing Health Care, LLC.
Complaint Details
The investigation of complaints #2576768-C and #2582101-C resulted in deficiencies. Staff A was suspended on 7/30/25 due to allegations of abuse. Interviewed residents and staff confirmed verbal abuse and unprofessional behavior. The facility failed to separate the alleged perpetrator from the resident promptly. A self-report was submitted to the State Survey Agency. The investigation is ongoing with corrective actions planned.
Findings
The facility was found not in compliance with 42 CFR Part 483 requirements related to resident rights and abuse prevention. Staff A was suspended for verbal abuse, and the facility failed to separate the alleged perpetrator from the resident in a timely manner. Multiple interviews and reviews revealed staff used profane language and failed to treat residents with dignity.
Deficiencies (2)
Failure to treat residents with dignity and respect, including verbal abuse by staff.
Failure to investigate, prevent, and correct alleged abuse in a timely manner.
Report Facts
Complaints investigated: 3
Resident census: 32
BIMS score: 7
BIMS score: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Suspended for verbal abuse and failure to treat residents with dignity | |
| Staff B | Certified Nursing Assistant (CNA) | Witnessed and reported Staff A's abusive behavior |
| Staff C | Certified Nursing Assistant (CNA) | Reported resident behaviors and assisted in investigation |
| Staff D | Certified Nursing Assistant (CNA) | Reported resident behaviors and assisted in investigation |
| Staff E | Certified Medication Aide (CMA) | Involved in resident care and investigation |
| Staff F | Reeducated on foot pedal usage | |
| Administrator | Responsible for monitoring staff professionalism and corrective actions | |
| Registered Nurse (RN) | Interviewed during investigation |
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Aug 27, 2025
Visit Reason
The visit was conducted based on acceptance of the facility's credible allegation of compliance and the Plan of Correction for the survey ending on August 27, 2025.
Findings
The facility will be certified in compliance effective September 26, 2025, based on the acceptance of the Plan of Correction.
Deficiencies (1)
Initial comments regarding acceptance of credible allegation of compliance and Plan of Correction.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 2, 2025
Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance for the facility.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction, resulting in certification effective July 2, 2025.
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 1
Date: Jun 2, 2025
Visit Reason
The inspection was conducted due to complaint #128449-C regarding medication administration errors at Zearing Health Care Nursing Home.
Complaint Details
Complaint #128449-C resulted in a deficiency related to medication administration errors. The complaint was substantiated by observation, clinical record review, staff interviews, and policy review.
Findings
The facility was found not in compliance with 42 CFR Part 483 requirements related to medication administration and physician orders. A medication error occurred when a Registered Nurse administered medications to the wrong resident, and the facility failed to follow the five rights of medication administration.
Deficiencies (1)
Failure to follow the five rights of medication administration and physician orders to prevent a medication error.
Report Facts
Total census: 34
BIMS score: 7
BIMS score: 9
Medication dosages: 2
Medication dosages: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse | Administered medication in error to the wrong resident and reported the incident |
| Director of Nursing | Verified nursing staff to follow physician's orders and medication administration policy |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Apr 1, 2025
Visit Reason
The inspection was conducted as a complaint investigation for complaint #126865 from March 31, 2025 to April 1, 2025.
Complaint Details
Complaint #126865 was investigated and the facility was found to be in compliance.
Findings
The Zearing Health Center Nursing Home was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities following the complaint investigation.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Mar 20, 2025
Visit Reason
The document is a Plan of Correction submitted following a prior inspection, indicating acceptance of credible allegation of substantial compliance and certification of the facility in compliance with health requirements effective February 20, 2025.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, resulting in certification of compliance with health requirements.
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 2
Date: Feb 20, 2025
Visit Reason
The inspection was conducted due to a facility reported incident #126019-I, which was substantiated. The investigation focused on allegations of abuse, neglect, exploitation, or mistreatment reported between February 17, 2025, and February 19, 2025.
Complaint Details
Facility reported incident #126019-I was substantiated. The complaint investigation found failure to report abuse timely and failure to separate the alleged abuser from the resident. The facility reported a census of 35 residents during the investigation.
Findings
The facility failed to report an allegation of abuse timely for one resident and did not separate the alleged abuser from the resident for approximately 7 days after the incident. Staff interviews and policy reviews revealed multiple failures in reporting and preventing abuse. The facility implemented corrective actions including staff training and separation of the alleged abuser.
Deficiencies (2)
Failure to report an allegation of abuse timely for one resident.
Failure to thoroughly investigate allegations of abuse and prevent further potential abuse during the investigation.
Report Facts
Census: 35
Dates of incident and investigation: Incident occurred on 1/10/25; investigation conducted from 2/17/25 to 2/19/25.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurse Aide (CNA) | Reported witnessing abuse and assisted residents during the incident. |
| Staff B | Certified Nurse Aide (CNA) | Witnessed abuse, wrote statements, and reported the allegation within 24 hours. |
| Staff C | Certified Nurse Aide (CNA) | Witnessed abuse and reported the incident to the Assistant Director of Nursing. |
| Staff D | Registered Nurse (RN) | Involved in the abuse incident and yelled at Resident #1. |
| Staff E | Licensed Practical Nurse (LPN) | Involved in the abuse incident and grabbed Resident #1's arm. |
| Administrator | Reported first learning of the abuse allegation on 1/10/25 and failed to separate the alleged abuser from the resident timely. |
Inspection Report
Annual Inspection
Census: 37
Deficiencies: 0
Date: Dec 5, 2024
Visit Reason
The inspection was conducted as an annual recertification survey combined with an investigation of complaints #122747-C and #124280-C.
