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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Averaging an extended length of stay of 238 days, Zearing Health Care, LLC 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 80th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 0m per day | ▲ 36% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 29m per day | ▼ 15% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▼ 5% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 23m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 43m per day | ▲ 43% State avg: 30m per day · National avg: 28m per day |
Similar to the Iowa average: 75.4%Zearing Health Care, LLC is administrated 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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 27 | This facility has total deficiencies in line with the Iowa average (27 vs. IA avg 27).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 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
Average deficiencies per inspection.
| 1.5 | 1.8 | This facility has 17% fewer deficiencies per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.8).↓ 17% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa nursing home (18 vs. IA avg 15).↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Aug 2025
Iowa average 21.7
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.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
40% better than Iowa average
14% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Manages medical care and health needs.
10 total: 7 full-time employees and 3 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
5 total: 3 full-time employees and 2 contractors.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
78 total: 17 full-time employees and 61 contractors.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Total hours from contractors
3,070 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
| 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.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
19% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
18.0%
8% better than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.9%
80% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.3%
33% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
8.9%
53% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 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%
Number of hospitalizations per 1,000 long-stay resident days.
0.97
34% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
50% better than Iowa averageIowa average: 2.09
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
37Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Zearing Health Care, LLC based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #236 / 242Payroll — State benchmarkedThis home is ranked 236th out of 242 homes in Iowa. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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.
Add your location
Zearing Health Care, LLC is located in Zearing, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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
Facility
40
IA AVG
73
Rank
#326 / 407 | 77.5% | +3% | 4.54 | -19% | +6% | $0 | 11 | 2.8 | - | 31 | - |
10
Facility
10
IA AVG
45
Rank
#469 / 528 | Midwest Snf Holding Company LLC | $2.6M | $1.6M | 61.6% | 165320 | ||||
| Oaknoll Retirement Residence |
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. | Iowa City (Roosevelt) | 70
Facility
70
IA AVG
73
Rank
#163 / 407 | 81.4% | +8% | 6.02 | +8% | +40% | $0 | 7 | 3.5 | - | 54 | - |
33
Facility
33
IA AVG
45
Rank
#344 / 528 | Stephen Roe | $31.2M | $12.7M | 40.7% | 165030 | ||||
| Cedar Ridge Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ |
5
Facility
5
IA AVG
45
Rank
#488 / 528 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
| Rotary Senior Living |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Eagle Grove | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 77.5% | +3% | 3.73 | +45% | -13% | $56.1k | 22 | 4.4 | 2 | 32 | - |
24
Facility
24
IA AVG
45
Rank
#403 / 528 | James Christ | $5.6M | $3.6M | 64% | 165500 | ||||
| Ramsey Village Continuing Care |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Drake) | 78
Facility
78
IA AVG
73
Rank
#128 / 407 | - | - | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
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%.
The team at Zearing Health Care, LLC can be reached at [email protected].
Brad Sammon is the administrator of Zearing Health Care, LLC.
Zearing Health Care, LLC has 40 beds.
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