Nursing HomeInspections

Zearing Health Care, LLC

Nursing home in Zearing, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (641) 487-7631Send a messageMap ↗

Public-record details

Address
404 East Garfield St, Zearing, IA 50278
Phone
(641) 487-7631
Listed under
For-profit
Medicare CCN
165320
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
40
Average residents per day
32
Ownership
For-profit, limited Liability company
Legal business name
Zearing Health Care Center LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 7, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165320. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 22, 2026. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 19, 2025 to Jun 30, 2026): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 30, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 30, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 30, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jun 30, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jun 30, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
Jan 22, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 22, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jan 22, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 27, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 27, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 2, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $22,205 in the last three years.

Jun 30, 2026Fine: $22,205

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.68 hours
Registered nurse (RN) time per resident per day
0.89 hours
Nurse aide time per resident per day
2.30 hours
Total nurse staffing on weekends
3.32 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.