Complaint Details
Complaints #122747 and #124280 were investigated and found to be not substantiated.
Findings
The facility was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. The complaints investigated were not substantiated.
Report Facts
Total census: 37
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 3, 2024
Visit Reason
Investigation of complaint #119773 conducted on June 3, 2024.
Complaint Details
Complaint #119773 was investigated and found not substantiated.
Findings
The Zearing Health Care Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. Complaint #119773 was not substantiated.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 21, 2023
Visit Reason
An annual recertification survey and investigation of complaint #115568-C were conducted from September 18, 2023 to September 21, 2023.
Complaint Details
Investigation of complaint #115568-C was conducted during the survey.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 22, 2022
Visit Reason
Complaints #107929-C and #105741-C and self report #107244-I were investigated on September 21-22, 2022.
Complaint Details
Complaint #105741-C was not substantiated. Complaint #107929-C was not substantiated. Self report #107244-I was not substantiated.
Findings
The facility was found to be in substantial compliance. Complaint #105741-C, Complaint #107929-C, and Self report #107244-I were not substantiated.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 11, 2022
Visit Reason
The document is a plan of correction submitted following a credible allegation of compliance to certify the facility in compliance effective August 5, 2022.
Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction, with no specific deficiencies detailed in this document.
Inspection Report
Annual Inspection
Census: 33
Deficiencies: 6
Date: Jul 5, 2022
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey with investigation of complaints #100142-C and #105180-C.
Complaint Details
Complaint #100142-C was substantiated. Complaint #105180-C was not substantiated.
Findings
The facility was found to have multiple deficiencies including failure to provide timely notification of changes for residents, incomplete comprehensive assessments after significant changes, failure to notify residents of charges in a timely manner, incomplete PASARR assessments, and failure to properly manage psychotropic drug orders and medication cart security.
Deficiencies (6)
Failure to provide updated information and timely notification of changes for Resident #33.
Failure to complete a comprehensive assessment after significant change for Residents #1, #14, and #25.
Failure to notify Resident #184 of charges for service in a timely manner.
Failure to complete PASARR screening and resident review for Resident #29.
Failure to limit psychotropic drug PRN orders to 14 days and failure to ensure in-person evaluation by prescribing practitioner for Resident #22.
Failure to lock unattended medication cart, leaving it unlocked and unattended multiple times.
Report Facts
Resident census: 33
Residents reviewed for comprehensive assessment deficiency: 3
Residents reviewed for notification of charges deficiency: 3
Residents reviewed for PASARR screening deficiency: 1
Residents reviewed for psychotropic drug order deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | DON | Explained expectations regarding notification of family and medication cart security. |
| Staff A | Registered Nurse | Observed leaving medication cart unlocked and unattended. |
| Administrator | Administrator | Provided interviews regarding notification expectations and PASARR completion. |
| MDS nurse | MDS nurse | Acknowledged failure to complete significant change MDS assessments. |
| MDS Coordinator | MDS Coordinator | Reported lack of awareness of need to complete significant change MDS. |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 32
Deficiencies: 6
Date: Aug 31, 2021
Visit Reason
A recertification health survey and investigation of Complaint #91969-C was completed from 8/23/21 to 8/31/21, triggered by a complaint that was substantiated.
Complaint Details
Complaint #91969-C was substantiated based on observations, staff interviews, and record reviews indicating multiple deficiencies in resident care and facility operations.
Findings
The facility failed to maintain a safe, clean, comfortable, and homelike environment for residents, including issues with odors, sticky floors, and unclean furniture in Resident #23's room. The facility also failed to notify the Ombudsman of transfers for Residents #14 and #26, and did not complete required PASARR screenings for residents with mental disorders. Additionally, care plans lacked necessary details and interventions, and medication administration protocols were not properly followed.
Deficiencies (6)
Facility failed to maintain a clean resident environment for Resident #23, including odor, sticky floor, and unclean recliner.
Facility failed to notify Ombudsman of transfers for Residents #14 and #26.
Facility failed to complete required PASARR screenings for residents with mental disorders.
Facility failed to develop and implement comprehensive person-centered care plans for residents, including fall precautions and behavioral interventions.
Facility failed to provide services meeting professional standards for medication administration, including insulin pen priming and supervision.
Facility failed to establish and maintain an infection prevention and control program, including hand hygiene and glove use.
Report Facts
Census: 32
Deficiencies cited: 6
Dates of observations: Observations occurred on 8/23/21, 8/24/21, 8/25/21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Registered Nurse (RN) | Named in medication administration and infection control deficiencies |
| Director of Nursing | Named in notification and care plan deficiencies | |
| Nursing Home Administrator | Named in notification and care plan deficiencies | |
| Assistant Director of Nursing | Named in care plan and MDS deficiencies | |
| Certified Occupational Therapy Assistant | Named in care plan and resident therapy status |
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 1
Date: Jun 8, 2020
Visit Reason
The inspection was conducted based on Complaint #91279-C and a Focused Covid-19 Survey to investigate infection prevention and control practices at the facility.
Complaint Details
Complaint #91279-C was investigated and found not substantiated. The facility was cited for deficient infection prevention and control practices.
Findings
The facility failed to ensure staff followed proper infection control practices for 2 of 3 residents observed, including failure to wash or sanitize hands during wound care and improper glove use. The complaint was not substantiated, but deficiencies in infection prevention and control were identified.
Deficiencies (1)
Failure to follow infection control practices including hand hygiene and glove use during wound care for residents.
Report Facts
Census: 27
Complaint Number: 91279
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Observed failing to follow infection control practices during wound care |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding infection control expectations and training |
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