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.
Averaging an extended length of stay of 238 days, Zearing Health Care is a 40-bed skilled nursing facility that provides long-term nursing, dementia care, semi-independent living, hospice, and respite options. The property maintains a steady 78% occupancy rate, which matches regional baselines, and relies on a resident population made up of Medicaid (64%), private-pay (25%), and Medicare (11%) recipients. Business records indicate stable financial development, showing a turnaround from prior losses to a 3.5% profit margin and an $89.6 thousand net profit, with the operator channeling a heavy 61.6% of general revenue straight into personnel payroll.
State health department logs document deep daily caregiver staffing and remarkable permanent resident clinical outcomes alongside a recent cluster of employee conduct citations. Direct nursing care lines deliver an average of 4 hours and 33 minutes per resident daily, with weekend registered nurse coverage running 43% ahead of the Iowa state baseline. This intensive care matches near-flawless permanent resident charts, which document zero instances of major injury falls, zero urinary tract infections, zero pressure ulcers, and zero reported cases of depression.
On the regulatory side, the property averages 3.9 citations per year and carries zero federal financial fines over the past three years. While standard inspections in late 2024 and late 2025 came back completely clean, reviews between February and August 2025 substantiated allegations of staff verbal abuse and late reporting, resulting in worker suspensions. A subsequent January 2026 inspection logged three minor points regarding psychotropic medication consent forms, localized fall-risk care plans, and basic kitchen glove hygiene.
Prospective residents seeking a small, long-term care environment with deep daily caregiver hours can analyze these state registry updates to weigh the facility’s baseline. Public records verify that the building achieves standout medical prevention outcomes and maintains heavy daily staffing presence, balanced against recent employee retraining and administrative charting corrections.
Zearing Health Care, LLC is administered 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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
| 27 | 27 | This facility has total deficiencies in line with the Iowa average (27 vs. IA avg 27).— At avg |
|
Deficiencies per year
| 4.5 | 4.5 | This facility has deficiencies per year in line with the Iowa average (4.5 vs. IA avg 4.5).— At avg |
|
Deficiencies per inspection
| 1.5 | 1.8 | 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
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 18 | 15 | 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 |
State average N/A
Last Health inspection on Aug 2025
State average N/A
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.
State average: N/A
State average: N/A
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
3,070 contractor hours this quarter
| Certified Nursing Assistant | 17 | 61 | 78 | 7,238 | 92 | 100% | 8.5 |
| Registered Nurse | 7 | 3 | 10 | 2,078 | 91 | 99% | 8.7 |
| Licensed Practical Nurse | 3 | 2 | 5 | 1,444 | 89 | 97% | 10 |
| Nurse Practitioner | 1 | 0 | 1 | 484 | 62 | 67% | 7.8 |
| Administrator | 1 | 1 | 2 | 472 | 59 | 64% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 169 | 23 | 25% | 7.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 32 | 4 | 4% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 17 | 8 | 9% | 2.1 |
| Medical Director | 0 | 1 | 1 | 12 | 5 | 5% | 2.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 4 | 1 | 1% | 4 |
| Speech Language Pathologist | 0 | 1 | 1 | 2 | 2 | 2% | 0.8 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Zearing Health Care, LLC from 2012–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
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.
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | - | 66 | - | 69 | 1 Bed / 2 Bed |
| Friendship Village | NH AL IL MC SNF | Waterloo | - | 72 | - | 52 | 2 Bed / 3 Bed |
| Prairie Vista Village | NH AL IL SNF | South Altoona | - | 68 | A | 29 | - |
| St Francis Manor | NH AL HOS SNF | Grinnell | - | 78 | - | 82 | - |
| Zearing Health Care, LLC | NH HOS MC RC SNF | Zearing | - | 40 | - | 10 | - |
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%.
No, Zearing Health Care, LLC has a no-pet policy.
The team at Zearing Health Care, LLC can be reached at Zearing.admin@chosenhc.com.
Zearing Health Care, LLC is registered as a for-profit in IA.
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