PlainNursing
CMS Nursing Home Compare · March 2026

Zearing Health Care, LLC

Zearing Health Care, LLC is a for profit - limited liability company facility in Zearing, IA with 40 certified beds and a 4-star overall CMS rating. The inspection file holds 11 deficiency records.

404 East Garfield St, Zearing, IA 50278

Phone: 6414877631

Overall CMS Rating

4/5

vs 3.0 national avg

The verdict

Zearing Health Care, LLC holds a 4-star CMS overall rating — well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall rating (nat'l avg 3.0)
3.90
Nursing hrs/resident-day (nat'l 3.89)
11
Inspection findings on file
$0
Federal penalties (0)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

3/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
165320
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
40
Residents
33
In Hospital
No
County
Story
Last Inspection
Jan 22, 2026

Staffing Data

RN Hours
1.00 (nat'l avg: 0.68)
LPN Hours
0.48
CNA Hours
2.42
Total Nursing Hours
3.90 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
59.0%
RN Turnover
50.0%

What the CMS Record Reveals About Zearing Health Care, LLC

Zearing Health Care, LLC operates 40 certified beds in Zearing, IA with approximately 33 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.90 total nursing hours per resident day (national average 3.89), with RN coverage at 1.00 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Zearing Health Care, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 59.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

D — Isolated - Minimal harm Aug 27, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 26, 2025

D — Isolated - Minimal harm Aug 27, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 26, 2025

D — Isolated - Minimal harm Jun 2, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 2, 2025

D — Isolated - Minimal harm Feb 19, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 20, 2025

D — Isolated - Minimal harm Feb 19, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 20, 2025

E — Pattern - Minimal harm Jul 5, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Aug 5, 2022

D — Isolated - Minimal harm Jul 5, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Aug 5, 2022

D — Isolated - Minimal harm Jul 5, 2022 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2022

D — Isolated - Minimal harm Jul 5, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 5, 2022

D — Isolated - Minimal harm Jul 5, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Aug 5, 2022

D — Isolated - Minimal harm Jul 5, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 5, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Zearing Health Care, LLC?
Zearing Health Care, LLC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at Zearing Health Care, LLC?
Zearing Health Care, LLC reports 3.90 total nursing hours per resident day (national average: 3.89). RN hours are 1.00 per resident day (national average: 0.68). Nursing staff turnover is 59.0%.
How many beds does Zearing Health Care, LLC have?
Zearing Health Care, LLC has 40 certified beds with approximately 33 residents. The facility is located at 404 East Garfield St, Zearing, IA 50278.
Does Zearing Health Care, LLC have any deficiencies on record?
Yes, Zearing Health Care, LLC has 11 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Zearing Health Care, LLC received any fines or penalties?
No, Zearing Health Care, LLC has no fines or penalties on record.
Who owns Zearing Health Care, LLC?
Zearing Health Care, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Zearing Health Care, LLC last inspected?
The most recent health inspection for Zearing Health Care, LLC was on Jan 22, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Zearing Health Care, LLC?
Zearing Health Care, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.