nursing home in Zearing, IA
Zearing Health Care, LLC
404 East Garfield St, Zearing, IA 50278 · (641) 487-7631
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Zearing Health Care, LLC at a glance
Zearing Health Care, LLC is a 40-bed for-profit nursing home in Zearing, Iowa (Story County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (January 22, 2026) found 9 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $22,205.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 7, 1997
- Resident/family council
- Resident
- County
- Story County
- CMS Certification Number
- 165320
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.68 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.89 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.30 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.32 hrs | 3.37 hrs | 3.42 hrs | Average |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 6 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 121.3 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,205 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 65 | 107 | |
| Average residents per day | 32 | 52 | 86 | |
| Occupancy | 79.5% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.8% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 12.5% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.1% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.6% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.9% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20% | 20.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 19.2% | 25.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 94.4% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94% | 93.6% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 30, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected July 7, 2026 |
| June 30, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected July 7, 2026 |
| June 30, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 7, 2026 |
| June 30, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 22, 2026 |
| June 30, 2026 Complaint | Provide 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 Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 22, 2026 |
| June 30, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 22, 2026 |
| January 22, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 26, 2026 |
| January 22, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 23, 2026 |
| January 22, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected January 23, 2026 |
| January 22, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected January 23, 2026 |
| January 22, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected February 20, 2026 |
| January 22, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 20, 2026 |
| January 22, 2026 Standard | Develop 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 Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected February 20, 2026 |
| August 27, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 26, 2025 |
| August 27, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 26, 2025 |
| June 2, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 2, 2025 |
| February 19, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 20, 2025 |
| February 19, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 20, 2025 |
| December 5, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected January 9, 2025 |
| September 21, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected October 3, 2023 |
| September 21, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected October 19, 2023 |
| September 21, 2023 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | D Potential harm, isolated | Corrected October 2, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $22,205 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 30, 2026 | Fine | $22,205 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MIDWEST SNF HOLDING COMPANY LLC Organization | 5% or greater direct ownership interest | 100% | 09/01/2015 |
| CHOSEN CONSULTING INC Organization | 5% or greater indirect ownership interest | 100% | 09/01/2014 |
| CHOSEN CONSULTING INC Organization | adp of the snf | NOT APPLICABLE | 03/19/2025 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| MIDWEST SNF HOLDING COMPANY LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2025 |
| MIDWEST SNF MANAGER LLC Organization | adp of the snf | NOT APPLICABLE | 03/19/2025 |
| ORLINSKY, MOSHE Individual | adp of the snf | NOT APPLICABLE | 09/01/2014 |
| SAMMON, BRAD Individual | adp of the snf | NOT APPLICABLE | 09/01/2014 |
| VANGORP, DAVID Individual | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| ORLINSKY, MOSHE Individual | corporate officer | NOT APPLICABLE | 09/01/2014 |
| ORLINSKY, MOSHE Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2014 |
| MIDWEST SNF MANAGER LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2014 |
| SAMMON, BRAD Individual | operational/managerial control | NOT APPLICABLE | 09/01/2014 |
| VANGORP, DAVID Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
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★★★★★5Much above average- ★★★★★2Below average
Eldora Specialty Care
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- Abuse citation
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Frequently asked questions
What is Zearing Health Care, LLC's rating?
Zearing Health Care, LLC has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Zearing Health Care, LLC receive?
Its most recent standard health inspection found 9 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Zearing Health Care, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Zearing Health Care, LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Zearing Health Care, LLC and how do I contact it?
Zearing Health Care, LLC is at 404 East Garfield St, Zearing, IA 50278. Phone: (641) 487-7631.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.